Actually, I have never had too much trouble titrating off any meds I had, with or without my pdoc's approval. This time, I became hypomanic for the first time, and as I understood it, this was just a side-effect of titrating off. I am not officially labelled Bipolar to I assumed that the hypomania would last a little while, then I would stabilize. At worse, I might crash but only a little and would not titrate down further until I became stable again. I had been doing so well for quite some time and frankly, believe (and still do) that I will not always need an AD. When I crashed and realized I was getting pretty bad, I went back up. As long as my pdoc agrees to help me titrate off when he and I think I'm ready, then I agreed to go back up.

I do know they are doing what they think is best for me, but it is difficult for me to relinquish control and 'allow' myself to be directed by others when I don't want to do something. That is a long established issue that I've been working on now that I've been in this program.

To me, therapy is the answer, meds are temporary. I actually thought I would be able to get off them with no problem, they would see how well I was doing still and then I would 'spring' the news on them.

I was not angry about not coming to the program on Saturday. I know that it is less monitored. I just had made so many commitments during the weekdays and so little to do on the weekend that I felt it would be a better fit. If they didn't like it, I was a little disappointed, but accepted it. And they are trying to work around my schedule until I can actually schedule my appointments around the PHP.

Thanks for your input.