When he was without a secretary it was becaus she was in a car accident. She worked from home to help him. The only way to book appointments was to email her. I'm guessing she handled insurance related stuff too, True without her in office it would be more difficult. He has a new receptionist in office for two weeks now. He may not be able to handle work load etc. I think he's an ok therapist.

One day I was approaching his office (he has his own private office )what I assume was another client leaving. She was outside his office speaking on her phone. The client mentioned that she was angry because she needed him to write a letter for her employer. She told him a month previous and he still hadn't done it. She had difficulty booking appointments due to the fact that he is so busy. He assured her he would make time for her to come in more regularly. Emailed his office to book more appointments and wouldn't even get a reply. She was quite upset.