I hate to say I told you so. But I kept telling Youngest, if she continued to miss doctors appointments, either by cancelling and not rescheduling, or just not showing up, eventually they would drop her as a patient. So she calls me just now, upset because she called her therapist at the County Mental Health dept. to set up appointments, and was informed that because she hasnt used their services in several months, her case has been closed. They assume shes doing really well and doesnt need them any more. Refills? She should call her neurologist, since Lamictal is a medication he can prescribe, anyway. No, the psychiatrist wont give her any more. She needs to find another psychiatrist. She has 3 Lamictal left (mood stabilizer for her). She has 1 Topomax left (anti-seizure medication for her). She is going to call the neurologist.. BUT.. she has also missed her last two appointments with him, plus cancelled a CT scan he jumped through hoops with the insurance company to get. Im not so sure he hasnt dropped her, either. Certainly no new doctor is going to prescribe right off the bat. Good grief. When will she learn?! Its easy to get angry at the County.. but I do really understand their position. They are short on funding. Why keep a spot open for someone that never shows up? I DO think they should at least give her one more refill, but they are refusing. Maybe its a liability issue, I dont know. She says they told her that since she hasnt called for a refill sooner, they figured she isnt taking her medicine anyway (this may, in fact, be partly true.. shes been known to skip doses now and then, dangerous as that may be). I suppose worse case she can call back the county and beg. I suspect though if her case file is closed, she may have to go through intake all over again. I called my psychiatrist, who also happens to be her former psychiatrist. Ive left her a message. I know shes not currently taking new patients (per her practice), but she may be able to take Youngest as a former patient, or part of my family as a current patient. She may also be willing to give her some samples or something for now. Well see what kind of progress Youngest makes with the neurologists office. Crappy thing is, Youngest is soon to age off of my insurance, and it would have been better for her to be with the county, and their sliding scale. This is important enough, though, that I'm willing to cover the cost of her appts if necessary. What a freaking mess. Live and learn, I guess. At least, I hope so.