OP I am sorry for what you are going through.

First of all, I am a physician assistant that had worked in psychiatry. I used to do 15 minute medication management visits with my patients because that was all that my supervising physician hired me to do; I simply was not allowed to go beyond 15 minutes due to issues of insurance. I eventually got frustrated and left for another field because I found that that was not enough time for patients with complex medication issues.

The clinic was set up where we wouldn't see patients unless they had a therapist. So, on the first meeting, I would do an evaluation, and gently include that all therapy issues must be dealt with by the psychologist.

It sounds like your psychiatrist was very confusing: I think I remember reading that he talked about issues that had nothing to do with your medication issues. Yet, he stated that he was only there for medication issues.

Also, in the letter he was clearly unprofessional and inappropriate when he stated, "It is like you are addicted to me." He could have said that you still need help with your issues of attachment and that he doesn't have expertise in this area. So, it wouldn't be in your best interest to continue to see him.

Everything about being a needy woman is completely inappropriate, as others have said. And the fact that he would say that you could milk yourself, he sounds like he has countertransference issues.

Put all your effort into finding a psychiatrist and a psychologist or find a psychiatrist that does therapy and medication management. There are many psychiatrists that still do both. There are some that will only do both meds and therapy.

I know this must be very hard for you, but you don't want to see a psychiatrist that is not empathetic and possibly not dealing with his issues of countertransference.