of mine at a clinic and he knows my history I told him I'm still having problems and he prescribed me Lithium ER 300mgs twice a day but I wonder how well it works once daily. My psych talked about Lithium before so I don't think he will be upset. I also take Rexulti, Lamictal, just changed back to Remeron and Modafinil. If Lithium works I think I'll ask about getting off the Rexulti though