thanks everyone for the replies. Something to think about and discuss with my T at our next session.

Last time I did this she made me sign a no harm contract, gave me her cell number and made me sign another contract to see my pdoc asap. She said she would have me hospitalized if she felt I needed it. That alone scares me. NO ONE in my family (except my husband of course) knows I'm in therapy or on medication. I guess I'm embarrassed by it

I do use a mood tracker on my phone called eMoods but never shared this with T or Pdoc. And I also have a pill reminder box on my dresser next to my alarm clock. Sometimes the mornings get busy with getting the kids ready for school and myself ready for work, that's usually when I forget.