I get what you're saying and part of me agrees with you.

The organization has made the statement that they are committed to supporting the physical and mental health of its employees. It's based on this that I feel he should be willing to work with me to resolve the situation.

I am in the fortunate position of being unionized and in a location where there aren't many qualified people in the area willing to do my job. (There are several laws regulating who can do what I do and most don't live in small towns) He's been trying for months to find extra staff.

The part that I don't get is that I'm not asking for anything that will cost his department anything, there is no reduction in service, I wouldn't be doing any less than anyone else. I just want to try switching two appointments, one to the morning and one to the afternoon (which happens fairly regularly anyway, but it's not in the schedule)

I have contemplated other placements, but for various reasons they aren't all that feasible.

I love my job. I'm good at my job. And 99.9% of the time anxiety isn't an issue. I have 1-3 shifts in a month (most of the time 1 or 2) where the first 3 hours of the day are causing problems.