If I understood your post, your psychiatrist was replaced by a PA who stopped the meds the psychiatrist ordered for you. That is outrageous! I hate to sound discouraging, but this PA sounds like someone who is not going to be a good healthcare provider for you. No wonder you feel so low! Any chance you could get reassigned to another provider? I hardly think you could do worse with just about anyone else.

I take it that the decision about your daughter happened decades ago. The PA is criticizing that now? You might want to consider reporting this person to some responsible party. I think there may be a serious ethics problem here.

If you've given up a 40 year smoking habit to vape, I congratulate you. You mention another MD. If you have access to another MD, you might tell the doctor what you've told us in your opening post. This PA sounds abusive. So she's suggesting you have an alcohol use disorder - based on nothing? It's hard to trust someone who shows you that much disrespect.

Unfortunately, not everyone who has the credentials to be in healthcare actually should be there. I would advise you to keep a written record of whatever this PA says that you find troubling.

Maybe I'm over-reacting. Maybe your relationship with this PA is salvageable. Start a little journal of your encounters with her. I'm sorry you lost access to the psychiatrist you were previously seeing. What you've described would be hurtful to most clients of psych services, IMO . . . and depressing. I hope you can somehow get the care and support you have a right to receive.