I call my pdoc when the feelings I have can't wait till my next appointment, or when I think I need to see her sooner than my next appointment is scheduled. I call her if I have any suicidal ideation, or if I suddenly ramp up into mania or down into depression. Sudden mood swings get reported.

I also say things like "I can't live with this, can we make a med adjustment" so my pdoc realizes that something is important to me and not just *****ing.