Sometimes my bipolar symptoms get worse before my period. That's what happened this month, except I forgot to keep track of when my period was going to arrive and didn't know what was going wrong. Actually, I think my menstrual cycle was short this month. In any case, I felt like my moods were NOT stable, and was even beginning to doubt whether my lithium was working. I was starting to wonder if I was going crazy. This instability lasted a couple of days... and then I got my period and I felt all calm. The menstrual cycle is a puzzling thing.
So it's an important thing to take into account, if you are female. If I had gone to my doctor during these moody days, I might have asked for an increase or change in my medication. I'm sure a doctor would have thought that the lithium orotate was no longer working for me... But instead it was just mad PMS causing breakthrough symptoms. I guess if I don't want those breakthrough symptoms, then getting a prescription to treat them would be fine, but sometimes it's easier to just let things be. I did self medicate during then, a little of this and a little of that, and I didn't go crazy! I'm just glad that my normal self came back.