Update:

So, I went to my appointment this morning, dreading it. My pdoc told me he got my letter and it was a good thing because it gave him more information about me.

He said he didn't know I came from so far (and asked how long ago I moved), but said he was okay with it. He suggested making a day of it and going to the zoo or mall or lake while I was up there today. So, I'm happy he didn't tell me to find a pdoc closer to home.

We talked about the picking issue. He called it self mutilation and compared it to the self mutilation of a tattoo or ear piercing. I never considered piercings and tattoos self mutilation...but I guess I can kind of see how they are. He said there is medication that can reduce such behaviors, but he didn't prescribe it to me today...maybe he forgot?. Maybe I'll bring it up next month if it is still an issue. I really don't want another med, but I want to stop the picking too. It's choosing the lesser of two evils.