Welcome to PC.

I know exactly what you mean about the lack of services. I am in northern New England and we're in the same boat up here. I live 20 minutes away from a world-class medical center, but you can't get in to see anyone in psychiatry for an intake appointment for months. Sometimes the larger, community based mental health organizations are the way to go, just to get your foot in the door and get going on treatment. They may not have pdocs, but do they have nurse practitioners? Sometimes they can be useful too. Something else to try is calling your insurance company to see if they have any out of network coverage provisions for underserved areas. Sometimes if you are unable to find a doctor within a certain radius of your home (50 miles maybe?), the insurance will allow you to see someone out of network.

Therapy will be a big part of getting things under control. The time shifts with travel can be especially bothersome. Once you get settled in your treatment, ask your therapist or pdoc/np about using a portable light box when you travel and during our dark, northern winters. They cost about $100 and are reimbursable under flexible spending account laws with a prescription. At least they used to be when I got mine about 5 years ago.

Hang in there, and good luck today with your supervisor. It may take time to get things under control, but you're on the right track.