[Crook32]

So ever since I got my clozapine up to 150mg I have been doing well not perfect but the best in years. We tried reducing the dose because of side effects and that was miserable. When I have the dose right I don’t feel like I need therapy but my pdoc wants me to have one in case I crash because they are hard to find and a new one won’t know my history. I have tried out 13 new therapist and none have worked out. I know this is kind of the same thing where when you feel good don’t stop your meds so you shouldn’t stop therapy either better to just lessen sessions. Should I just go back to the one I hated least just so I have one?

[Yaowen]

Dear Crook32,

Wow. I can see merit in either course of action. To tell the truth, I don't know what I would do if I was in your place. I personally was helped most by reading self-help books by famous Cognitive Therapists. Face to face Cognitive Therapy wasn't so helpful to me. Nor was face to face therapy by practitioners of other schools of psychotherapy. This is NOT advice for you. We are all so different in our genetics, past history, biology, circumstances, situation and so on that I could never offer advice that you or anyone could or should rely upon. I am mindful of the old medical axiom: "First, do no harm." I think that applies also to the giving of advice. Sorry I could not be helpful to you in this but I hope you reach a decision that is helpful to you! Best wishes.

Sincerely yours, Yao Wen

PS: I hope others here offer you better words than my poor words!

[LonesomeTonight]

It does seem like a good idea to have a therapist in case you need one. Maybe you could pick the one you "hated least" and see him/her monthly or biweekly for now? Or talk to them about this (wanting to have them "on call" in case needed) and see what they recommend/would prefer? Like, could they keep you on their client list even if you don't attend regularly, and then you could get a session if you need one more quickly than if you were a completely new client?