Hi Nancy,   Yes, I can look back now and see that I should have run out the door but it was so early in my journey and really I was in a major depressive episode with post partum PTSD too from an incident with a neighbor so I should have probably been hospitalized at that point.  That doctor's office was terrible.  I tried to cancel the appointment a the day before and they told me I could never come there again if I cancelled.  Then this statement and pushing me to get the botox and then the receptionst made comments about my weight that were rude.  I feel I was taken advantage of in my state of mind and it makes me angry if I go there so I try just to let it be. Maybe I'll write a letter or post a review somewhere one day.   Thanks for your feedback on the doctors and who and who isn't a true expert.  It re-confirms my gut feeling that even though I like my doctor I don't think he is right for me.  Plus he actually said to me that I am an unusual case in that I'm not getting better or I do for a week and then I'm back in the throes of migraine again.  I felt confused given that the only thing I had tried at that point was topomax and then lifestyle changes like exercise.  Anyway I am going to call both those offices on Monday and see when I can get in.  Stanford is closer for me and right near my in-laws so that might be the better step unless I can get in to see Dr. Krusz sooner.  Plus I kind of like the idea of being away from my in-laws who seem to be a migraine trigger themselves.   And no, my headaches definitely started episodically.  But it was when I tried Zoloft that they switched to 24/7.     Thanks again for all of your help.  I guess the forum is the better place to start communicating with others, right?   I'll keep you posted.   Justine