I was recently IP because I was out of control. I was refusing to take any of my meds and hadn't for two days - NOT smart - but I was manic as hell - I later learned I had been experiencing mixed episodes.
I was crying and yelling and hubby called the cops and I told them I knew my rights and I didn't have to go - until he called them the second time because I was trying to hurt myself, then they said I had to go to Spencer Mental Health. I was not nice to them, but I was respectful. Then I got a text message from my p-doc telling me to go to the hospital. I bawled. I didn't want to go. I'd been before and it wasn't a bad place, but who likes being on suicide watch?
Anyway, after my arrival, much cussing and discussing amongst my various doctors ensued and they presented me with the idea of taking lithium, mainly to stop the mixed episodes and mania. I agreed and they started me on 150 mg.
I am currently on 300 mg, and I'm going once a month for ketamine infusions. Between the two, I think we have found the magic formula for me. Idk, it needs some tweaking still. I'd like to up both drugs slightly to see if works even better.