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*Beth*
Lithium did not help me in the slightest, however I have read that it is most helpful for those who have “classic” bipolar vs atypical and I am definitely square in the atypical area. I do understand his hesitation to prescribe more without a blood level though, you could be in toxicity or getting there if he ups it without knowing. That’s no fun. My hands shook so bad I couldn’t even write in my journal because I couldn’t grip the pen.
But it is frustrating when med providers simply give up! And I’m on 300mg lamictal now , combined with depakote which you’re apparently not supposed to do, but I’ve been stable on that for years (as long as I keep an AP on board, apparently I can’t go without them haha).