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The other issue is starting over again with someone else. The first visit is always diagnostic and I don't want to do that again and have to catch someone else up. No telling if I'll even like or connect with them.

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I'm sorry, WinterRose. This sounds hard. Do you get therapy from your pdoc, or meds only? Does your clinic have any standard continuity of care strategies? Couldn't the old pdoc write a summary of your issues and meds along with his recommendations and leave it for the new pdoc to read? That way you don't have to waste a session "catching someone else up" and doing diagnostic stuff. Plus, if you already did diagnostic stuff with the old pdoc, the new one can read the results of those tests in your chart. I don't see why you would need to repeat all that for the new person. If your pdoc also provides therapy, you could just start in with the new person on issues you want to work on today. If there are issues you have already dealt with and solved with the prior pdoc, then you could just briefly say, "I was working through some problems related to feeling unloved by my mother, but I've pretty much dealt with those. Now I am working on my social anxiety." Or whatever your issues are.

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Here is a general question for people who have a pdoc (not meant to necessarily be directed at you, WinterRose):
For those who get meds only and not therapy from their pdoc, is it necessary to connect with them in a therapeutic type relationship? I don't have a pdoc, just a therapist, but I recently saw my primary care physician for a prescription to help with anxiety. I didn't really feel a need to connect with her. She was the doctor with the knowledge to make suggestions on various meds. I was the patient who knew my symptoms and could tell her what meds and side effects would or would not be acceptable to me. We came to consensus on what might be beneficial for me and what I would be willing to try, and she wrote out the script. Our connection was no different than if I had come to see her for an ear infection.