I’m in assertive community treatment at my regions state mental health center. Right now I have a case manager, a DBT therapist (we just resumed DBT yesterday), and a pdoc who all get together once a week to discuss a client’s situation so that’s pretty cool.

But I’m kinda fed up because I’ve been with this team for over two years and I don’t think I’ve made any progress. My pdoc atttributes everything to psychosis when a very reputable dr in a psych ward in Boston that did a thorough evaluation and checked in with everyone throughout the day said it’s not even psychosis it’s DID/CPTSD and a part that fronts frequently with a hyperthymic temperament that may or may not be associated with bipolar/mania. But every time I complain about lack of concentration, losing time, overwhelming emotions my pdoc thinks it’s the schizoaffective I don’t have and wants to fck with my meds when right now they’re working wonderfully imo.

What do I do to get out of this CMHC/ACT? I’m pretty much homeless so I was thinking when I don’t have any more treatment of going back to Boston and trying to get a treatment team there while looking for housing programs hopefully with a case manager from the area. Does this seem like a good plan? I’m chronically suicidal so I’d probably go back to the same unit I was at and asking them to help me get set up with services or do you think that’s overkill and there’s another way that might take longer but doesn’t involve IP?

Sorry if this is long or all over the place.

Edit: I’ve talked to three friends all who say I should go to the ER after I get kicked out of here because I am in perpetual crisis depending on whos fronting it can get dangerous and they’re worried I’m gonna make another attempt. I just don’t know if I should go to the one where they know me well and will let me stay and might be able to find housing and will keep me until I have a place to go (this hospital is in southern NH and is ok) or if I should go back to Boston and see if they can set me up with good specialists in the area, but that would be difficult because I have NH medicaid but also Medicare and I generally do not spend much time near the NH/MA border but there’s a train from the border to Boston I could take and virtual options now.

Idk lm just having trouble figuring out an optimal path but I do know a different path is needed.