I was meant to go inpatient for depression/bpd (inpatient at a hospital to stabilise my mood, lower medication effexor&amp;seroquel and to learn dbt skills) yesterday however since lowering my dose of effexor xr (150 down to 100mg) there have been side effects such as intense drowsiness in the morning and sleep paralysis (mind would be awake but body would be numb and wont be able to move in the morning) ive been experiencing fucking horrible nightmares for the last month. 
HOWEVER 
I couldnt make it since i didnt wake up til 7PM at night .
Not like i could fucking help it either. Not like i was fucking around with my friends having tea and scones.
So my treating doc for inpatient said since i didnt turn up he wants to see me first as an outpatient for an assessment to speak about my goals and treatment plans for my inpatient stay. Btw the fee is $340 for a 60minute session ( Do you think IM MADE OUT OF CASH?) i also have to pay a $250 GAP payment for the inpatient program.
I was speaking to his secretary since he was not working today but his reason for it was to see me before i go inpatient. And i HAVE TO see him before i can go inpatient since hes my treating doc. 
I dont understand why he cannot understand my situation for not being able to make it to my admission . 
He wants me to pay $340 to see him before my inpatient ... I dont think thats a valid enough reason. I have asked for a more specific reason and they told me " since u did not turn up he wants to assess you and talk abt how to treat you during inpatient"...
Sounds like a load of bullshit.
Im going inpatient to get treated and assessed but you want me to see you for a half assed reason and pay for it as well.
So fuck you. You piece of shit. Just because you decided you want to "assess" me . 
U CANT ASSESS ME INPATIENT ?! 
IM GOING INPATIENT TO GET HELP.
seeing you as an outpatient is uncessary. So were going to talk abt my inpatient stay and ill pay u $340 . Its disgusting people like you that make me hate the mental health system 