"I know it's 'hurting' my kidney, but I've never felt anything ... so it'll be fine." This patient with bipolar I and autism spectrum disorder nonchalantly deflects attempts to describe risks of her lowâdose lithium. Her psychiatric history details multiple admissions and failed trials of nonâlithium mood stabilizers, atypical antipsychotics, and electroconvulsive therapy (ECT). How does one proceed when a young adult with diminished capacity and bipolar refractory to nonâlithium treatments develops kidney injury? [ABSTRACT FROM AUTHOR] Copyright of Brown University Child & Adolescent Behavior Letter is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
