While I have been on meds for a while, I honestly don't know much about them or what the best one's on the market are. Maybe its blind to put absolute faith in a psychiatrist and do minimal research. Is there any way to see the local Pdoc more frequently? There have to be other psychiatrists in your area, or the surrounding area. Maybe some who will see you a bit more frequently than that. When they start you out on medication, they see you more often, but once you're stable they see you less often.

This does sound like a complicated situation, but driving 200 miles to see a psychiatrist is very expensive and time consuming. Maybe try to find someone closer.