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Lithium brought me out of a year long rapid-cycling episode that almost destroyed my marriage, my work and my life. I think it's an excellent "first aid" medicine for bipolar disorder. After about 3 months of feeling amazing relief, I felt emotionally flat-lined, so I worked with my doctor and he reduced my lithium dose to 600 mg and added 150 mg of Lamictal, 1.5 mg of clonazepam to soothe anxiety, and finally 20 mg of Adderall to combat persistent mild depression. Work with your doctor to find your perfect combination! I've been on this particular mix for about 2 years. It's great, but I will always keep the lithium in. It's the core of what works for me.