So I had 3 more calls this afternoon. Nurse, social worker and nurse again. Nurse called to tell me the recommendation of the psychiatrist - add Celexa. Ah, isn't that an SSRI? I REALLY DO NOT THINK THAT IS A GOOD IDEA. And I went over DD1's reactions to the previous SSRIs, AGAIN, with the nurse. Yes, but psychiatrist says that it works very well with the Abilify. Ah, but I've been saying that I DON'T think the Abilify is doing ANYTHING for her and I explain how it does not seem to be addressing any of her ORIGINAL symptoms from two years ago. (yes, I was so hopeful before that the Abilify would do wonders, but it hasn't done a thing) Original symptoms are all back and then some PLUS what happened yesterday. Should we maybe take away the Abilify? Well, you did tell us to give it to her. Ah, yeah because I AM NOT SUPPOSED TO STOP ANY MEDICATION WITHOUT DISCUSSING IT WITH A psychiatrist, and I have not yet discussed this with any psychiatrist, so, what does the psychiatrist think? She'll convey my concerns and call me back. Then the social worker calls to let me know that DD1 has been deemed NOT stable enough for release. Yay, I was relieved. And they already scheduled a follow up visit with her regular psychiatrist for next week (protocol). She brought up the medication recommendation, and I AGAIN started explaining my concerns. At that point the nurse was trying to call again (don't' these ppl talk to other?) So I finished up with social worker, and got transferred to the nurse. Nurse said she shared my concerns with the psychiatrist, but the recommendation stands, so, will I allow the order? REALLY? then she read off the list of medications ordered which include Tylenol, mylanta and something else - all only if needed. What about her melatonin? Well, it's not ordered, and the psychiatrist is gone, but we can request it in the morning. WTF? So, my mind is racing! My poor baby is NOT going to have a good night - yes, sadly it may work to my and her advantage. Then she asked again if I would allow the celexa, and I said NO. What about the Abilify? Well, what did psychiatrist say about my concerns of the Abilify NOT doing anything for her? Nothing, psychiatrist's ONLY recommendation is BOTH Abilify and Celexa. My mind was still racing so I asked what happens if we stop the Abilify. Well, her vitals will be monitored, and she's in a group where she must be physically seen by a staff member at least once every 5 minutes. And what are the withdrawal effects from Abilify? Restlessness, anxiety, etc. Oh, ALL the symptoms she's having while ON it! OK, then NO. Do NOT give her the Abilify. I figured if it gets REALLY bad, then at least she's where she can have 'pros' observing her. Unfortunately I already feel like I'm getting the crazy, difficult Mom rep. I put a call in to DD1's regular psychiatrist and left a message about the crisis unit and that I did not agree with their medication recommendation. Also that I had been 'procrastinating' making an earlier appointment to discuss how the Abilify didn't seem to be doing anything and that I told psychiatric hospital to stop that medication as well. There's still a little time left for regular business hours, but I probably won't hear back until tomorrow. DD1 can call this evening at 7. I think she will and hope she does. If they keep her past tomorrow, I'll get to see her Saturday. Visitation is only Sat, Sun and Wed for 1 hour. It's killing me to think of what a tough night she's gonna have with no melatonin. As it is, the last few nights she's needed to take a second dose because she wasn't asleep within an hour of the first. When she calls, I need to remember to keep my 'mom mouth' in check, and NOT tell her to behave. I won't egg her on, but will remind her that she needs to let them know when things are bad for her. I'd like to know what anyone with this type of experience thinks of all these 'relay conversations'? Does this sound like normal protocol? This unit is NOT for long term care, ONLY crisis stabilization.