sconnie, I don't think my doctor knows I am in therapy. Maybe I mentioned it once a long time ago. I don't recall she had any comment really, certainly not disapproving. She strikes me as the kind of MD who would think well of patients getting help from therapy. If the reason you are in therapy is related to your MD visit, then you could mention it. Like if you are feeling depressed and go see your doctor for that, you could tell her that you are already in therapy but that you need something more and inquire about medication or natural supplements or whatever kind of info you are hoping to get from the MD. I am sure most docs would be pleased to know a depressed patient was already in therapy. I doubt you would be "grilled about your therapy." Medical providers have limited time to spend with their patients so I don't think they are going to stray too far from your presenting problem that day.

I see a psych NP for meds and my family doctor likes that too as it means she doesn't have to worry about prescribing me psych meds or have office visits with me that are psychiatric in nature. That is not her area of expertise.

As far as having to explain everything to your new NP, you probably don't have to. If it is the same clinic, the NP will have your chart from your previous provider. In my chart, for example, it says very clearly on the "current problems" page that I have "white coat hypertension", which means my blood pressure is very high when I have a doctor visit. It sounds like you have something similar.