Hello bluebicycle: The Skeezyks isn't on psych med's any longer. As a result, I made the decision, a few months ago, to only see my pdoc once a year... just to keep my foot in the door, so to speak. (As you mentioned, it can be difficult to get in to see one.)

My pdoc takes a pretty laid-back approach to me. I've never asked for anything in particular in the way of psych med's. He just asks me how I'm doing & if I mention something he thinks a particular med might help, he'll offer it. (I pretty-much always decline.)

My pdoc has never given me a diagnosis. I presume there must be something written down in my file, for insurance purposes if nothing else. I think to some extent, because I'm older, he doesn't really think there's much point in getting over-excited about my situation... From my perspective, I'd rather have it that way than to have him trying to control my life... so it's okay...