It should come as no surprise that, when I followed his advice, I experienced significant improvement. The seroquel handles the mania symptoms and calms me enough to sleep. The increase in Lithium seems to have immediately helped. I went from 600 (a low dose) up to 900 ( a typical dose). Seroquel I dislike, although it DOES work. I always have some close.
Anyway, things are looking up. With a little luck I'll once again have enough ability to concentrate, and enough motivation and confidence to begin writing and catching up on emails, comments, and messages.
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