Wild Coyote, I'm very happy to give support, my PC friend!

My psychiatrist and I have had a similar arrangement with dosing. For years, only my Seroquel XR dose was increased or decreased, and it was frequently. On a couple of occasions I decreased it on my own and only told him when I saw him the next time. He sort of gave me a little speech asking that I at least leave him a message about it to give him a chance to possibly "veto" my decision. If I didn't hear from him, it was OK, just as you seem to imply would be the case for you. I also have "prn" Seroquel and Ativan. Sometimes I use just a dose or two of them, but when actually changing my base meds, he wants to know.

It wasn't long ago that I started a small dose of Latuda. I think given that, he'd now rather me not be hasty about lowering my Seroquel XR. Understandably! He's been on a 6-week vacation up north. Though he has a psychiatrist his patients could call in his absence, he said I could always text him, in certain cases. I wouldn't unless something major happened. I'm hanging in there.

I really like the Latuda. I could be wrong, but I think it's probably helped keep my head at least just above water, despite everything. This may sound strange, but the little dose of Latuda has made me feel "more capable" than I had been for a long time.