I'm so nervous for just asking and I still have a week to go. I've successfully avoided pdoc since February. Now I have to not only have to ask to up my mood stabilizer, but also explain why T wants me to have at least an emergency AP, and why I refuse an everyday AP even if everyone wants me on a AP. Then we have to deal with the whole weight gain issue and fighting with the clinic to approve it so insurance will approve it. Then there's the whole constant tactile hallucination thing. When all I want is to flush my meds and go back under my covers.

Thank-you guys, I'm going to see what he offers but I want my lamictal raised to raise my viibryd before adding an AP. Hopefully he'll want to use ziprasidone as both the PRN and daily AP. I don't think he'd put my husband through trying to give me a weight gaining PRN.

Christina I could not lie to him or T. I think the deal will be a four week period trial and track how often I can force myself to take it. The more manic I become the more adverse I am at putting anything in my body. So the PRN is going to have to be weight neutral but the PRN is for a last ditch effort to ground me and make involuntary hospitalization a little further from reality when manic.