I am surprised by how many people have therapy and pdoc as separate people. I have bailed on a few pdocs in the past, but I was always getting both from them. that seems to have changed a lot of places recently (maybe not that recently?). But when I decided to get serious about getting the right meds and working on things again (because I "caught" BP again ), I was able to find a psych NP with a psychology background who has been at it a long time, so she is doing both. The way some of the sessions go, I have a hard time conceiving of how it could work out very well to do it separately. She will try to pin down when I might feel a certain way relative to taking the med that should have some effect and has changed her mind about what to add into the mix based on the long (appointments have been 60 to 90 minutes) conversations. Is this unusual? It used to be shorter with my previous pdoc a few years ago, but it was one stop for talk and meds, and same a few years before and...
I have seen therapists but more about couple issues (with my wife), life stress and making them listen to my problems.

Is there an advantage to having them separate that I am just not seeing?