Nothing in writing, but definitely have a protocol in place with my t and my pdoc. Call them. Call them. Call them. That about sums in up.

Actually, since my husband and I both have bipolar disorder, we have really worked to define and recognize symptoms in the early stages of problems and be as proactive as possible. I can call my t first, but the first words out of his mouth are always to call my pdoc. He's my Yoda. Whatever Yoda says, I do. Sometimes it's let's give it a few days. Sometimes it's a med change. Sometimes it's the hospital.