I do not treat AAS users and do not hold a medical license. In my personal work I have seen Lithium Bicarbonate provide great relief to adults and children. Even with with lithium blood levels below therapeutic markers. In mental health it is a drug that provides non narcotic relief for anxiety, and more serious diagnosis. It also has an effect of lowering blood pressure in some patients. It is something I would consider. I do use it when I run Tren Acetate and has helped a lot with the ability to control my emotions. I (225lb) use 1200 mg daily with 600 mg in morning and 600 mg in evening quick release. NOT XR. But XR has it's advantages but I like the fast release.
An emotion is felt before the sense of anxiety. A lot of the anxiety symptoms felt when taking compounds are from not having the poise before you started the compound. The coping mechanisms were not part of your behavior before you started the compounds so when hormone induced anxiety shows its face you do not know how to deal with the anxiety or racing thoughts. Having poise, coping mechanisms, and skillfully developing your mental health is one of the greatest advantages you can give yourself in life and dealing with hormone induced metal health complications. I know this is easier said then done.