I feel for you. It's hard to be at our psychs mercy. Mine is very similar. I know he doesn't trust me with many medications. I get no refills on my clonazepam, he'd never consider putting me on Ritalin. He is very sensitive to concerns of med misuse even though I have never been guilty of that. I've questioned changing docs but I've been with him for about five years now. Give and take I guess.