I don't think a pdoc can tell you to find someone else simply because you are further away. I drive 45 minutes to my appointments twice a week for therapy! I have some clients that drive over an hour for weekly appointments because they want to come to this agency. He may explore the possibility, but it seems unlikely to push the issue.

Regarding the letter, I think you did good telling him what's going on. As your pdoc he should be aware of being in therapy and the reasons for that. Just because he recommends a medication, does not mean you automatically have to take it. And, not all anti-anxiety medications are addictive. I have several on Vistaril or a single med that acts as an anti-depressant/anti-anxiety that are non-addictive. You have a right to be cautious about your meds and refuse to try ones that are addictive.

I can understand the regret, and have been on both sides of the fence... Sent something to my T where I kick myself, or have clients who send something and call/email in a panic about it. What I can tell you, is in all instances, it turned out well for me and/or my client.

Trust your pdoc and your T to provide you the support you need. They will not think you are crazy. I would assume they would feel proud because you take an active role in your treatment and provide them with information they need to know.

Take gentle care of you.