I'm in the US and psych records are not separate from medical with electronic records. Any provider can access my information. The dx comes up on the screen no matter who is looking. Not long ago, I went in for a wart removal and was asked if I have been suicidal. I was, What in the world does that have to do with my wart? And they said it came up on the screen to ask me that. That is why I pay privately for counseling. I can't undo what is on my record from seing a pdoc, but I sure as h will not let anyone have access to my therapy info.