I think my circumstances are unusual but I tend to forget. My dad was in treatment for 30 years so when he told his pdoc about my situation, he referred me to the one I see now. In my daughter's case, I tend to talk openly about her with others. When I was last looking I told a former co worker what was going on and she just happened to have seen one in her early teens that she still saw, so she called her for me. Her doctor then called me and gave me names of a few very specialized pdocs she thought might be a fit. I suppose the Boston area is a hotbed for therapists and pdocs, so there's no shortage of information. There are also online support groups and forums like that are more regional, so people can exchange info and seek out recommendations.