02/13/2026
Lithium has been misunderstood for years.
For decades, it has either been avoided entirely or prescribed without thoughtful monitoring and precision. Yet study after study continues to show that when used correctly, lithium is one of the most evidence-supported medications in psychiatry.
Recent data suggests lithium may reduce dementia risk in older adults with bipolar disorder compared to anticonvulsant mood stabilizers. That should make all of us pause and reconsider how we think about this medication.
The issue has never been lithium itself.
The issue has been dosing, monitoring, and individualized care.
At Barnett Wellness Clinic, we do things differently.
When medication is indicated, it is:
• Carefully selected based on evidence
• Thoughtfully dosed
• Closely monitored
• Integrated with lifestyle, lab analysis, and whole-person care
No rushed 10-minute visits.
No one-size-fits-all prescriptions.
No reactive medicine.
We start with clarity. We build with data. We prioritize long-term brain health.
That is concierge psychiatry done right.
If you are ready for a more intentional, evidence-driven approach to your mental health, we are here to help.
Barnett Wellness Clinic
Psychiatry and Integrative Mental Wellness
Telehealth across Arkansas | In-person in Texarkana
lowered risk 13% in this 5-year, non-randomized study of older adults with disorder, where it was compared to anticonvulsant use:
https://pubmed.ncbi.nlm.nih.gov/41646718
Evidence grade moderate (4/10):
https://chrisaikenmd.com/ebm
While the idea has support from animal and epidemiologic studies, and a small controlled trial, it awaits more definitive proof, which is underway in a large industry sponsored trial of LiProSal.
