Thanks for the responses. I don't have a therapist or PCP, but I brought this up at the IOP and they made a recommendation for a clinic in a different city. I have a hard time believing they are underpaid and work under difficult conditions when some of hte places I've called say the doc is only in two days a week and my doc and the doc in the IOP takes vacations all the time. I've been in the hospital a lot and even they seem to always be leaving or just coming back from vacation. If they're that underpaid, stop flying to freaking France every other month...