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Lithium is no more or less serious than any psychotrophic medication and it has the best, most known track record for bipolar. It also has the highest success rate. I took it at one time. Lithium and all psychiatric medications affect everyone differently. My little guy took a slew of medications and had the least affects on Lithium--the teachers didn't even know he was on it. He was allowed to have a water bottle at his desk and to go to the bathroom whenever he needed to. He had more side affects to ADHD medications and antipsychotics.