bipolar person dealing with group therapy

Dorothy,

I missed an hour on Monday June 15 and all of JUNE 16 Tuesday of our IOP group meeting because my psychiatrist changed Risperdone to nights only 1 mg and all my Carbamazepine in the morning 200 mg along with phasing off Divalproex by taking half dose 125 mg rather than full dose 250 mg. My Psychiatrist Dr. O. at Citadel Behavioral Health can be reached at xxx-1145 to verify these changes which in addition to weight gain potential (Risperdone) leave me groggy and sleeping in or over later than my cell alarm 6:30am in the morning because take my first medication on an empty stomach, Levothyroxine. She can per my daughter Zoe prescribe medication to counteract the sleeping in effect, but that is one more medication on top of all the others. She wants me to work around sleeping extra NOT because of depression but side effects. I want to reassure Jennifer I do daily a Road Map both in Dealing  With Psychosis Toolkit and the Dealing With Mood Instability Toolkit Jess gave me for home relapse prevention. She can verify this. Since June 4 I have been doing daily Roadmap or routine (two weeks now). My daughter can verify this. It is called “Start Now.” My daughter also gave me a Grief Journal. She can verify this. Please call her as I feel I have no credibility with either of you for a detailed plan for recovery because Jennifer suggested I go back to in-patient at GBH rather than onto third step of relying on my independent living team, my psychiatrist Dr. O., my soon new therapist Dr. C. IF she accepts Medicare and Blue Cross Blue Shield. She is checking now. I do have an appointment scheduled for Monday June 22nd at 4:00 PM. I will not go with her IF Medicare and Blue Cross Blue Shield limit visits they will pay for reimbursement. I cannot afford fees for a PHD therapist out pocket. Instead I will choose Eddie O. M.S.,  kind man who even in a phone call shows a lot of empathy, does not accept either Medicare or Blue Cross Blue Shield and seems better match for me with  my grief plus PTSD and mood instability. His price is $150.00 for first evaluation meeting and $85 for sessions later which less Grief Counselor I found on my own prior to Covid 19. Yes I was planning already a successful spring and summer before Covid 19. Also he agrees to work with me finanancially and go to twice monthly sessions once he evaluatesmy mood instability and processing my grief.

What is that called? PREVENTION and MANAGEMENT. If you find that not credible I have a Historical Mental Health Binder two inches thick showing I have not had a mental psychosis break since 1995-25 years-and prevented mood instability requiring an in-patient stay since 2005-15 years-I count as proof that even in Texas ranking number 37 out of 50 States last I checked- prevention AND management do work. Jess was my first step to recovery-GBH and IOP GBH are excellent! Jess gave me three toolkits in-patient at GBH-Dealing With Psychosis which I finished May 22,  Dealing With Mood Instability which I will finish soon and Dealing With Grief which I will do with my out patient counselor.

I as advocate for myself ask you and Jennifer to recommend my release to next big step-working with my psychiatrist Dr. O. and two sessions with either Dr. C. or Eddie O. Probably next Friday 26 is good day to release me from IOP GBH.

As to Waterford Assisted Living and moving-My daughter is not happy you suggest I continue living in a place that is NOT SAFE for me to live. My daughter Zoe and Son-in-Law Bob found The Waterford Both affordable safe and how safe it is for me to live there-two wellness checks a day, one around 8pm and one at NOON if I do not show up for group activities plus shuttle to my Dr. appointments, three meals day delivered to my room but soon dining room downstairs will open in July and we are expected to come down for meals served restaurant style, an ambassador is appointed to show me around for awhile but then you already know I am my own ambassador, I LIVE SAFELY on the third floor by elevator- and have no qualms my former assailant can find me and try to harm me again-the manic psychosis was driven by he found me and was trying to harm me for third time. My daughter explained my apartment community had opened back up for routine Maintenance. I actually laughed and felt relieved.

An Advocate for Myself for over 25 Years,

Judi Keath A strong kind generous Human

DAILY 

1 Use manic energy to pack for MOVE TO WATERFORD ASSISTED LIVING

2 KEEP APPOINTMENT PT GINA AT 2 TO 3PM

3 KEEP APPOINTMENT 9 TO NOON ZOOM IOP GROUP missed most group overslept to 10:25 AM DUE MEDICATION CHANGE TAKING ALL RISPERDONE TABS IN PM 8:35 AND ALL MOOD STABILIZERS IN AM CARMAZEPINE IN AM ALONG WITH PHASING OFF OTHER MOOD STABILIZER MISSED GROUP BUT SIGNED ON ZOOM PLUS MISSED HOUR END GROUP DAY BEFORE AFTER ATTENDING CONSISTENTLY MAY 26 27 29 JUNE 1. 2 5 8 9 12 16 MISSED HOUR AT ENDTHEN MED CHANGE HAVE CONTACTED DOCTOR 

MISSED ALL 6 19 I CRIED FELT SAD MY RECOVERY INTERRUPTED BY MED CHANGE IREALLY LIKE GROUP IT HELPS ME FEEL ON MY OWN TODAY EXCEPT FOR MY DAUGHTER SAYING GOOD SLEEP AND MOST GROUP FIGHTING [PPR SLEEP I DO NOT WANT TO UPSET THEM WITH MY MANIC EVENTS AND FINALLY SLEPING GOOD

GOALS FOR WEEK

1 KEEP APPOINTMENT WITH EDDIE POTENTIAL INDIVIDUAL COUNSELOR IF WORK OUT FINANCIAL $150 FOR FTRSR LONG SESSION $85 F0R 3 CONSECUTIVE MEETINGS THEN BI WEEKLY FOR $85 SESSION MEDICARE WILL NOT COVER NAYBE BLUE CROSS BLUE SHEILD WILL FILE MY OWN CLAIMS GET REPAID $65 \

2 KEEP APPOINTMENT WITH  HOME HEALTH NURSE CHRISTINA 4 SESSIONS LEFT

DEPRESSED

1

ANGRY

1

STRESSED POSITIVE

7 MOVING TO THE WATERFORD 7-2 ASSESTED INDEPENDENT LIVING

ANXIOUS SAME ABOVE POSITIVE

7  PANIC ATTACKS 0

SLEEP REALLY IMPROVED

APPETITE IMPROVED

NOT HOPELESS OR HELPLESS JUST SAD MISSED GROUP TODAY JUNE 16

NO HEARING VOICES OR SEEING THINGS

NA NO PROBLEMS WITH CURRENT RELATIONSHIPS'

NO PROBLEMS ANGER

YES SIDE EFFECTS MEDS SEE ABUVE;

NO RACING THOUGHTS I AM MOSTLY CALM

NO MEMORIES PAST BODY TRAUMAS

NA

NO NEGATIVE SELF TALK. EXCEPT SAD MISSING GROUP 6-16 TODAY

REST NA NOT APPLICABLE OR CUT OFF REST SURVEY

> Perhaps I need to update now:
> 1. I am now with Dr. O. at Citadel Behavioral Health Services XXX-1145 1301. First and evaluation June 11, 2020 Change to medication Carbamazepine ER 200 mg twice each morning Continuing Risperidone .5mg twice in evening
> Medication management appointment June 25, 9:15 am
> 2. First appointment with PhD Therapist Dr. C. 5297 3960 Garland, Tx 75043 for individual therapy
> 3, Move to the Waterford Assisted Living Mesquite Tx 75150 offering Two safety Checks daily one at night, one by noon if I do not appear at activities or meals
> 4. I Will continue with IOP as a transition to my own psychiatrist, individual therapist and assisted living.
> Thank you. See you Friday.