Symptoms of mild lithium toxicity Elevated, expansive, and/or irritable mood Hyperreflexia, hypertonic muscles, fasciculation, myoclonic twitches. 0.6 to 1.2 mEq/L Unrelating, rapid, loud talking without pauses Depression may be a misdiagnosis SAD/PMDD Ensure safety Offer frequent snacks Euthymic No manic episodes Reduced need for sleep Increased risk for postpartum psychosis Can be childhood diagnosis Anticonvulsants Must be given with food Most severe form Most associated with suicide Valproic acid Exact cause is unknown No gender difference Diagnosis is clinical May be used to treat psychosis during mania Medication that is often an adjunct to SSRIs 1.5 to 2 mEq/L Labs may include T4 and TSH 2% of the population May also be called affective disorder Stimulants may cause exacerbation Symptoms of mild lithium toxicity Elevated, expansive, and/or irritable mood Hyperreflexia, hypertonic muscles, fasciculation, myoclonic twitches. 0.6 to 1.2 mEq/L Unrelating, rapid, loud talking without pauses Depression may be a misdiagnosis SAD/PMDD Ensure safety Offer frequent snacks Euthymic No manic episodes Reduced need for sleep Increased risk for postpartum psychosis Can be childhood diagnosis Anticonvulsants Must be given with food Most severe form Most associated with suicide Valproic acid Exact cause is unknown No gender difference Diagnosis is clinical May be used to treat psychosis during mania Medication that is often an adjunct to SSRIs 1.5 to 2 mEq/L Labs may include T4 and TSH 2% of the population May also be called affective disorder Stimulants may cause exacerbation
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Symptoms of mild lithium toxicity
Elevated, expansive, and/or irritable mood
Hyperreflexia, hypertonic muscles, fasciculation, myoclonic twitches.
0.6 to 1.2 mEq/L
Unrelating, rapid, loud talking without pauses
Depression may be a misdiagnosis
SAD/PMDD
Ensure safety
Offer frequent snacks
Euthymic
No manic episodes
Reduced need for sleep
Increased risk for postpartum psychosis
Can be childhood diagnosis
Anticonvulsants
Must be given with food
Most severe form
Most associated with suicide
Valproic acid
Exact cause is unknown
No gender difference
Diagnosis is clinical
May be used to treat psychosis during mania
Medication that is often an adjunct to SSRIs
1.5 to 2 mEq/L
Labs may include T4 and TSH
2% of the population
May also be called affective disorder
Stimulants may cause exacerbation
