Hi Hope,
I read all your posts. It makes me so sad that you are torturing yourself like this. Your therapist/psychiatrist really cares about you. As many times as you've convinced yourself that your relationship with him is ruined it turns out to be exactly the opposite. I know trust is nearly impossible sometimes, but try and hear me. Your psychiatrist is there for you. You can trust that. No matter what your feeling in the moment, he always in the end comes through for you. Hold on to that. That's what is important. Not emails or how long it takes staff to respond.
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