It's too bad that you don't have access to the psychiatric home health thing. That would be a great fit for you. I know everything is harder in the UK than here, or at least here with Medicare which lets me go nearly anywhere and doesn't have a lot of restrictions.

I understand completely about the long trip. My therapist and family dr are an hour and 15 minutes away and my pdoc is 2.5 hours. It's a lot of effort to see any of them when I am not feeling well. Fortunately I like to drive so if I can get out the door I do ok. I just refuse to give up people who I like, who treat me well and understand my bipolar. Nonetheless today is psychiatrist day and I'm dreading the 5 hours in the car.