Tbh... I don't. Depression is very rare for me so I generally wait until I'm quite depressed before I say anything. Mania haha no way. I actually wait until I'm pretty ill. Mostly due to stopping my meds. I don't generally see it as a problem unless I'm in psychosis. Or I'm pretty dangerous/risky. Never mention when I'm hypo manic.

To sum up.... they are never told. No-one is ever told. If you've read my current posts i mention i have been off my meds since Nov and i only let my Therapist in as it slipped out (I was angry with myself for this slip up)