My Pdoc is very careful because I will refuse to take anything that could possibly make me gain weight and any side effects besides dry mouth I will not take. I've been told more than once that I really have him backed into a corner. I know I'm difficult, it took two years of therapy to convince me to get an Rx for an AP PRN but I refuse to live with side effects. He's of the opinion now as long as I'm mostly stable (ie. able to stay out of the hospital) I'm good, it's better then me taking nothing. No one should be ask to choose their mental health or physical health please be proactive. If need be go to county (city) mental health, they are on a sliding scale.