My T notices everything and helps me manage all stages of BP. He is especially concerned when I lose insight, get very suicidal, shoot up into hypomania bordering on mania (he is more relaxed with mild hypomania) or get very depressed. He contacts my pdoc when needed and usually an emergency appointment is arranged.

My pdoc is great. He addresses the problem swiftly with med changes or IP if needed. When I am stable I hardly see him but he always keeps appointments available so I can get in quick if things change.