Hi iditp, as you usually get a letter perhaps the psychiatrist's secretary forgot to send one out or they were slow in sending it out (busy time of year!!)?? Or perhaps a new/different secretary who omitted sending you one?? If you give them a call they may well send you a copy.
Some psychiatrists will send them out as standard practice to patients, some won't but by the sounds of it yours does so you should get one/be able to get one??
It might be an idea to talk to your psychiatrist when you next see them about what their interpretation of "la belle indifference" means though/why they thought that.
And maybe at the end of sessions ask them to summarise the session with you, and tell you what they think about how you're doing.
It should be their job to help you with any things they think may be a problem, and to do that they should be letting you know what they are. Maybe asking them straight up will help.
Hope the increase in medication helps though
Alison