I am going through and have gone through similar situations at work - it's extremely hard, I know, when people, especially those in managerial positions, give you a hard time, don't believe you, etc. You mentioned that this co-worker, who works as a receptionist, is sending clients to the ER (i.e., making clinical decisions) - this is unethical and you have every right to report this. You mentioned that your boss stood up for you when this same co-worker tried to get you in trouble out of spite. Can this same boss help you out here? Do you feel supported by him/her enough to ask to help with advocating for yourself? I know it's very discouraging and I understand why you feel that people are talking about you - when you are in any kind of depressed/mixed/manic state thoughts and beliefs become distorted and we either lash out or become too discouraged to advocate for ourselves. And, for the next 4 days while you are by yourself (feeling alone) do post here - you can get through this with support. L