I know that a long time ago we tried using an atypical as a boost when symptoms started (there's a word for it that I'm unable to produce right now) and it just didn't work for me. I need to be on my high dose every single day to manage. But I've been quite treatment resistant (I'm on my 67th cocktail right now and that doesn't include all the different dose changes over the years, just the combinations of meds. I'm trying to get to the 68th but I don't think that is going to happen) and the treatment resistance means that I need to have very consistent, reliable treatment.

My biggest concern if trying to go on PRN would be if I missed the early warnings and then progressed to big stuff where I didn't have insight I don't know that I would always trust someone else to tell me I needed to take the AP. I think a really good back-up system would be needed and someone would have to have the right to say "time for meds" and meds would be taken without question. Which would get tricky since the only person I have to do that reliably is my therapist and I don't know that he can say that since he's not an MD and does see me professionally.