Talim 75, yes, if you can make it happen I would schedule a separate appointment. Ask for some additional direction and some "Physical documents" to work off of. Everything that is discussed or used at my appointments is copied, printed, and given to me. If you feel that you're making the effort and they aren't I would make a change. My Therapist is also a speech/swallowing pathologist who is an Associate Professor and department director, so I feel Blessed to have her. She challenges me..... a lot, and sometimes I wonder if I'm giving it my all (I guess that's what a good coach does). It's your life, your voice; if you aren't getting your "Bang for the Buck" so to speak, and improving, then make a change! Prayers & Best wishes!