For me, it's a great help to have my T and pdoc communicate. I pay for both privately - neither one takes insurance of any kind and I choose not to file out-of-network claims. My T and pdoc have a good working relationship and since my T sees me weekly and my pdoc maybe once a month or longer, it is helpful for my T to be able to call my pdoc and update him on what she's been noticing. My pdoc will call my T and update her on any med changes, so that if she notices an adverse reaction in me, she can let both me and my pdoc know.

I've never had any problems with this arrangement and it has only benefited me. Both are also very open with me and let me know when they've talked and what they talked about.