I call when I absolutely cannot stand myself another minute---when I'm either coming-off-the-spool manic, or in a depression so deep I need to have light piped in. I know I shouldn't wait that long, but I'm one of those stiff-upper-lip types who has to be a half-step out of the hospital before I'll call. My pdoc's the best, so it's not the thought of "bothering" him that stops me; I guess I sort of play this game of how much more can I take? with myself like it's an endurance contest. I don't know.....it's stupid, but I can't seem to change it.