I have BP1 with psychosis. I started seeing him over a year ago after my first manic episode.

He helped me to find the right medication combo that's kept me stable for months now. I'm really grateful because he was able to adjust quickly. It felt like past psychs didn't listen to me and kept me on the wrong meds for too long without improvement.

However, he has problems with showing up to our appointments on time. A couple of times he had the time wrong and others he forgot completely. We had a 15min virtual appointment scheduled for last friday at 9:30am. I waited 15min for him and had to leave the call because I needed to get to work. I called him before I left but he didn't answer.

He called and texted me seven hours later saying he had missed my call and had been waiting in the video call. I texted back that I had waited 15min and asked if we could reschedule. He hasn't responded.

I know that I can follow up to remind him, but I'm wondering if I should? I'm worried that he wouldn't be available if something were to happen to me, like another bad manic episode or hospitalization.

The only other negative is that he's private practice and out-of-network. I pay $250 for each appointment. My in-network psychiatrists were $80, but all of the ones I went to were terrible. It could take months to find another psychiatrist that works for me.