AG,
I'm not familiar with you that much, but it sounds like it may be time to seek another pdoc, it is so frustrating when a pdoc refuses to listen to their client.
Believe me, I am on the verge of seeking a new one myself, because he refuses to address my ADD, and only stays on the Bipolar end of things.
When I lived in another state, before moving, my pdoc there said that first she wanted to address the Bipolar, and then once I was "episode" free, we would move onto meds for my ADD.
Well, this new one, is good but so over conservative in his ways.
AG, I understand your frustration, I feel for you, but do not give up, see if you can get a new pdoc, even tell your present one, if she or he can't help you, that it is time you move on to a new one that is willing to take the time to work with you.
My main point is do not give up hope, so often the "impossible" can become the "possible".

Please take care now,

Sincerely,
DE