Thanks for your input on therapists, Bizi. And thank you Mari for all the info.

I have an appointment with the pdoc on Monday, and will run everything by her. I'm sure she'll tell me I need therapy- and I need to make an appointment.

One of my issues with the interim tdoc is that she has a lot of questions about medical issues. And of course, a big part of what's weighing on me right now is medical crap. She also wants to go into detail about my family and childhood- complex people and dynamics. Either way, I'm answering questions for her benefit, and haven't been able to address the things that have been troubling me.
The other big issue is since she is a substance abuse specialist, all roads lead to that. Last time I saw her, she took issue with the fact that I drank 4 beers in a week- 2 on Fri, 2 on Sat. When I told her that I hardly fit the guidelines for alcoholism, she said most female alcoholics don't drink every day. My response: my mother did. That probably didn't help.

I'll probably have to see her again. I'll be more assertive as you suggested, Mari. But if it's more of the same, I won't be seeing her again.