Even if you aren't feeling bad when you see your pdoc that's actually a good time to start the maoi transition process because you have to either be off the old AD for 2 weeks before starting the MAOI or start IP when the AD dose gets low (that's what I had to do; I couldn't function on a low dose, much less none of my prior AD but my pdoc wanted me iP to start it anyway, I forget why now). So starting that process when you feel bad is harder than if you do it feeling better.

I'm sorry it didn't go well today. I can't imagine having to see a substitute pdoc. Mine just schedules me further out if she's going to be off or unavailable. I've had someone randomly take my call when she was off and I accidentally took my bedtime meds in the morning and that was hard enough; a whole appt. would make me a nervous mess. But where I go is pretty careful about consistent scheduling being a part of their care.

I hope the dose increase of the B stuff helps you.