I'm not sure I am. Sometimes I think I know more than my doctor because I check things on the internet. But I have found some major drug interactions that she didn't bother to check for or just missed. So sometimes I change dosages on a med or stop taking it altogether. I don't stop all my meds, just the ones that I think are causing a problem. So yes, I guess making these decisions without consulting her would make me a bad patient. As far as therapists I've gone through a lot of those too. Honestly I have found that it didn't help me much and it always seems like a waste of time and money. But my doctor keeps nagging me to go, so I do, but not very often. Again, I just haven't gotten much out of therapy.