Onerousness completed, after way too much faffing about: I actually have a doctor on this side of the Bay. (Of the one I had on the other side, the less said the better.) Next step, later this week: Get said doctor to refer me to a therapist. I don't know whether the time change shook something loose, or I just subconsciously decided it was time; I've known I needed to be in therapy at least since my heart attack in 2018, but the "behavioural psych" that Kaiser assigned me afterward to make sure I was taking my meds was ... not a great fit, and we only got two or three visits in before it fell apart.
If anyone has some therapist~ma lying around, I could use the boost. Thanks very much.