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Its pretty much impossible to know if you're having pvc's, and how many, unless you're hooked up to a monitor. You only have to see your psychiatrist once or twice a year if you're not making changes to your meds and since most meds we take are generic, they don't cost very much. You don't day if you tapered down slowly off your meds, nor which meds they were, but if you quit them abruptly then you could well be suffering withdrawal from stopping them. This can happen even when you taper off, but it's much more likely to be bad if you quit abruptly. You only have to see your psychiatrist when you make changes and the generic drugs don't cost very much. So if you need the med, insurance or no insurance isn't as crucial as it is for other things, such as regular check-ups and surgery and the like. 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