Hello Evan,
In your first post you stated: "She's on Lithium daily and annually sees a psych to make sure everything is in check."
Today you state: "I also found out last night she last had her blood levels checked FOUR YEARS AGO!!!"
You continued, "That combined with only seeing her psych once a year - surely a recipe for disaster. And this is a girl having MAJOR episodes - she's pushed me away - had two panic attacks in the past three weeks (they're the only ones I know about!!) and as she told me last night - sometimes can't get off her couch because she's fearful of walking five steps into her kitchen.
How can a psychiatrist prescribe her lithium annually - and how can he do this without seeing blood test results"
Ethan, you've asked yourself some very good questions. I think you know what to do. If you want to help her, find a new doctor. It sounds like she is more ill than you first knew and that she is either irresponsible for taking quality care of herself or is incapable of doing so.
You have a long road ahead of you if you are committed to straightening all of this out with her. Again, you were asked some pretty stiff questions at the beginning of all of this from LFW & Serafena. I hope your girlfriend is as committed to her wellness as you are, otherwise you are in for a big struggle. Makes me wonder how committed she was to herself BEFORE she met you. Think about it, please.
Wishing you both wellness.