Your relationship with your primary care physician may be one of the most important relationships you enter into during your life: he or she is your first line of defense against disease, the manager of chronic conditions, and, depending on your insurance policy, the gatekeeper to specialists. Staying in a relationship with a doctor that you don’t get along with is as unhealthy as staying in a controlling relationship.

Here are six signs that it’s time you fire your doctor:

He or She Doesn’t Listen To You.

A good doctor should listen to you without interrupting, should answer your questions, and should make you feel like your opinion matters. A good doctor-patient relationship comes down to communication - and listening is key. Because, with many conditions, a correct diagnosis comes down to picking up on the smaller, seemingly unrelated symptoms. It’s important that your physician let you speak and ask you questions to follow up or get clarification. If your doctor is rude of condescending, or if he or she trivializes your concerns, it’s a definite sign that you have to say adios.

Doctor Dos:

Good doctors listen actively, answer questions, and take the time to make the patient feel comfortable, whether discussing a new medication or a medical procedure.

Doctor Don’ts:

Bad doctors cut us off mid-sentence, often answering the wrong question because they assumed they could anticipate what the patient is asking. In a worst-case scenario, a doctor that leaves the room while you’re still talking needs to be cut from your life.

He or She Doesn’t Respect Your Time