Hello I hope things get better for you soon. Your therapist can help you to get over some of the anxiety you are having if the Dr office is a trigger. Perhaps the office is too big for you to feel safe, and you need to get some help from your therapist in being comfortable in big places, and deal with why you are feeling so overwhelmed seeing the Dermatologist. Perhaps you feel like a number and you are not getting the appropriate treatment you deserve, due to feeling neglected in some way from the Dr. I am sure the Dr is doing the best he can do for your medical treatment and the Dr is there to treat you in the best manner possible, and not have relationships with his patients. Perhaps your insight on the situation is a little distorted since you feel that you should have a close relationship with your Dermatologist like you do with yout therapist, and this is causing some confusion in your boundaries with the dermatologist, and you feel neglected by his professionalism and you take this as a lack of concern for your health, in general, since your dermatologist treats you differently that your counselor. I think you are having problems because you relly feel that the dermatologist is not caring enough and you it triggers you in some manner to go there, because of the resentment you feel that the dermotologist is not giving you enough attention, that you feel you deserve as his patient. I will tell you something most Drs go through their day doing the same thing so much they lose their ability to communicate in a manner that is correct and they just fix things, and ailments. Unfortunately we would all like to have Drs that treat us more reasonably and humanely, but it doesnt always happen that way. I am sorry that you are hurt, but you are not alone in feeling this way. I just hope you talk to your therapist and learn to deal with this in a more positive manner for yourself. Take care I hope the best for you in the future Sincerely Soidhonia