hello @Former-Member
Feeling exhausted and tired is difficult to deal with. The body and mind just want you to stop and lay down.
Although it might seem frustrating to you I do understand why your support worker is doing the contacting herself through the system. She has seen you and assessed within her capablilities as in training etc that you require some immediate help re medication.
personally I believe that the psychiatrist should make an emergency appointment to see you before prescribing new medication.
The fact that you live so far away from your psychiatrist you might be eligible for skyping sessions with your psychiatrist if he or she does that. If not and you are willing you can look up which psychiatrists do skype.
I have heard there is one psychiatrist who only skypes with his patients. He is in Tasmania I believe.
Hope you find some reprieve and catch up on sleep owed to you soon. I know only too well what sleep debt means not good.
take care