Rapid cycling ≠ lithium failure

There’s a persistent myth in psychiatry that lithium doesn’t work for bipolar disorder with rapid cycling.

🧠 But here’s the truth:
Multiple literature reviews show lithium performs just as well as other antimanic agents in rapid cyclers. The issue isn’t lithium—it’s that rapid cycling is simply harder to treat overall.

Let’s stop excluding one of our most effective mood stabilizers based on outdated or anecdotal thinking. Patients with rapid cycling deserve full access to evidence-based treatment options—including lithium.