The mental health system vary from state to state. My current state has urgent care psych all over the place. If I can't wait to see my pdoc (which promptly gets back if in the office) I can always go to the urgent care. FL if you need to talk to a psychiatrist outside your scheduled time all you had was the ER and hospitalization. In WV they had walk in times and it was first come first served. OH you were just out of luck until your appointment.