One thought is, do you absolutely have to do the monthly medication appointment? If you're stable on your medication, could you switch that to, say, every 3 months unless you're having issues? I did that at one point. Also, is there any way to reduce the medication costs? Like if you're on name brand, check into generics. Also, some pharmacies offer certain generics (including some psych meds) for only $4 or so if you don't go through insurance--might help to ask the pharmacy about that. (They won't tell you this--you'd have to ask.) Or does your insurance have a mail-order option? That could be cheaper.