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I'm on lithium. As a primary med, it's about the only thing that works properly for me (few if any side effects). It's also one of the few meds that's supposed to work for both mania and depression. Even then, I've still had to take other meds (like haldol) as a PRN when I really need it.
I imagine there's some lucky SOB who can get away with a low dose of a single medication, but I haven't met them. The rest of us typically need a combo of some kind, which sucks when trying to manage side effects, but there it is.
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"I must not fear.
Fear is the mind-killer.
Fear is the little-death that brings total obliteration.
I will face my fear.
I will permit it to pass over me and through me.
And when it has gone past, I will turn the inner eye to see its path.
Where the fear has gone there will be nothing. Only I will remain."
-Litany Against Fear (Dune)
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