My T & pdoc disagree. The funny thing is originally based on intake information my T approved dx. I strive to accept the things they both agree on Med compliance. I choose to accept the paper dx. T & I have talked about my dx probably on 2-3 occasions. If talking about dx bothers you tell T's why. I also have told T that i outright disagree with her dx and why. You could also sign releases for everyone to talk and ask them to all get on the same page. T sees more of my day to day behavior but pdoc has an overview. I often ask T what does pdoc need to know between now and the last time I saw him. It's to easy to forget all the relevant information in between months. Both day to day information and overviews are important but will lead to conflicts.