How do you discuss lithium with patients who are hesitant due to concerns about side effects or monitoring requirements?

I inform patients that lithium is one of the oldest and most studied mood stabilizers. Many people do well on it for years with no or minimal side effects. Patients report that after years of suffering, it provides a sense of calm and helps with sleep. There is some evidence that it reduces suicide ...

In training, I was taught that everyone with bipolar disorder deserves a trial of lithium, and that idea has really stuck with me. I say this to my patients, along with an honest conversation about side effects and how we try to minimize them now, things like once-daily evening dosing, aiming for le...

It has helped me to be candid with my patients about the benefits and side effects of lithium and having them and possibly a family member in partnership in the treatment plan.

I have furnished written materials to watch for effects and how to deal with them.

I am easily available to my patients if ...

My favorite treatment modality, the only one in psychiatry that addresses the physiological basis of the conditionat the membrane level. I do tell patients and spend a whole session, how this 3D element on the table - a common component of some foods, water, etc., a natural element, not a pharmaceut...

Agree with all the responses.

We do need to have a full disclosure related to the potential seriousness and severity of the side effects, and cooperation for obtaining levels before starting it.

Offering written information also seems beneficial.

I have even seen recent studies that report that the risk of sick sinus syndrome is less than expected, and it is safe for pregnant women who need the treatment. That was such a change from my training.