I think if you cannot get a hold of your pdoc, and you are feeling this bad, it might be best to go to the hospital. Go to the ER, and they can assess whether you need to be admitted or not. Perhaps they will bring in a pdoc, and he can give you something to tide you over till you can see your regular pdoc.

you can try going to the ER. I honestly doubt they'll do much for not going to an appointment because you don't like the place. They'll probably advise you to go to your appointment and then make arrangements for a different Pdoc. You're not currently prescribed an anti-anxiety medication, neither Zyprexa or Seroquel are anti-anxiety meds, they're anti-psychotics...as for whether they'll give you something to calm you, that's something you'll only know if you go.

I am on ativan its not working I been on it since 2009 at the same dose. The mental health center has a bad reputation here.

I get that you probably don't have a lot of choices....if you need to go to the ER, go to the ER, all you can do is try.

Have you checked healthcare coverage through healthcare.gov, it can be pretty cheap for some people and it does cover mental health. Also Hospitals, most related to University's and Public, some private have programs called "Charity Care" its an internal insurance service based on wage/need, most run from year to year, have very small copays and cover all services you just have to use their Dr.'s and clinics. Its worth it to call your local city and county hospitals and see if they offer services, the beginning of the year and beginning of Annual Budgets are the best time to apply.

I don't have many other suggestions. Mental Health services are not always our choice, but sometime what we have to use until we can do better. I've used them myself in the past when I couldn't afford Insurance. You have to tell yourself that staying stable on meds is better than nothing...

Hang in and seriously if you think you need to go to the ER, go, you won't know if they can help until you do, we can't really answer those types of question with any real yes or no answers, its different in every town. Here, where I live we have excellent ER's, but if I were in your situation and went to the ER, with an appt. tomorrow they would tell me to keep the appt. and try to find different mental health services if I wasn't happy. I can't say for sure what your ER would do. Also remember the people that work at your Mental Health Care center see about 3 x's the amount of people they actual have the time and resources to see....it's not a reason to not treat people well, but they get pretty stressed out. Maybe tomorrow go to the appt. and mention to the NP that you'd appreciate being treated like a human being, you understand they're over-worked but it's not your fault, your doing your best to treat a mental illness and you don't need their extra stress. You're allowed to stand up for yourself, always, regardless of what your paying for healthcare.

I hope things get better tonight.

Older- I have health insurance through my husband. Thats not the issue, the issue is I simply cannot find a pdoc here its horrible. Thanks for all your help, I am just trying to keep my head above water for now.

Wellllll you have your age listed at 13 and you don't list a place that you live, so I don't know where you are geographically.

Im in my 40’s. I went to mental health app and I told her I was having major anxiety and I needed something else added tio my meds. It dysphoria i think. She told me to get out of her office and wait in the lobby very rudely, my husband said “ you need to be a liittle nicer” After I waited never got to see the doctor but she told the nurse I need to up my lamotrigine and stay on the zyprexa. They said theres nothing thry can give me for my anxiety since I am on Ativan. They did a drug testbon me and I felt kike a criminal the way they treated me. My husband asked why they cant try celexa or something similiar for the anxiety they wouldnt answer him. So I am back to square one, All she said is i need to learn coping skills. I told her i have a therapist it aint working. She got aggravated with me and said you need to get control of yourself. I told her if I didnt have racing thoughts and bipolar while i was having anxiety maybe i gould but since you do not know what it feels like being bipolar i disagree with your statement.
I have no idea why the doctor increased my lamotrigine, whats yhat going to do?

Big hug for you sweetie..... Going through the med trials and tribulations suck for sure.....

They normally just try one med at a time due to figuring out side effects.... If they try 2 or 3 meds at once it's hard to figure out what's going on if there are side effects

I found Lamictal wound me up.... I felt okay on it but wound up..... I can't remember why are you coming off of Zyprexa if it works well for you?

I've been on Tegretol for years and that has a calming effect on me just another possibility?? perhaps

Im not due about the lamotrigine, she should of increased my zyprexa that calms me down, im beginning to think the lamotrigine is not sgreeing with me im not sue. I took 50 mg yesterday morning and i frlt better than 100 today,

It doesn't sound like the most calming place. I would look for something else, I know your options are limited, but there has to be more than just the 1 option even if you have to drive a bit. I drive an hour 1 way to stay with my Pdoc of 10 years and don't mind the sacrifice because the care is worth it.

You and your husband need to educate yourselves a bit on the meds that treat the Mental Illnesses you have. Celexa is an Anti-Depressant and once again, won't do anything for Anxiety. Main Anti-Anxiety meds RX'd in the U.S. are Ativan, Xanax, Bupar and Klonopin.

Your on a rather different med cocktail, you're taking 2 meds that are commonly used for a Mood Stabilizer, and right now your bouncing up and down on dosages of those, Lamictal and Zyprexa. You've had the Seroquel in there, I guess you've stopped it? You have the Ativan, which you say doesn't work anymore. Are you on an Anti-Depressant? Any type of sleep meds?

Your really heavy on the "mania" side of BiPolar meds and when you put too many of those together, i.e. anti-psychotics, mood stabilizers, anti-anxiety meds, etc. you can get the opposite effect of calm, especially if your not taking anything to equal out the chemistry, your med cocktail is wicked imbalanced....and with all the dosage changing and med changing....I'm surprised your not going flat out of your mind.

The Dysphoria, is that an actual Diagnosis on top of the BiPolar or is that just something the Nurse looked up on Google and said you had?

Like Jen a.k.a. SunCloud, I've taken Tegretol for a few years now, as my Mood Stabilizer, and it works very well, I also use Klonopin, Topomax, Celexa and Vistaril.

I hope that you're able to find someone to help you get things sorted out soon.

I know and my doctor doesnt seem to care. I am hoping the zyprexa gets back in my system and starts working. I adked for celexa for depression, they ignored me. They said to stick to my old routine but Im trying to get better. I am not on a sleepingnpill,.