Hi Jen, that is a tough position to be in. I'm afraid that I have no good ideas on what to do. There is no good choice. I think I would keep the appointment with the first guy, if you do that you can still see the specialist for another tilt if you get coverage, right? Also, as far as the xanax or ativan, some PCP choose not to prescribe anti-anxiety meds or antidepressants for any of thier patients, they send their patient for a pysch consult and the psych doctor will do the appropriate prescribing. Then you can go to the PCP for refill prescriptions. I haven't a clue why they do it in this process, but I know for sure that this is how it works in some places. Laura