Case report of a patient with bipolar disorder who had been on lithium and other bipolar meds who was able to get off all meds after starting taking 1g niacin 3 times a day. He has been stable for 11 years on this niacin supplementation regimen. Stopping niacin leads a return of his symptoms within 2-3 days and clears up in one day after resuming the niacin regimen.