After an hour reviewing the recent issues with breakthrough psychosis, the extreme anxiety around the requisite blood draws to check white blood cell count, and the real issue of this being the least stable time of year, I heard Tim’s new psychiatrist say the words that I knew were the right decision, but vex me nonetheless: "let’s leave him on the Clozaril, add 100 mg at midday, and postpone any big medication changes until his impending move to an 18 and over facility in May."