Hi @Beth. I'm not truly sure of what lithium does/has done for my stability, but I must tell you my pdoc swears by it. I just can't compare it because i was immediately administered lithium after my very first crisis. 6 years later I'm having some hypothyroidism and I pee more frequently than before, those would be my only complaints at the moment. I've needed some dose readjustments, hope it works out. C ya.