Doing my 3rd tour in Iraq right now. Bi-polar with PTSD. Doc's got me on a bit of a cocktail right now, just enough to get me stable enough to do my job. My downtime is my own problem, or so he informs me.
However, I do have a couple of buddies out here who have advised me of a bit of truly amazing advice. I don't know if the VA Docs are Army Docs, but the phrase that pays with these guys out here is:
"Doc, I'm thinking of hurting myself and/or others."
They always tell us they "Have" to ask us, but when you say yes, your dosage gets adjusted like jiffy lube....30 minutes or less.
Give it a try, maybe? I would suggest "others", for fear of having them slap you in a jacket.