Lithium Counselling Made Clear! OSCE Structure, Monitoring & Toxicity Explained

In this episode, we break down lithium — how it works, when it’s used, how to monitor it safely, and how to counsel a patient in an OSCE station.Lithium is one of the most effective long-term treatments for bipolar disorder and significantly reduces suicide risk — but it requires careful monitoring and patient education.We cover:• Indications for lithium (bipolar disorder & treatment-resistant depression)• How lithium stabilises mood• Therapeutic range and toxicity levels• Baseline investigations (U&Es, TFTs, calcium, ECG)• Ongoing monitoring schedule• 12-hour lithium level timing• Common side effects• Lithium toxicity signs and triggers• Drug interactions (NSAIDs, ACE inhibitors, diuretics)• Pregnancy risks and counselling• OSCE counselling structureThis episode is ideal for:Medical studentsOSCE preparationPsychiatry placementsFoundation doctorsGP rotationsLithium is powerful — but only safe when monitored correctly. This episode helps you understand both the science and the counselling.