@frouke There are many different reasons or possibilities about what happened and given what you have shared I understand why you feel betrayed. Perhaps you did get that appointment quickly because the psychiatrist recognized your surname and got you in quickly. However, until you opened up to the psychiatrist he may not have known any details about your traumatic experiences and how these connected to your brother.

In my view, telling you that he recognized your surname and that he is socially connected to your brother should bring up the following points for discussion. He decides he cannot see you again because of this social connection--this is the clinically sound and ethical move to make. He tells you this so that you will understand why and then refers you to another psychiatrist. When he makes the referral he lets the other psychiatrist know why he cannot see you without providing any details. I assure you this can be done and I have seen it happen in my community.

You have a lot of trauma in your past and I imagine that talking with this psychiatrist triggered all of that to come up. Do you have a therapist you can talk with about all of this?