Actually, the very first good doctor that I saw was on-call! A young doctor, too! In county mental health - not at my current county, but at an adjacent one. My regular doctor there was at times OK, but during crucial periods very very bad. Once I told her that I was manic having been off all meds (I stupidly decided to save money on meds in Europe where I had to buy them) for a couple of weeks (which means ages for me, as I now know). I just came back - she had not seen me in months. She... refilled my prescriptions and scheduled me back in TWO months! And I went on to wreak all sorts of havoc - I was in a state where one needs at least an IOP. But the on-call doctor whom I visited later on when starting mania despite medications really cared for me. He gave me life-saving advice complete with medication samples: when beginning mania, use Zyprexa PRN (as needed rather than on a continuous basis) to squelch mania and get a good night's sleep. It worked! I was so impressed that I tried it on a continuous basis (which was not his advice). That was not a good idea - I put on many pounds during my one month trial. His advice was to use it perhaps once a year. And I believe in June I had one occasion for it and I did use it PRN and it worked great and I slept very soundly without any ill aftereffects. And now I know that the state of mind that precipitated my manic suicide attempt was EASILY treatable with Zyprexa PRN. Unfortunately, at that time I did not have a good doctor and the ****** one that I had could not think of anything better than Valium (Diazepam) which only gave me two hours of sleep (I know now that I do not respond well to benzos in general) and did nothing to suprress the episode. So this young on-call doctor gave me life-saving advice! He also mentioned in passing how important healthy sex life of his patients is to him. So clearly the patients matter to him. Gosh, I do not even know his name. One day I will request my record from the county, get his name and send him a card thanking him for Zyprexa PRN advice. He was my first American outpatient p-doc who was good - he deserves to be thanked.