I live in a rural area, and this is the closest pdoc for miles around. It's a 2-hour drive (one way) to see him. He's covering his bases, understandably; I can't blame him. I think this is what med-check psychiatry has come to, sadly. He doesn't remember me from appointment to appointment and doesn't have the time or inclination to ask what's going on or engage in any banter... If I'm doing badly enough to call in the first place, he wants to do an in-person assessment and likely admit. I think his schedule just doesn't permit any more personal involvement than this.

This reinforces my suspicion/fear that we're really alone in all this, other than the support networks we build around us...like this website, for instance.