That is well put Ron, indeed I fully agree. I'm very grateful and lucky to have come across this space that Dr Aftab has created.

On reflection, I missed a pretty important piece of context re: toxicity in my reply, which I would like to clear up and communicate. I didn't mean to go so deep into my story - a researcher's instinct to provide detail is sometimes disadvantageous!

Your original comment helped me to come to what I hope is a valid realisation. The ICI lithium page had, putting it generously, a diverse number of issues. My eye as a patient locked onto toxicity, whereas maybe a psychiatrist might lock onto something else (while in this case you were looking at my article, I could foresee a psychiatrist spotting the lack of mention of benefits of lithium on the ICI site, for instance). I was thinking this might be another potential example where the psychiatrist - patient combination would work really well together.

Thank you very much for the references on the benefits of lithium (and for digoxin and phenytoin refs, which I did not know about, shall make for some interesting reading!)

And thank you for your comments and help. I look forward to reading your comments here and the nuance you add, as well as continuing to read about your insights in your Psychiatric Times articles.

All my best,

Alex