If you are fortunate enough to have a good primary care physician, they should be able to refer you to a psychiatrist and/or psychologist that can help you dete

If you are fortunate enough to have a good primary care physician, they should be able to refer you to a psychiatrist and/or psychologist that can help you determine a diagnosis. Sometimes you'll need to a few different clinicians until you find a match. Often times you don't need a referral for seeing a therapist. At least in an HMO, the primary care physician ultimately is responsible for your care, so if you pester them enough, they should help you navigate the system and find the care you need. But navigating the system, while struggling with your health, and life and job is really frustrating and challenging. I wish you the best of luck and I hope things get better for you soon.