Hello Lithium is known to produce such symptoms if blood level is beyond theaputic range and some time even at lower blood lavel so I would like in my patient to stop lithium if such symptoms are reported Additional symptoms are because of depression .it looks anti depressant drug which you are taking is not controlling your depression A change in drug may be required I would preffer to start ln my patients SSRI group generic name Fluxatintn 20 mg bd with anti anxity drug generic name Clonazapam 0.5 mg bd and betablocker proponal 40 mg slow release once a day As psychiatric disorder and drugs require monitoring please consult and remain in touch with a psychiatrist The disease is treatable and you will get better Dr Lal Psychiatrist