Confession of a Lithium-taker

confession of a lithium-taker

I have a confession to make. I haven’t had a blood Lithium level done in over a year. My psychiatrist has the patience of a saint, but at my last appointment she got a teeny bit irritated with me.

Time is what we want the most, but what we use the worst. – William Penn


It’s not that I haven’t thought about it. It’s the first thing I remember I haven’t done when I notice my quarterly psychiatrist appointment on my calendar. And by then it’s too late to squeeze in a blood draw, so instead I make excuses of how busy I’ve been and how challenging it is to get to the lab within the 8-12 hour window after my nightly dose with two kids in tow, not to mention their school schedules.

Plus, blood tests just suck in general. Who likes to get pricked with a needle first thing in the morning. I’d rather run three miles in the freezing rain.

I take my medication religiously, I tell her. And I do. Every night it’s the last thing I do before crawling under the covers. It’s been one of the keys to keeping me stable these last four plus years. Staying faithful to this medication which has given me my life back is a promise I made to my husband and father the morning I was released from the my last hospitalization. I won’t break that promise. My family and my health are too important not to swallow a little pill which keeps me “in the middle” each night. Unfortunately, regular blood tests come with the territory.

Making my health a priority


I’m sure other moms can relate to how I tend to put everyone else’s needs and issues before my own. Us moms are just used to being last in line. Running a household isn’t easy, the to-do list is constantly over-flowing with laundry, dishes, grocery shopping, picking up toys/messes/clutter, morning send-off, bedtime routine, repeat, repeat, repeat. When I do have time to myself the last thing I want to do is get a blood test. I’d much rather be making out with my husband, writing, reading, soaking in a bubble bath, or catching up with friends.

So I subconsciously put it off. Apparently for over a year, as per my doctor’s chart. Not good, as she needs to check my THS (thyroid stimulating hormone) since long-term Lithium use can affect the function of the thyroid.

Keeping that promise – an early New Year’s resolution


We all have things we put off in regards to our health. Maybe it’s a colonoscopy. Or a dentist appointment. Or a simple blood test. We need to stop making excuses and start giving our health the priority it deserves. Especially our mental health.

Why not get a jump start on your New Year’s resolutions by scheduling those appointments you’ve been putting off. Maybe you have something going on in your life and you’ve been meaning to find a therapist to help you work through it. Or you’ve been struggling to get out of bed for the past few weeks. Maybe you have a hard time coping with the holidays in general.

Don’t be afraid to reach out for help. Make your mental health a priority, on all fronts. Calling a friend and sharing the hard stuff may seem intimidating, but those conversations end up to be the richest, most gut-twisting talks that at the same time are filled with relief and encouragement. Friends who know you best and who can relate allow us to see that we’re not alone.

As for me, the first call I made (well, actually it was a click using the online appointment-scheduler) was to the lab to make that appointment to get my arm pricked and the results sent to my doc. I’m heading in tomorrow after I drop my daughter off at preschool and I know it’ll feel good to check it off my list.

Yesterday you said Tomorrow. Just do it. – Nike 



  1. Thank you for sharing this Jennifer. It is SO important that those who take lithium (as I once did) have regular blood levels and kidney functioning tests. I must have my Depakote levels and liver functioning regularly tested. We MUST take care of our own health if we are to take care of others.

  2. Peggy Thompson says:

    Hi Jennifer … YES your Doc is for real. For what it is worth, my Dad had a very serious episode with his Thyroid due to Lithium. He could have died. And was never able to return to taking this miracle drug. Thank goodness there were alternatives that kept him healthy. Plez don’t postpone any longer :)

  3. I am really bad about getting my levels checked too. I am bipolar 2 and very sensitive to medication so I take a very low dose. It never shows up in my blood. My doctor says I am peeing it all out and always wants to raise my levels, but I have tremors when he has raised it so I don’t want to. I am pretty stable so even if I am getting no benefit I am sticking with it. Why change anything if it is working? I take lamictal and buspar too as well as Klonopin as needed.

  4. My best friend didn’t get her blood test because of costs . Now she has throat cancer….brought on by throat thyroid issues caused by lack of blood tests …
    Good luck.

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