Woah! Despite the fact that that psychiatrist didn't help Xander, the guy did have a point, Xander does need help. Thing is, I think that if Xander could find a shrink who's "in the know" about what Sunnydale really was, said shrink could do him a world of good. Not about the dreams so much -- because I think Xander is having honest to god visions there -- but because Xander is carrying a whole lot of guilt and unresolved issues. He just needs the right sort of audience in which to air them.

The dreams/visions, he needs to talk about those to, but to someone who could actually understand. Probably someone like Giles or Cordelia, but I doubt Xander would want to discuss them with people he knows; strangers are much better for confiding private things.

The upshot is that Xander really could use help and it's not available to him, so he has to muddle through it on his own, try to understand and resolve it by himself and I feel for him.

I do hope you continue this. I'd love to see what becomes of Xander, if he manages to deal or not.