I have recently read (well, scanned) long articles about how Lithium is under prescribed, how it is a gold standard and THE mood stabilizer, and how nothing has ever beat it for Bipolar.

It has not been my experience and now, years after stopping Lithium, I am stuck with hypothyroidism it caused and need to take Levozyl for life. I had never had thyroid problems before Lithium was initiated. So it did not help that much in the end, but I am stuck with a side effect for life

Atypicals, though just a few of them of many I have tried, save the day.

Some years ago I read someplace that there are different presentation of bipolar and one of them is better treated with Lithium and the other, with Atypicals. I am thinking that the classic presentation with regular upswings and downswings was the better candidate for Lithium. I do not have that presentation.

Tried searching for that article but instead found only reviews comparing effectiveness.

Does anyone know which article or blog post I saw?