It does make a huge difference. My first Pdoc was amazing, i stayed with him till he retired. My new Pdoc leaves so much to be desired, i dont even bother seeing him anymore. And hamster your right, in Canada at least in my city, its hard to just switch psychiatrists. You can pick and choose your own GP tho. If i wnt a new pdoc I have to go through a written process, apply and have reason, zinc. I live in a small area with not many pdocsthe others are all full.