No, if a doctor is good, you matter to them. A good doctor cares for you. Only a caring doctor would problem-solve your situation to discover an untapped resource - regularly scheduled sleep. Why would he use his brain power to help me if he did not care? He even suggested that I apply for disability and filled out the paperwork when I lost my job - it did not occur to me. He cared enough to suggest that I seek free care from the county's mental health office when it became hard for me to afford his fees out-of-pocket (when I lost my insurance with the job). As a result, he lost me as a patient. Lost the income stream. What is more caring? What else would you expect from him? How else could he have shown that I mattered to him?