I would also recommend calling your psychiatrist, especially since you've only just made a significant change in medications. And yes, I see shifting to Trileptal from Tegretol as a significant change. Also, I know very well what can happen when people with mental illness stop seeking help. It can be bad!

The boundaries issue is a good topic to discuss one day, if you believe that your doctor is the type that "gets annoyed". Frankly, I think it is sad if/when doctors "get annoyed". Such doctors should be upfront about their feelings, too. But though I can't be sure, it seems like you are just assuming your doctor is such a doctor. Or do you have evidence he has strict boundaries? My doctor always wants me to contact him when I'm concerned about myself. I'll admit that I don't call him often, especially nowadays, but there were times I called frequently. Those times were severe times.