Our expert says:
Not as well as I might be, not as ill as I could be. Thanks for kindly asking, Rob
Private practise is more unpredictable in quality than one might expect, but at least as a more directly paying customer you have some leverage in being mildly assertive. The State sector is also even more unpredictable in quality, but there are still some good people working within it, and where there are students in training, you might find someone more ready to take an interest and to get other advice to guide your treatment.
It is indeed illegal for a nurse to actually prescribe medicines, unless they've sneaked in some legal change without letting me know. In some hospitals or clinics they have more autonomy once a doctor has authorized the prescription, to vary doses, etc.
And nobody should be on treatment without having at least been seen and initially assessed by a doctor, and wihout a doctor supervising whatever others do within the treatment plan.
Doctors who simply don't bother to trn up for clinics they are supposed to attend ( and paid to attend ) should simply be sacked - they're a waste of public money. I wonder if there is some way to approach the Superintendent or senior hospital administrator to ask about why this has been happening, as they may be unaware and really need to look into it. At first my rapid typing produced a typo, that they should :"loom into it" which would probably be a good idea, too
I have no financial expertise at al;l, but it may be worth disussing with your bank and creditors, as its better for them to get at leasty SOME of the money owed, eventually, than simply harrassing you ( which costs then money ) in ways that make it even harder for you to eventually repay.
As regards the friends, tell them frankly that you would love to see them and chat with them, but sadly can't afford a cup of coffee. Real friends wouldn't be bothered and can surely afford a couple of cups.
A fresh assessment of your condition is really necessary. You are not describing major bipolar symptoms, even if not taking meds at present, but the persistent suicidal thoughts must be taken seriously, as well as the incomnia - and yet the medications apparently recommended contain no antidepressants, merely mood stabilizers suitable for marked bipolar problems.
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