So he remains in the hospital. Still depressed but thoughts are more clear. Says he can't focus to read a book. Haranging me because he is sick of being there (one week today). Keeps calling me and telling me he wants to be discharged. Keeps saying he's going to sign out AMA. I repeatedly tell him that if MD feels he's not ready to be discharged, then I do not support him leaving hospital. He hung up on me a couple of times because what I said was not what he wanted to hear. I had a big talk with him the other day. I started off by reiterating the things that he is doing right (being sober, going to work, showing up for appointments, managing his money (that is, not asking me for any since we pay his rent). Then I outlined the things he needs to improve on: actually DOING the assignments therapist gives him, going to meetings and socializing, taking his medications as directed and communication with p doctor (he tends to skip doses sometimes because of what he perceives as undesirable cognitive effects). These are things he needs to do in order to manage his chronic mental illness. He wants to move out of the place he's at, the sober house, because of the atmosphere. Therapist recommended a supportive apartment as a higher level of care. 2 year waiting list. Therapist mentioned expensive young adult program. It is a minimum of 9000.00 a month. So no higher level of care available. He will go back to sober house and social service agency will set him up with community support and case management. Hopefully he'll be able to cope since he's back on the half dose of Zyprexa (p doctor stopped it and thinks this helped precipitate this latest crisis). Mental health services in this country are difficult to access and very fragmented. We are coping as best we can.