Dear Bobby,
Is this a new therapist?
As you know I really hate to shower and it is for a number of different reasons -- some that are incomprehensible to a person without bipolar.
I'm almost as annoyed by the idea of having to change clothes every day as I am about by the new shower rule. Does she lack experience with people like you?
If she does have the experience, maybe ask her how well her suggestions have turned out in the past.
I think her new rules are cruel. They demonstrate that she has no understanding and no awareness. Instead of pressuring you, she should could be offering support. And she could be working to empower you rather than what she is doing now.
And let's say that she wants to push you a little bit. Maybe she could ask (that's an idea

) about things
that you want to change and offer ways to help with those things that you need from her. In other words, I think she should be listening to you than to some stupid set of rules that would purportedly work for garden variety depression.
Perhaps you can tell your pdoc to make a call or make a note on a prescription pad to leave you a lone about the bathing and the changing clothes -- but it does not solve the problem. She needs to get a clue.
For crying out loud, has she looked at your list of meds????

Does she know what side effects they cause? Does she know the price we pay for both the disorder AND the meds. She's so wrong on so many levels.
She acts like she just got out of school and never met a real life patient before.
What happened when you told the pdoc about wanting a lower dose? I'm glad that you spoke up. He should let you do what you know is right for you. I hope that your session with him went ok.
Regarding vit D:
I've been taking 4000 IUs a day for four or 5 weeks. According to the information on the internet, I probably need to be taking much more. (I tested low at 13 with a normal reference of 20-100).
Sources on the web say I need more than 4000 a day. I'll look for those links. I think MrsD has links for that.
Low D can probably cause energy and mood problems (I can't find sources on the 'net right now but that sounds right. You've probably looked that up yourself anyway.)
According to this, the prescription vit D is usually D2, not D3. We need D3 if we are supplementing orally:
http://www.worldhealth.net/news/if_y...vitamin_d_how/
M.