Of course, I don't know your pdoc, but I have had many (like lots of us) over the years. Like @BirdDancer, I have actually d/c'd meds without telling my pdoc until the next scheduled visit. The response has varied. My current and best-ever by far pdoc just nods his head and listens. He knows me now after several years and he trusts that I would not do something like stop a major med for zero reason. But I have also been dressed down. I suspect that all the energy you were experiencing as she spoke to you was more about her than you. I'm sure she worried that, had you had an adverse reaction to your med change while she was totally unaware of what was happening with you, that something bad could happen. So it was probably a stress reaction in her. Just my two cents.