Psychotropic drugs and psychotherapy?
In some advice books, I've found blanket advice that patients being treated with lithium should also receive concomitant psychotherapy. Lithium, like other mood-stabilizing medications, is a long-term medication. What justification/indication should such a patient receive psychotherapy? To put it bluntly: I'm taking medication XYZ, but now I also need psychotherapy. What psychotherapist would agree to this without asking, "Do you have any other problems?"
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I don't know about lithium in particular. But in principle, drugs are intended only as a support or for bridging.
In mental illnesses, it is all the more important to investigate after the cause. This can be a deep psychological cause. A psychosocial, a current trauma, an organic cause, a lack of nutrients and so on and immediately.
And there are different approaches to stabilize this. Part in self-research with healthy diet, regular exercise, alternating showers, daily structure, etc.
Or, accompanied by, for example, psychotherapy or outpatient care or a completely different direction like music, work with animals and so on.
What's the right thing is to find out.
In serious cases, it may well be necessary for a permanent medication. But that should not be considered as a rule, nor should it replace any form of therapy.
No therapist would and should be lifted with one. Whether you are harmonized personally is a very important question. If chemistry is not true, the best therapist does nothing.
I don't know lithium, but there's no medicine for the psyche that makes you healthy. It is therefore necessary to address the problems themselves in a therapy.