I have not been feeling right recently. I've lowered my zyprexa to 5mg, which hasn't fixed things the way I had hoped. (And I hoped that was the only surprise I'd have to spring on my psychiatrist). But tonight I am lowering my lithium too. Not by much- when I was taken off of lithium cold turkey in the past I got incredibly manic. And I'm not trying to get off of it all. But I think that my last increase was a mistake- and more than I needed for my depression. I was going into a mixed episode- but I could have handled that with a temporary increase in meds.
Three months between visits is a very long time to expect a patient to keep their meds the same. And I really don't want to call him unless things are really bad. And really, what can he tell me? I have to figure out on my own what works for me. It is all trial and error. Pretty sad that psychiatry can't do better than that.
But this is why I pay for an out of network psychiatrist. So I don't have to go to some clinic where I sign a paper saying I will follow my treatment plan and take my meds as prescribed. Or go to some psychiatrist on a power trip who will freak out if I cut back my lithium by half a pill. No, I go to someone sane who doesn't freak out with a patient with her own ideas- the one actually taking the pills.