Thanks everyone. This all started because I'd been hearing voices and seeing things. Wednesday was the icing on the cake so to speak when I had a major meltdown at work. I promis d one of the managers I would go to the ER, despite not wanting to go because I knew what the end result would be. I had a different pdoc this time so it was a new experience than what I went through in November. Anyway, he adjust my meds slightly. I'll discuss this with my regular pdoc when I see him tomorrow afternoon.