Ok, so I think a big part of the problem is insurance companies here in the US.  I usually get meds from my PCP but decided that I might want to try to have a baby and I needed to know what is the safest route to go. (I have anxiety and panic attacks and usually rely on Ativan).  So I decided to be proactive and set up a psych appt.  I called an office I found thru my insurance company.  Before they would set up an appt with the doc, I had to see a therapist and have an intake (where they basically ask me everything about my problem and past history).  Then I was told I had to wait until they could get an opening in the doc's schedule, but in the meantime I should continue to see the therapist.  I asked when I called if the therapist offered CBT and the person on the phone said, "therapy is therapy".  Anyway, I had to wait 6 weeks to see the doc and my appt was yesterday.  Every week or two I saw the therapist for "therapy"in the meantime.  When I went to see the doc yesterday, the office was in a rundown building and it was filthy.  The doctor was rude.  She had no information from the therapist at all about me.  She accused me of being aggressive and actually wrote it on her form–aggressiveness 6 out of 10.  She kept trying to steer me toward a diagnosis of bipolar disorder…I kept telling her I wasn't really depressed ever, just constantly high strung and anxious and had been for years.  She wouldn't refill my ativans bc I didn't bring my bottles from the other doctor.  I said, "you're a doctor who can write Rx's…why do you need my bottles??"  (aggressive?  how about annoyed?).  I did everything right as far as going thru the system and the system stinks.  I told her that I wanted to see what I could be put on to help with anxiety while being pregnant and she said NOTHING.  I said I'm sorry but I'm a doctor too!  I have a life and have to work or I can't afford to have a baby! (i'm an optometrist).  She made a few rude comments about my profession (what kind of degree is that? you must be doing quite well for yourself..I said "well I'm not the Jeffersons").  I told her how I get panic attacks when I have to give eye exams to men, especially good looking ones.  She looked at me out of the corner of her eye and said sarcastically, "why?  Are you afraid that they are going to hit on you?"I know these things in and of themselves don't seem much but the tone of her voice was so obnoxious….like she was judging me and finding me full of crap.  Then she asked me Ever been drunk?  and I said Yes and she looked all shocked and said "you've been drunk before??" all incredulous and I was like, "I went to college!!" She treated me like I was an imbecile basically.  I had to rearrange my whole patient schedule weeks in advance to go see her just to be treated so rudely.  She put me on 50 mg of Zoloft and then told me to come back in three weeks and then said the next time I come in will be her last day with the company.  So much for trying to build a rapport.  O yah, when she was asking me some questions about my childhood and I got a little choked up she cut me off and said, "you can get into it with your therapist". and then she told me I needed CBT and if I wasn't doing that there was no point.  Hello?! Didn't I ask for that and they told me they didn't offer it.  I just about give up.  I think I am going to have to ditch using the insurance and just pay out of pocket somewhere.