This is what I wrote my pdoc:

Dr. Orazio,

I just got off the phone with Robin, my therapist.
She encouraged me to write to you.
Since I am not sure if you are in the office on friday mornings...you may not see this until monday morning.
Am seeing Robin monday afternoon at 2 pm. I think I see you March 3rd.

Two weeks ago, I had made an appointment to see her on wednesday but she canceled and could not see me

today so we texted this evening and she helped me feel better.

This has been a frustrating year for me....Wasn't it over a year ago that we tried the abilify and that didn't help.

Back to lamictal and geodon at max doses.
anyway...I really believe I have been unstable for quite some time.
Even the change to lithium(you had suggested vraylar too) I became hypomanic at christmas time in indiana(on lithium)

I was afraid of the geodon with drawl so instead stayed with the geodon.
But now, I do believe the geodon is not working.
I have not had this amount of hypomania since BEFORE I met you.
Took the increased dose of tegretol after dinner tonight and have already stopped the prevagen in case it was activating.

My Hypomania symptoms:
Having problems with time management.(home and work)

spending too much time with clients doing my job....it is taking me longer. Seems so hard to do now.

don't trust my instincts.
questioning my skills

poor boundary issues
being late for everything
on the computer, up too late, after midnight

over sleeping
driving is an issue, very distractable
last week a bit paranoid looking for cop cars
this week trying to focus to not get into a car accident
impatient with other people

hard focusing on routine, takes twice as long to do my night time routine,

getting home late and eating out a lot!
Skipping personal hygiene steps( brushing teeth, washing face, applying night time creams)

Bounced a check because I avoided making a deposit(I never bounce checks!)

Today, I was so angry with you when you did not want to change my anti-psychotic,
like you did not believe me. I don't want to get manic! or worse psychotic!!


I started using CBD at night to help improve my sleep....2 nights and I think I am sleeping better.

bizi