WP, it seems like your relationship with your pdoc is based on falsehood (as you wrote) because you are not being honest with him. You are the one not telling him honestly how you are really feeling, that you are unstable, etc. (I would think, though, that the fact that you were hospitalized would be a wake-up call to him that you are not doing as well as he thinks you are.) Before you discard this pdoc, could you give him a chance to help you by really being honest with him? If you switch pdocs due to your own inability to communicate and be honest, what's to prevent the same problem from occurring with the new pdoc?

To get the ball rolling and inform this pdoc how you are really feeling, would it help to schedule a three-way meeting with the pdoc, you, and your T? You would have your T there for support and encouragement in telling pdoc how things really are. Then once all the cards are out on the table, it might be easier to continue being honest with him in future meetings on your own.

I don't put a lot of stock in psych testing either. This pdoc had known you for years so didn't need the testing (probably more useful for a practitioner new to you who doesn't have time to get to know you). He probably was trying to save you some money on what he saw as unnecessary testing by not signing off on the tests at first. If other practitioners you go to have been helped by these test results, then great. I'm not seeing how this past incident with testing plays into the issue you have with not being honest with this pdoc? Perhaps it is part of a mental list you are compiling about why you are dissatisfied with this pdoc?