Hi Robert, thank you for this important article, and please keep up the good work. We need your voice and experience. My ex-, the man I call “B” in my articles, also experienced intense nausea when he took his lithium. He’d sit on the couch with his eyes closed clutching his stomach for a good hour. This, in addition to the litany of side effects you note. I think in our case, also, a kind of addiction to the mania is at work. I first heard this phrase in an article about Justin Trudeau’s mom, who suffers from bipolar disorder. She said she couldn’t get better until she could break her addiction to the mania. Thank you for you kind comment on my article today.