I am sorry you have had no luck finding a pdoc in your area. I hope you figure out something that works for you. How bad do things get when you are off meds? A healthy lifestyle makes a huge difference for me, but I still experience mood and OCD symptoms (I however, as I have mentioned before, question the bipolar part of my diagnosis). For me my symptoms are manageable at the moment with just a healthy lifestyle and therapy, but I would think for some people with more severe symptoms it might not be enough. Do you also see a therapist and are they more helpful than the pdoc if so (sorry if I've asked that before I cannot recall and my memory is not that great)?