Thanks for all your input.

There is a common thread to your responses that gives me comfort: help with Bipolar depression. I think that spend a lot of time in that state. So did the PNP, it seems. But I would qualify that with agitated depression. Though he did say that he wouldn’t rule out BP I vs. BP II, as I’ve always thought better describes my symptoms. I found that... alarming, actually.

I did take lithium — decades ago — but don’t remember anything about it. Though I do think it gave me the shakes (?).