it's very simple, luke's vanity trumped his concern for his mental health. he discontinued taking his medication and his page is already showing it-the updates either seem to come at a trickle, if at all some days. then for several days, luke swings back into a mild hypomania despite his tennis elbow and writes more than he did in the previous four days.


from tom wolfe's hooking up-luke take your lithium!

"The demise of Freudianism can be summed up in a single word: lithium. In 1949 an Australian psychiatrist, John Cade, gave five days of lithium therapy--for entirely the wrong reasons--to a fifty-one-year-old mental patient who was so manic-depressive, so hyperactive, unintelligible, and uncontrollable, he had been kept locked up in asylums for twenty years. By the sixth day, thanks to the lithium buildup in his blood, he was a normal human being. Three months later he was released and lived happily ever after in his own home. This was a man who had been locked up and subjected to two decades of Freudian logorrhea to no avail whatsoever."