Maybe if you see another pdoc, you could try to keep the session focused and tell the pdoc exactly why you are there. It seems like the last interaction was going every which way. Even from reading what you wrote above I am not sure quite why you are there. It sounds like two things: 1) you want to stop your current AD. Be prepared to tell the pdoc why you want to quit (you are having bad side effects? you don't feel you need it anymore because you are not depressed or have developed effective non-med coping mechanisms, etc.) 2) You want to try a new medication. Be prepared to answer what you want the new med for. Is it for depression? If so, be prepared to say why you don't want to stick with the one you are on? If it is for sleeping, state that clearly and list your poor sleeping symptoms. Sometimes we can really help these guys out by being very clear and not straying from the basic message so they know what questions we need answered and what our goals are.

I wish you better luck on your next try. I also think your debrief with your T will be really helpful, and also getting back to your doc, who was the one who wanted you to see a pdoc in the first place. I wonder what your doc will say about pdoc not thinking you needed her help?