Appointment question. Ten minutes is not enough for this history and I am trying to plan around that.
Bring one guideline reference, not a folder. Nobody reads a folder.
Get the criteria document. Every refusal is scored against a checklist and the letter never includes it.
Portal exports often carry the numbers and not the notes, and the notes are where the reasoning is.
The phone log is the part people skip. Date, time, name, what was said, reference number.
What worked for you, concretely?
Ten percent cuts, of the current dose not the original. That is the arithmetic that keeps it survivable.
I would stop trying to convey how bad it is and start saying what you want them to do.
Interdose restlessness is distinct from the original symptom and worth naming separately. Not on a billing error but the pattern is familiar.