I am sorry you have had to deal with this Abilify mess, @BethRags. So frustrating.

The truth is, she is supposed to have coverage when she is not available. Apparently you are in this situation where there are few providers in your area, so I don't understand why she hasn't worked something out with the doc at the county to cover for her when she is not available. That's the logical thing to do. In any event, I don't know about the issues involving your therapist and the county, but you might want to reconsider possibly getting your care there. I know it's a huge deal to change pdocs, but it's possible it could be worth it for you in the long run. I have gotten good p care at even a very rural county mental health clinic. So, it can be quite good. Just a thought. Hang in there!

You make an excellent point about the clinic working something out with the county. The clinic has existed since the 70's - I wonder if they've ever had off-hours doctors available for medical, dental, or psych?

It does seem (very) odd and a potentially legal mess for the clinic if someone has a life-threatening med reaction that goes unchecked. I'm thinking of something like the severe Lamictal rash, which can kill a person. The only option I can come up with is for someone to call an advice nurse from our own insurance - maybe that's how the clinic covers itself legally. Of course, an advice nurse won't change a psych med or even offer suggestions on that topic (except to go to the ER).

Thank you for your support and experience, bpc