I didn't really have a plan until this last pdoc appointment, on Friday. I'm really in a good healthy place now, but it did take a boost of my AP to kick that mixed episode I had in May. Eventually my pdoc wants to cut it back down to the baby dose I was on before, but said he'd do it only if I'm still stable in 3-6 months, and in any case he wants to leave some room to increase the dose if/when I need it.

I kinda got in a bit of trouble with him too, because I basically have to be 2 steps away from being admitted to the psych unit before I'll call about a manic episode. He made me SWEAR to call if I feel myself getting even slightly over-amped, so he can medicate the mania before it gets out of control. He knows I'm one of those people who go high in the spring and summer months, and I've already had a ******-kitty of a mixed episode this year so he's afraid I might have another.

I do wish I had a PRN for mania like I did last summer when I was on Zyprexa, but understand why he wants me to call before I get really wound up. I'm on a scheduled AP anyway, but it's also because I'm sort of untrustworthy in this department. (I love my hypomania---it's just that it tends to turn on me and become full-blown mania if I let it go.) He's right, I have little or no insight once it gets out of control, and he wants to be on top of it because I've proven time after time that I'm not very good at reporting in when I really should.