Some people never do understand do they. I finally got old enough to where I just quit caring about the people who laughed or didn't understand. I have a few very good friends who know about me being BiPolar 1, and I have family (who admittedly are stuck with me!)
The only place I still pay attention to the stigma angle would be a job. I probably would mainstream myself there - which does add to the stress angle...
I've been on Lithium carbonate since 1985!! I only have a lithium level done once a year along with my regular blood work. It's probable that the testing would be more frequent at first until the magic ".5 to 1.5" range is reached.
The ONLY time my level has been out of whack is when I was on a medication for my back. It raised not only my blood pressure but my lithium level to 1.59.
Personally I love lithium. My highs were over in the psychotic range by the time they got my on this. I'd have 1 to 2 major depressions a year, and "only" 1 manic period. But they were getting progressively really really REALLY bad.
I would love to try lithium orotate. Three things stop me.
1) Insurance doesn't pay for them
2) It's more expensive than any copay and maybe even more than lithium itself.
3) I'm just as afraid to go off what I'm on (because it works so well for me) as you are to go on it!
I've never figured out why more doctors don't prescribe lithium first (at least for some forms of Bipolar Disorder) before trying the newer more expensive drugs.
Lots more stuff I could say - just ask the folks here!!! Personally I think that Lithium saved my life and let's me be out there in the world looking alMOST normal!!
I come here when I want the best company in the world.,,