Hi Blue,

I am deeply sorry you're still experiencing troublesome symptoms .

In many cases (you're right, not all) clients need to make an additional call to pdocs, especially in very busy practices. I do believe you have known contact with him has never been easy and/or certain.

You've told us about ongoing problems with both your current therapist and your pdoc for longer than I can recall. It's been a long time.

Various members of this community have continued to ask you IF you can negotiate better care with your providers or if you'll put the effort into locating new providers? You are asked because one or the other, or both providers so frequently fall short of meeting your needs and are often subjects of your derogatory remarks.

You've been having major difficulties, again, for weeks now, first with severe depression which had people very concerned about your safety. With a med adjustment, you had very quickly shifted into hypomania, then very quickly started experiencing psychosis. Your psychosis/delusions have caused difficulties in both your job and in your private life.

You have needed ongoing intensive support from a smaller group of members for quite a long time now. And, yes, friends do care and do want to see you not only in less pain, but truly on the road to recovery.

I know I had reminded you of the need to call your pdoc at least twice a day for at least several days now. And we all knew you'd very likely need to contact him/his office more than once. My point being: Certainly by now, you know you are going to have to be much more proactive than placing one call at the beginning of the week and allowing the week to pass by yet again.

You've continuously promised people you'd arrange a consult with your pdoc. and you've not done so. Again, you and everyone involved in your ongoing intensive care know you'd have to call more than once. Again, I have very gently reminded you, twice a day, of your need to arrange a med consult.

I am very puzzled re: what you want for yourself, what you want from other people. Some have taken a lot of time from their own lives to help you through this very difficult time of your life.

As was mentioned to you over a week ago, please take the time to consider what you want, what you need, how you can/will meet your current needs.

Carefully consider and clarify your intention(s) .

This entire effort has been about you, in support of you. What matters here is :what do you want for your life?

The squeaky wheel gets the med consult.

Much Love Always