I have not known. It is my therapist and pdoc who have made the call. It is when I give up on life and fortunately for me the two of them are close enough to figure it out. The last time my pdoc refused to allow me to leave her office, threatening official steps if I did not allow my husband to come and take me to the hospital. The strange thing is that I can't pinpoint what let her know that I was so far gone. I ended up in the hospital full time for three days and then in the day program for three weeks this last time.

Bluemountains