greylove, you mentioned "I am losing my ability to take routine care of myself, to do anything at all around the house, to go out, everything." This is a precarious spot (they are all the clear and very common and dangerous signs) and I have been in it - was in it for a long period of time and it led to the bad thing. (gotta watch what we say on this site as it can get one banned). I mention this as I think you may need a greater level of care than you are getting. It might mean a med change, therapy, but it also may mean a hospitalisation. I have been in a psych was 4 times and I don't regerat one single one of those stays. They have saved my life and re-set me on the right track every time. Your psychiatrist may not be aware (or care or have the ability to understand) how ill you are and how much you need an elevated level of car. Please consider this in the coming days. If you DO feel things are rapidly going down hill - call him and ask for an aurgent appointment. Don't be fobbed off - this is your life here - both the deep human suffering and the potenatial for self harm.

And, if this do escalate and you are in danger of self harm, please call your emergency number and get an ambulance or go to the ER. Please don't be overwhelmed by how forward I am being, these are simply risk management strategies that need to be taken to keep yourself well. And please don't think I am being too forward - it's only because I have experienced it and because I do care.