I think my therapist understands me to a good degree, but not 100%. My psychiatrist, however... he doesn't really get it. He just asks me basic things like, "how are you doing" and "what are your stress levels like," and then he tries to move on to the next patient. He doesn't quite understand what I try to convey to him. He's just like, "oh, okay," and provides no comment. (Either that, or he doesn't care. It's hard to tell.)