Not doing well today, but saw that you were seeing pdoc later and just wanted to mention that lithium saved my life. It works for mania, everyone knows that, but for me, it was key in getting my crushing depression way better. I get a dry mouth, but am on Wellbutrin and Provigil, too, so hard to know on that. Never had kidney issues. Bit of tremor, but that got way better when I was off Abilifry. Now back on it, tremor back. Might be worth a look.