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Updated: Jun 3, 2026

The Tail Suspension Test
Published on: January 28, 2012
[Recurrence following discontinuation of 28 years of lithium therapy]
Signe Düring Wegmann1, Lars Vedel Kessing
1Psykiatrisk Center København, Region Hovedstadens Psykiatri, Blegdamsvej 9, 2100 København Ø, Denmark. signe@peterduring.dk
Abstract:
Lithium has for 60 years been the main mood stabilizer for bipolar disorder and some patients have now been treated with lithium for decades without any symptoms or side effects. We present a case with excellent response to lithium during 28 years and with recurrence of a hypomania and subsequently a severe depressive episode following planned discontinuation of lithium. Discontinuation of lithium should be carefully evaluated in patients with a good response to lithium, and the specific reasons for discontinuation should be considered.
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