HOSPITAL BILLS AND DOCTOR VISITS FOR A BIPOLAR PERSON

So, we just got our first hospital bill for my mother’s stay at the hospital.  It was for 13 days.  Now, this was the second hospitalization since Mothers’ Day this year.  We still haven’t received that bill from them.  Fortunately she only stayed there for 3 days.  We did get the bill from the paramedics that came to my house to pick her up and take her to the hospital.  It was around $800 dollars and Medicare and her supplemental health insurance took care of that tab!

I know it sounds sarcastic, but not too bad when you really thinks about how bad the situation could have turned out.  Fortunately she has awesome insurance from her two decades of working for the IRS.  Yes, only two decades of work as my mother applied for a disability at the age of 55 and fortunately was granted an early escape from reality.  She has not worked in over 15 years and constantly tells everyone that she retired from civil service.

I say we are extremely fortunate in all of this when you really think about it.  Yes, it is VERY difficult dealing with a bipolar person with severe bouts of mania on a daily basis.  But, had she not worked for the government, my husband and I would have to foot all the bills.



Now, since her departure from reality she has self-diagnosis herself with the following ailments within the past three years.

1.     PTSD

2.     GOUT

3.     STAGE 4 COLON CANCER

4.     MYOPATHY

5.     DIABETES

6.     CONGESTIVE HEART FAILURE

7.     SCHIZOPHRENIA

Sometimes you just got to hate the internet!!  With too much time on her hands and having access to her IPAD, my mother is able to research every possible disease and every medication on the market today.

So, we are now onto phase 3 of her life cycle.  We are moving my mother next month to an assisted living community.  YEAH..(of course I am being sarcastic here).  My husband and I are just dreading the call from the assisted living community telling us to come pick up your mother.

Here is the first of MANY bills heading our way.  Yes, having a bipolar mother is expensive.

WOW, THEY ONLY WANTED TO CHARGE MEDICARE $26,000 FOR 13 DAYS.  GUESS MEDICARE TOLD THEM TO STICK IT!!!!!! MEDICARE WOULD ONLY PAY $14,063.97

So late last week my mother determined that she needs a stint for her heart and a colonoscopy.  We have scheduled some appointments for this week.  (yeah) It's always an adventure dealing with my mother.  Below are some text messages I received from my mother yesterday.

bipolar mother self-diagnose herself

I obviously cannot sleep re insomnia so here’s update on Dr Gonzales

I will call at 8:30 am for an appointment either Tue 23 Wed 24 or Thu 25

for followup to heart pains I am experiencing down my back and along my left arm. It’s not 911 but check for stent like my Dad (2 stents) and Bro (1 stent) an out patient procedure and change to more effective heart med. I will request be late afternoon from 3:30 to 4:30pm Office only open to noon on Fridays and we already have 9:15 am appointment with Dr Onadeko.

1 Heart check re may have had mild heart attack as last straw at Garland

Behavioral Health one night around meds and shower time. It was chaotic and late with meds etc cause had call 911 to come take young woman to the hospital for excessive bleeding as she was in GBH because of recent miscarriage at 5-6 months into her pregnancy and it was a little boy. She came in deeply depressed. Then all hell broke loose with Peggy an aggressive disruptive patient in for early onset dementia and threatening neighbors. She’s retired nurse, quite smart and knows she has dementia.

She “sun downs” and gets agitated later gets in evening. She disrupted group sessions so much they’d have to ask her to leave group during the day. Day shift techs and nurses managed her better than nights except one team Adrianna nurse and Tech Toy.

I wrote them a great evaluation for keeping us on schedule at night with meds and showers because of Peggy’s agitated disruptions around meds and bedtime. She would try to come in my room cause it was next to hers. I’d have to speak loudly and tell her to leave my room and go to hers. GBH rotated day and night nurse & tech teams -never same or rarely same each day or night. Peggy was one to observe I was in distress not breathing well. She asked if I had pain down my back and along my left arm. I did. She tried to tell nurse then I told the nurse who said had enough for one night with prior 911.

They are required to write report if patient asks for medical care so I asked for them to check my blood pressure again. They did. It was like 116 over 55. 55 is too low.

I have my blood pressure readings from my heart monitor cuff written down from week I looked at them from week 14-week 20. I had quite few 50s and indicative heart stress for women. People usually think typical hyper tension or high blood pressure like my Dad and Bro. I looked for weeks 1-13 but could not find them; however they should all be in memory of my heart monitor cuff and Dr Gonzales can review weeks 1-20 in it. Essentially at 72 pounds overweight and sedentary I was moving from per hypertension to hypertension like 150 over 85 Primary care can take care of you until start going into 170s over 180s so Dr Gonzales needs know about my Dad’s stents and Bro’s so she fixes it or heart doctor puts in stent,

I also need to know do or do I not take Januvia for diabetes and to schedule a colonoscopy. Medicare and BCBS will cover all.Then I have been fully checked out as I move to Waterford. I have covered all medical health bases.Sorry for all but when get to Waterford out physical therapy, out Group, able get to routine Dr appointments by shuttle etc

A BIPOLAR PERSON AGUING WITH HER DOCTORS

Here are some text messages my mother sent to her Doctors over this past weekend.

Dear Dorothy and Jennifer,
I plan to continue GBH IOP Group until I can transition to both IHP Group and my individual therapist or counselor. I plan on working with and seeing my own therapist or counselor week of 6-22 to 6-26. My daughter Zoe xxx-219-6413  provides both transportation to my first appointment with both my therapist or counselor then The Waterford shuttle will provide my ride as of July. Given GBH IHP is within 15 mile radius of Waterford, I can ride shuttle. I cannot drive because of my meds. It is not safe and my daughter must work. She is the Office Manager for HK Pump a Family owned business and summer is their busy season when make most of their money for the year.
Anyway I can attend IHP Group and am relieved for that option because manic psychosis requires diligent care to prevent relapse. I feel more confident there will be no relapse if remain under care of my psychiatrist counselor and attend group. Reason for ZOOM GBH IOP no ride to get there.
Have great weekend, sleep well eat healthy and see you Monday via ZOOM. Also Happy Father’s Day to the men in your lives and hug yourselves!
Judi K

I am excited about

Sent from my iPad

> On Jun 18, 2020, at 3:01 PM, Seely, Dorothy wrote:
>
> Hi Judy - this is Dorothy.  As far as Jennifer and I are aware, the plan is for you to continue in Tele-IOP as long as you are able. 
>
> We may have mentioned the OPTION for you to come to GBH in person and do PHP (which is different from Inpatient and different from IOP in that you come five days a week and stay a bit longer each day including having lunch here).  I wonder if that is what is causing confusion?  Some patients prefer PHP because it gives you someplace to be every single weekday and you get to have lunch with others in the group every day.  You have an extra hour of psychoeducation and then you go home at 2 pm every day.  Remember that this is an OPTION and in no way a mandate.  You have been sending us many, many emails and voicemails each day and this suggests you might be struggling a bit with mania or anxiety, but it is up to you if you want a higher level of care that is still in the Outpatient program (NOT inpatient, in other words). 
>
> Either way, YOU are in control right now and we want to provide you with the level of care that you prefer, given, of course, that you are not a danger to yourself/others.
>
> It sounds like you may be having a very challenging day and unless you are concerned about your safety today/tonight by yourself at your apartment, it seems best to just continue onward with the regular schedule of us seeing you via Tele-IOP tomorrow (Friday).  I will be sending out the link soon. 
>
> I will look forward to seeing you on Tele-IOP tomorrow, Judy.  As much as possible, try to relax and let your mind and body rest this afternoon.  You are doing just fine. 
>
> Take care and see you then!  :) Dorothy
>
> -----Original Message-----
> From: Judi
> Sent: Thursday, June 18, 2020 2:26 PM
> To: Seely, Dorothy
> Cc: Metze, Jennifer ; Zoe & Bob
> Subject: [External] Please see EMAIL ON PROGRESS WEEK OF 6-19
>

>
> I sent an email inadvertently under prior email link for Group for 6-15. It is about medication side effects causing temporary confusion. You can verify this with my daughter Zoe at xxx-219-6413. Also you can verify with my psychiatrist Dr. Onadeko at xxx-934-1145 I must have sent same detailed email six times because I am tired from side effects of Risperdone and rather than rewrite email and cry about it I just sent it muliple times to assure myself you got it! I am still experiencing mood swings plus side effectS of Risperdone caused me to oversleep last hour Group Monday 6-15 and all Group on 61-16. Do I receive any credit toward preventing relapse and moving toward recovery for following?
> 1 Attending Group for full 3 hours 6-1, 2, 5, 8, 9, 12, Full three weeks 2. Completing a Daily Routine Chart I call my Daily Road Map from 6-4 to now.
> Again call my daughter Zoe at xxx-219-6413 to verify it. I honestly feel I will inappropriately be placed back in-patient when I am doing my best to go forward to a transition from out-patient to prevention of relapse via my Independent living support network-Dr. O. xxx-434-1145 my psychiatrist, my therapist Dr. C. (first appointment Monday 22 at 4:00PM or Eddie O. ,M.S. whomever best fit.
> From our phone call Mr. O. sounds kind, caring and shows empathy and is willing to work with a patient with ny diagnosis plus PTSD and mood swings. He is also willing to decrease his fee from $150 session to $85 session and Then to to twice month when I am stable and well into recovery and processing grief.
> 3. As to moving too soon to The Waterford Assisted Living My daughter Zoe and Son-in-Law found place. So why move 7-1-20?
> It is SAFE and affordable.
> How safe?
> Two wellness checks a day-one about 8pm and noon next dzy if skip group activities Security on site only authorized people allowed Walk in shower vs tub where live now Reduces fall risk Two pulls call hero if fall none where live now
> 3 meals day provided (now 3 meals served daily to my apartment Until July when dining room reopens in July to serve restaurant style meals Many more amenities including weekly cleaning service daily trash service
>
> Please reconsider a recommendation for release from IOP Group vs step back to in=patient status when ready go independent living with support team of my daughter Zoe and family, psychiatrist, counselor and The Waterford safe place live in 3rd floor apartment with elevator and peer to introduce me to The Waterford Commumity
>
> Thank you.
> Respectfully,
> Judi Self Advocate for 25 years

GOAL SETTING FOR A BIPOLAR PERSON

got this text at 7:50 this morning from my Mother.  We are in the process of putting this 70 year old lady into an assisted living facility at the beginning of July 2020.

Everyday we get between 10 - 25 text messages plus numerous phone calls even though she knows that I am at work and need to work to provide for my family.

Goals

1 Share briefly with Group title of one of my favorite books “Don’t Sweat the Small Stuff and It’s All Small Stuff” published in 1997 by Dr. Richard C. that inspired me to write a wickedly satirical “book” titled “Everything Is a Tragedy...It’s ALL Tragic” to calm and quiet my racing thought, replace with healthy thoughts. Book was “authored” by Mrs. Charlotte K (my Mother who as negative role model taught her children to prepare for worst outcome.) I dedicated my book to Helen Keller who said “Life is a daring adventure or nothing. I also was “ghost writer” who wanted to remain unknown in case she found it. I had it bound like nice book at Ginny’s Bookstore. I soon had 9 editions what better way as a “bookworm” to liberate myself from her negativity-

12Th  edition Written in North Carolina some of her incredible negative zingers-

EVERYTHING IS A TRAGEDY TO HER BECAUSE

-The dryer belt broke -The dog ate her corn dog -The patio furniture soaked with rain because my Dad (or me if been there) left covers off to keep dry etc etc etc

2 Have fun today before my 4pm appointment with my therapist Dr. Chauhan

Do blue dog art except he’s also a bull dog more of My humor

3 Laugh Belly laugh 10 times at myself for thinking nice guy mows and fertilizes grass was guy from past trying to kill me with poison fertilizer. My daughter Zoe had to explain that one to me.

4 . Admit in group I actually yelled with Dr. Abraham as a witness “LET ME OUT OF HERE OR I WILL REPORT YOU FOR MEDICARE FRAUD FOR KEEPING ME AGAINST MY WILL!” She has a great laugh like yours and quick come back to patients at deep end of mania-she laughed and said “Oh Judi your’re not here against your will. You voluntarily signed yourself into GBH. Don’t you remember?”

SYMPTOMS

Depressed 1

Angry 1

Stressed 7 had PTSD flashback

Anxious 7 see above

Panic attack one see above

Sleep got worse see above 4 hours

Appetite too much cause Risperdone Trying maintain weight with my diabetes plate going bed by 9pm and exercise re PT taught me

NOT APPLICABLE until below

PTSD one episode

Meds working with same side effects for Risperdone

Taking all meds

Having moderate mood swings

Do NOT want harm or hurt self or others

No nightmares

I am making progress

Therapy is helping

Rest symptoms cut off

manic psychosis episode this past weekend

Box dishes ready pack tomorrow or Tuesday Monday really crammed pack day as have ZOOM Group 9-NOON Gina my PT wants finish PT session 7 on Monday Last 8th on Wed also 1-3PM That May not happen for Wed cause I need last Dr Appt w Dr G. either Tues Wed or Thu Dallas Physians Group only open til NOON on Fridays

Dr G.  needs to refer me for Heart Scan and possibly a stent My Dad had at least 2 stents plus an Alblasion procedure using laser device to shock his heart back in rhythm I do NOT have heart flutters I have had no stroke symptoms in my left eye like Daddy had Bro will verify all this plus Bro’s hypertension caused him have stent put in and an adjustment to his heart med You probably know this

OK THE HARD NEWS IS THIS

I really believe I had a mild heart event and a minor stroke when I was in Garland Behavioral Hospital They had called 911 for Young woman patient to go to hospital cause she’d just had a miscarriage and was bleeding a lot. Later on as time for meds & blood pressure checks I had ALL symptoms WOMEN get from stressed induced heart ❤️ attack Think about all stress manic psychosis I’d not had in 25 years (1990 Shoal Creek in patient stay) and NOT had inpatient stay since 1995 & 2005 for PTSD HYPER THYROIDITIS & MOOD INSTABILITY WHERE MY DIAGNOSIS CHANGED FOR AWHILE TO BIPOLAR AFFECTIVE DO, RAPID CYCLING MIXED STATE CAUSE BACK 296.6 CAUSE GOING IN OUT DEPRESSION & MANIA

DEPRESSION NOW ONLY MILD)

So to now had stress manic psychosis, PTSD cause called Bob late certain that guy found me either through my brother at his Cheers place where he is “Norm” actually Chili’s🌶restaurant where my Bro eats dinner every work night & even weekends He still does Stacy told me keep spot at bar or table he likes He met that guy there Both Vietnam vets & guy still in military or just retired to his Dad’s place in Rhome Texas as in Rome Italy He threatened me to NEVER tell anyone he’d been at my townhome in Arlington Tim & Liz just moved to their Starnes home & bought it from Kim & her husband-actually assumed loan later get their own- I opened door cause thought girl selling church candy for church camp at mail boxes place I told them to come sell me some & my Apt # cause cash at home but not in my wallet The Guy had stood to side of my peephole & thouht small girls He was wearing military casual with hush puppies shoes & aviator sun glasses He scared the hell out f me cause Daddy had me break it off cause Guy had anger outbursts and dented his car in 1966 with his fist Daddy saw it from his workshop & came right and said “Son you need to go on home & that’s it my daughter!” I do NOT know how he found my parents home at 900 Dora in Bedford but he showed up while Daddy was gone cause Mother gave him my address in Arlington and my phone. He impressed her about his military career and acted happily married. She never bothered to call tell me cause he had brand new black Thunderbird card and bragged about his military career He was just back from Japan & his next assignment was in Virginia I found ALL this out when drove over to their home much later in white shorts & sleeveless top to show my bruises to Daddy Why would mother give my address to him

Cause he brought her flowers and box Whitman’s chocolates like he used to do when wanted break up with him cause he was furious IF I EVEN LOOKED AT ANOTHER GUY! PLEASE DO NOT ALLOW MY BROTHER TO GIVE HIM MY NEW WATERFORD ADDRESS DADDY DID NOT LIKE HIM AT ALL!!!! Daddy came back from auto parts store & treated him like when Steve Bigham showed up unannounced & Steve had quit HK started his own service business & stealing away some of Dad’s best paying customers by undercutting Daddy’s prices on parts labor. Mother NEVER told Daddy she gave him my address Daddy would tell me later how sorry he was cause the Guy talked like he was happily married and Daddy just figured he matured & his military service helped him

He threw Sebastian my beloved cat OUT MY FRONT DOOR!!!! He told me story allergic to cats & ALL HE WANTED WAS HIS HIGH SCHOOL RING BACK Guys & teen girls traded graduation rings back then When I broke it off & asked for my ring back HE WAS NOT HAPPY A FRIEND DROVE ME TO A LAKE I THINK CLOSE TO BOAT CLUB ROAD IN SAGINAW TX YES WE LIVED THERE I STILL DO NOT KNOW TO THIS DAY HOW HE FOUND MY PARENTS HOME IN BEDFORD He said had access to people’s addresses through his military job He called your Daddy a Bum & knew we were divorced & he could have come to Las Colinas when YOU & I LIVED ALONE MY STUPID MOTHER TOLD HIM YOU WERE HIS CHILD BUT FIRST TIME I EVER DID THAT WAS VALENTINE’s DAY 1967 & I HAD NOTHING DO WITH HIM SINCE SPRING 1966 & NEVER ANYTHING LIKE WHAT HAPPENED ON VALENTINE’s. DAY of 1967 and you were born  October 21 1967. We married because of you! YOUR DADDY LOVES YOU AND HE IS YOUR DADDY CAUSE YOU HAVE HIS BROWN EYES. MY MOTHER IS A DUMBA$$!!!! THAT GUY HAD GREEN EYES & I HAVE GREEN HAZEL EYES THAT GUY & I COULD NEVER HAVE A BROWN EYED CHILD! I CHANGED MY MAJOR FROM LIBRARY SCIENCE TO DUEL MAJOR IN INFANCY & EARLY CHILDHOOD DEVELOPMENT AND SOCIOLOGY! I WANTED TO BE A GREAT MOMMIE AND SO SOCIOLOGY RESEARCH LIKE WELL KNOWN MARGARET MEED! Life turned out differently because I graduated in 1971 with BS in Education & Sociology with Honors! I went to gifted & talented classes now AP classes in kindergarten because I could read at 4th grade level in kindergarten and do math because my Nanny taught me School great to me Principal walk me to my Gifted & Talented classes for 4th & 5th graders then nap play time & lunch kids my own age 5

I won again in Roswell NM cause had a lot rocket scientists kids & my self taking Algebra and Science plus reading at high school level When moved Slidell LA for navy airplane project I was only in 7th grade 2 weeks before I was put in HS in 9th grade I made my first B in English on class paper based on Catcher in Rye cause I was too socially immature to understand the book An older more mature girl friend helped me with social maturity parts by explaining to me & I tutored her grammar Next paper she made B not C & I was back to making A grades

You ARE A GENIUS IN MUSIC BECAUSE YOU MADE JAZZ BAND IN 6th grade, That stupid 2nd grade teacher embarrassed you in front of whole class by getting kindergarten size chair for you sit in & saying as small as you were you s/b in kindergarten You told me NO ONE wanted be your friend! That’s when I told you find friend in after school care! Janice found you and said she could NOT be your friend because she came from a “broken home” I told you YES we can be their friends because I’d have a Mommy friend who’d teach me how live with just Mommy & Daughter We were great friends with them BUT YOU TOLD ME YOU WANTED TO KEEP YOUR DADDY AND NOT BE FROM A BROKEN HOME. I STAYED WITH DADDY UNTIL 1982 WHEN HENRY HELPED ME GET ARBITRATED DIVORCE I HAD TO DIVORCE DADDY & HENRY KNEW THAT HE WON $100 GIFT CERTIFICATE FOR MAGIC TIME MACHINE AT DADDY’s 30 TH BDAY PARTY I GAVE HIM FOR HENRY GIVING PICTURE OF DADDY AND OUR FAMILY DOG THE TAGLINE “WHICH ONE IS THE DOG?” BECAUSE HENRY KNEW DADDY USED CREDIT CARDS LIKE CASH WAS SPENDING YOUR COLLEGE FUND TO GET A DOCTORATE AND CHEATING IN OTHER WAYS THAT HURT US BOTH HENRY WANTED TI TAKE US HOUSTON WHEN HE MOVED THERE CAUSE HIS AUSTIN PSYCHOLOGY PRACTICE DID NOT MAKE PROFIT & HE WAS USING HIS RETIREMENT NEST EGG TO FUND IT. I WORKED 3 JOBS SO DADDY COULD GO TO GRADUATE SCHOOL FOR HIS PHD HENRY HONESTLY TOLD ME DADDY PLANNED TO LEAVE US AFTER HE FINISHED HIS PHD THAT MEANT NO PHD FOR ME OR COLLEGE FUND FOR YOU OR VACATIONS WHILE DADDY WAS IN SCHOOL GETTING HIS PHD THAT’s when I developed the “Coping Strategies & Skills For Divorce” class based on us you & I Henry paid for the brochure & I put in sweat equity to develop class & have set made for first class-one for people going through divorce & one for child/ren That would be our Road Map & letter you’d tell me you DID NOT want keep Daddy & he only hurt me NOW if he hurt you! He hurt you Spring 1982 and by June 1982 Henry helped Daddy file for divorce & make him think it was his idea. Sometimes office slow at Henry’s psychology practice & Rose was NOT as interested in him anymore, Later Daddy would introduce Henry to Lynn because she’d gotten TOO FAT! She was NOT fat just overweight & Henry liked her overweight and all, Lynn loved Daddy for 8 years!

I hoped he’d marry her because she made $90,000 a year to Daddy’s $45,000 in 1980. She gave him pricy gifts like gold watch and took him on pricy vacations. How would I ever know this? Because Grandmama allowed them to use her house for weekend visits & Grandmama told me so I’d get tough & divorce her son.

He used Grandmama’s house for six years. As I wanted to divorce Daddy since 1976 I accepted 3 “Guilt Gifts” from her a trip to Acapulco A wooly sheep’s cream jacket from Sanger Harris & my amethyst & gold ring—ALL FROM GRANDMAMA I LOVE HER SHE DID NOT HAVE TO BE SO GENEROUS! I wanted to divorce Daddy since 1976- the ONLY TIME HE GAVE ME GUILT GIFT DUE TO HIS MESS UPS “The Jazz Players” Which I Gabe first to Tim then to Christopher because my love & respect where he was concerned WAS NOT FOR SALE BY WAY GUILT GIFT!!!

So I calmed myself from That Guy & PTSD which gives me pain down my back A sign of Woman’s heart event I will call Dr G.  office at 8:30 am for Appointment either Tues Wed or Thu at 3:30 to 4 out of consideration for your work schedule Tomorrow is hell day-3 appointments group Gina PT & Dr C.  I am NOT AT RISK ANOTHER HEART EVENT IF I get bed by 10:30 No Art Take evening meds MEAL NOW

PLEASE RETURN GOLD RUG FOR FRONT ENTRY Gina & Christina will NOT takes shoes off even w. Sign on door & I ask

Plus Gina uses my toilet Well it’s clean & sanitary

Please also return 2 square baking pans cause plan use last 5 apples big making apple crisp good for my PLAN DIABETES & GOUT & DO IN BIG OVEN WHILE HAVE ONE!

3 issues with Dr G.

1 DO I TAKE JANUIVIA

2 NEED HEART SNAN FOR STENT & POSSIBLE CHANGE HEART MED HYDROCHLORIDE

3 SCHEDULE COLONOSCOPY

MAY AS WELL CHECK ALL OFF ALL BOXES & THOSE 3 DO IT

I DO WANT TO DO DIE & GIVE THIS CREEP SATISFACTION OF SCARING ME TO DEATH NO MORE PTSD OR PANIC ATTACKS

LAST JUST FEW PICS STONELEIGH LAPSES & NOW NEED EAT TAKE LAST MEDS DO EMAIL TO YOU ALREADY WROTE OUT AND EMAIL TO DOROTHY ON GOALS & SYMPTOMS I ALREADY WROTE OUT ONLY DO EMAILS GO BED!!!!!

Good night💤sleep well😴

See you tomorrow for 4 pm appointment Just text when on way

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.

when you hang up on a Bipolar person, bipolar disorder

HANGING UP ON A PERSON WITH BIPOLAR

(got these text messages the other night from her:  It was directed to my husband because he hung up on her while my mother was ranting over the phone and wouldn't calm down or be quiet.  My mother has a tendency to bully anyone who doesn't bend to her will.)

ZIP FROM ME IN “NICE” From YOUR HUSBAND FIRST ONLY YOU & TRAVIS CAN LEGALLY REPRESENT MY LEGAL LEASE EARLY NOTICE IT MUST BE DONE IN WRITING 60 DAYS PRIOR TO MOVE OUT

HE IS not TO REPRESENT IN ANY FINANCIAL LEGAL MEDICAL MATTER EVEN IF YOU RUN AWAY FROM THIS BS ONLY TRAVIS CAN!!! BOB IS TOTALLY OUT SETTING ME UP FOR FAILURE RATHER THAN SUCCESS HE IS VERBALLY ABUSIVE KEEP HIM OUT & AWAY OR I WILL HAVE NO CHOICE GET THIRD PARTY LEGAL ADVOCATE TO HELP ME GET TO WATERFORD

DOES HE YELL THIS WAY AT YOU? WHAT KIND MARRIAGE IS THAT? HE YELLS & BULLIES THEN YOU GIVE IN? I WANT SOMEONE LIKE LEGAL ADVOCATE WHO WILL DEAL WITH STONELEIGH CALMLY BUT USE LEGAL GROUNDS FOR RElEASE NO MORE VERBAL ABUSE! IDO NOT TAKE ABUSE AFTER MY MOTHER & BROTHER ET AL

TO THINK ANOTHER BULLY RUNS HK WHAT AN INSULT TO GRANDPA’s & DADDY’s LEGACY - A MAN WHO DID NOT LOSE HIS TEMPER OR YELL I’VE HAD ENOUGH BULLYING JUST STEP BACK & ALLOW ME MY SISTER LIZ TO. REPRESENT ME CAUSE I KNOW TIM WILL NOT YELL OR BULLY ME!

For MR BULLY”s EDUCATION I PLANNED A CALM FUN WEEKEND FOR MYSELF I HAD 2 SIMPLE ?s 1. DO I TAKE DEPAKOTE? YES 2. IF MR BOB HAD SAID UPFRONT FIRST TIME AT TOP EVENING “GOOD NEWS JUDI YOU ARE COVERED BY TEXAS LAW FOR CANCELLING YIUR LEASE EARLY BECAUSE OF LEGAK CODE XYZ.” I’D HAVE NEVER EVEN BOTHERED GETTING LEASE OUT!!!!! I ALLOW ONE DO OVER THEN I HAVE NO CHIOCE BUT TO HAVE YOU SOLELY ACT ON MY BEHALF NO APOLOGY ON EITHER PART AS I AM JUST GETTING LEVEL & HE TRIGGERED A SERIOUS MANIC UPSET. I CALLED LIZ TO CALM ME BECAUSE GOD KNOWS I CANNOT EXPECT CALM & EVEN FROM MR BOB

YOU WANT TALK TO ME IN MY HOME COME SOLO FOR AWHILE DRACULA IS WELCOME

WHAT HAPPENED TO NC FAMILY & WE RESPECTED EACH OTHER’s BOUNDARIES

JUST LIKE SETTING EXPECTATION I WOULD RESIST LIVING AT WATERFORD BECAUSE SOME OTHER FAIMLY MEMBER RESISTED!!!!! I ONLY CONCERNED ABOUT HEALTHY FOOD PLAN ALSO I DO NOT GIVE S@@@ ABOUT $ YOU & BOB CAN HAVE IT! I AM SOMEONE WHO PUTS FAMILY PEOPLE ABOVE $

TRUST ME NEXT TIME HE WILL NOT HANG UP I WILL IF HE SO MUCH AS HURTS YOU DO NOT TAKE SPELLED D-I-V-O-R-C-E I MEAN THAT & HAVE TRUST ISSUES WITH HIM NOW BEFORE OVER 30 YEARS I RESPECTED & TRUSTED HIM

HE TRIGGERED ME!!! DOES HE KNOW WHAT THAT MEAN

HE’d MAKE LOUSY MENTAL HEALTH ADVOCATE! Verbally berating me when I’m trying to prevent relapse & maintain recovery I DESIGNATED ONLY YOU TO REPRESENT ME IF TOU WANT WALK CAUSE HK I CAN FIND ALTERNATE

HE IS NOT POSITIVE FOR ME BE AROUND

I LOVE YOU & HOPE GOD HE DOES NOT BULLY AND YELL AT YOU.

He needs counseling!

I am afraid of Bob M. & trying sleep Taken ALL meds and including Tylenol for pain I have calmed and just ask he not come here for at least week or until after next Father’s Day weekend What causes his temper outbursts I trigger them but am NOT cause of his negative actions best take break maybe 2 weeks Stay on your own goals & work I do NOT need hear repeated negative talk from him I want him to first get help for his own  Rather than worse

Get help I do care