My pdoc is off a lot of this week so doesn't have any openings. She only sees patients part time so things get cramped in her schedule if she isn't around for a few days. I checked last week and she already didn't have anything.

We discussed a med change via email but she ultimately didn't make one. It's so complicated right now that I can understand her wanting to see me before she does anything. Any AP I go on has big risks, I can't go on another AD (I can increase the dose on this one but they don't like to use the top dose on it for some reason), and I'm on mood stabilizers at the doses that are the highest I can tolerate. I don't think I'm the only one who thinks we need to have a "big guns" discussion which needs to be done in person.
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So I keep waiting..