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I am very fond of this psychiatrist and as retired CPA I empathize with his challenges running his business. He is a very kind soul. He was so overjoyed when my wife responded strongly to this “old” drug, Anafranil, and on only 25mg! So many of the new “wonder drugs” had failed for her, but he patiently persisted.

He was willing to work collaboratively with me to help her and was even willing to point out himself that it was I who had suggested the Anafranil after I scoured the Internet for OCD treatments. For the past two months I had been faxing him twice a week a daily diary of my wife's ever-changing symptoms, and he welcomed it and read them free of charge. He also would give her up to an hour (when he can only charge for 20 minutes) if she was the last appointment of the day looking for ways to help her. Now there is no need for the daily diary.

On discharge from her first of three hospitalizations this year the treating MD gave her a Dx of schizoaffective disorder (bipolar type), which can phase in and phase out on an unpredictable schedule. I am keeping my fingers crossed hoping that she "only" has bipolar with psychotic features, a very similar condition, but one that is more likely to be able to be managed successfully than schizoaffective.