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When one of our psychiatrists was talking about mood stabilizers he said that he liked starting with Lithium.  Our other psychiatrist put difficult child on Lithium to boost the effects of the AD he was on.  In ten days it made his TSH go up too high and so he was taken off it.  The only thing we noticed in 10 days is that he drank more water and needed to go to the bathroom more often.  It can take 8 weeks to reach therapeutic levels.  The only real danger is if he reaches a toxic level and this should be avoided with blood tests.  I think he will do just fine.