What if your psychiatrist doesn't want to change your meds??

I had my second appointment this month today with my psychiatrist where I left frustrated, angry and quite frankly mad.  I went to the appointment with a laundry list of issues in my life, primarily that I am not sleeping, anxious all the time and quite down. The worst part is that it is a circle that spirals downwards and I know it.  I am not sleeping, I get crusty, I worry about work, my anxiety sky rockets, I start to shut down, the work piles up, i worry more, I lose more sleep, blah blah blah.....

So for the second time this month i met with my psychiatrist, who i really like, I explained what was going on, including the fact that I had an anxiety attack on Wednesday, and no offer of a change on any of my meds.  I know that meds are not the answer, and that there are many things that I can do to help me to feel better, and I am trying to do those things, but I do believe that a change in my meds would likely help.  If nothing else, than at least a sleeping pill to conk me out at night would be greatly appreciated, please and thank you.

I am just frustrated with not being able to express my feeling of need and "distress" to my psychiatrist. Does she think that I am making it up?  Does she think that I am just trying to get some sleeping pills?  I just don't know, but I feel like an idiot as this being the second time that I have had the exact same appointment and left with the exact same outcome.

So what is a girl to do????  I rely on my psychiatrist for meds.  Right now I am self medicating with some Clomazepan that I have and I take when I really can't sleep or I am just too anxious.  I am not drinking this month, so thinking of having a couple of glasses of wine, as a self medicating measure, is not in the cards (on that note, i also know that I am not being affected by caffeine either as I gave that up also).  I am lucky that I have a second psychiatrist that I can go to, and i have called to ask and go and see him.  I hope that when I meet with him he will be able to give some clarity on meds and maybe help me go in a bit of a different direction.  I would appreciate a second opinion and hope to get it at least.

For now, I am trying to sleep when i can.  Trying not to self medicate.  Trying to get as much exercise as possible.  Trying to work effectively.  Hoping that this next appointment w Psych #2 will provide some answers.