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I haven't been reading here long enough to 'know' you, but I know EXACTLY what you are suffering through. Aside from the psychiatrist you've pretty much described the last ten years of my life.
The other posters are correct. You need to literally go door to door in search of a doc you are comfortable with and one who is willing to work with you. If your appt on the 4th doesn't get you the help you need, don't give up. Start over....and over and over and over. What ever it takes.
My search finally lead to a local doc who is kind, compassionate and makes time for me when I'm episodical (in MEGA pain, not just moderate pain). For my state, he's fairly liberal with the meds. A lot of that has to do, I'm sure, with having earned his trust and trying not to take advantage of his generous nature. But, still..... it's never quite enough. Unless I double up on my Rx, I have to decide on a night of misery or a day of misery. Some choice. Years ago, I started to suppliment with OPs. Right now, I'm in crisis due to being out of meds, unable to refill locally for another week, and my last OP order, which cost far more than I could afford, seems to have vanished. Now I'm suffering both day and night, waiting for a second order I've placed.
I guess the point is, you're not alone. For what ever piddling comfort that might be.
And the moral to my rambling? The world (and this message board) is a better place with you in it. Hang on, cling tight, inch your way through it and let us know.