Yes, I relate to some of this. I have both a psychiatrist and psychologist and they work together in a Case Management team, which means everybody in the mental health team knows about every client (It's very comprehensive but not much privacy - as I haven't worked with these other people but they get access to my file every single day - worth it in terms of risk management though). My psychologist is wonderful but sometimes I wonder if she is working beyond her brief in telling me to do this or that with my medication - without consulting the psychiatrist who is afterall a doctor and the ringmaster in all this. She may check things with him later - I don;t know - but I don't recall her making a correction later after she has given such direction. Thus, I take it as my own responsibility to check the meds advice staus the next time I see the psychiatrist.

Can I suggest that you go along, speak your piece and see the response. I don't feel you have anything to lose by doing that. Write down a few points you need to raise so you don't get sidetracked - it's such a help doing that. Get a feel for the response and if it is totally at odds with what you need in terms of a trust relationship, start looking for a new psychdoc - they don't all fit with us.