Therapy with T and with PDoc?

I am searching for a new Pdoc, after deciding that my current one is just not listening to me and I am leaving every appt with him upset. My current T agrees this is a good idea as she is not super happy with his course of treatment. One of the new drs I'm looking at that comes recommended does psychiatry and psychotherapy together. Does anyone get therapy from their T and their psychiatrist? Does it get confusing have therapy from multiple sources? Thanks!

My Pdoc is my T, I don't have another T because I think I'd just find it totally confusing to be seeing two different therapists with potentially different approaches/schools of thought/etc. Plus I have major trust issues due to past abuse in therapy so it was hard enough for me to learn to trust my Pdoc without having to trust someone else on top of seeing him also. That's just me though, and I do think it would depend on what sort of therapy the Pdoc you're looking at offers - is it actual pyschotherapy type stuff or more like med management with bonus friendly conversation to see how you're doing?

I have my T is my primary T and my psychiatrist is my secondary T (for lack of better terms). I see my T weekly and I see my psychiatrist anywhere from every other week to once a month. I think it's helpful to have therapy with my psychiatrist, because she offers a differing, helpful perspective at times on what I'm working on in therapy. I do think it is important, however, for your T and psychiatrist to stay in close contact so that they do not have competing goals for you. Good luck!

I kind of see three people, really... The first two are my regular T and my marriage counselor, who often spends time addressing some of my individual stuff in session (particularly in the past 6 months). I'm currently seeing each once a week. I find it to be beneficial in many ways because T and MC have different therapy styles and different perspectives. Like one tends to push me more and the other tends to give more reassurance/understanding. I need different things at different times, so it helps. Though it can be confusing at times if they have very different takes on, say, something that happened with my husband. I told them one time that they should offer some sort of joint thing, where you alternate weeks with them, something like that. (They did offer marriage counseling to a couple together at one point, but both were there all the time, I think.)

Plus there's my p-doc. She also offers therapy, but since I already have a T, I see her for 25-minute sessions. My previous p-doc was just 15 minutes--like brief discussion, write prescription, get out--so I do more talking with my current p-doc

Sort of. I see my pdoc for an hour each week and my T for usually around 90 minutes each week. With my pdoc it's more of a general reviewing of how the week has gone, maybe zoom in on my low moments and try to figure out what preceded it and what helped. My T is more about analyzing thoughts and feelings etc.

I see two different therapists and have never, ever found it confusing. I have no idea really how one could find it confusing.

My T does not want me to see someone else for therapy because she says its not recommended. I see my pdoc just for medication. I thought about finding a pdoc (I recently switched) who also does therapy but my attachment and transfernece is so intense at times with my T and I have so many trust issues that I couldn't handle it with two people.

At one point, I was interested in having a few individual sessions with my marriage counselor to discuss transference issues. I ended up having two, and my T was OK with that because it was about a specific issue (and they're in the same practice). But she said if I had many more than that, it would have been "duplication of services," so I couldn't have continued seeing both individually. Getting some individual-type therapy within the marriage counseling sessions (with my H there too) is kind of a loophole, I guess...

T says if pdoc were to start doing therapy to let her know, because it would undo what she's done, wouldn't be good for me. T is therapy, Pdoc med/hospital management relationship.

Way back about 15-20 years ago I used to see a psychiatrist for both therapy and medication management. I really liked this arrangement, but then my insurance coverage changed, and I could only see a psychiatrist for short medication management visits.

I'm curious what kind of insurance you have to have in the US that will let you see a psychiatrist for an hour, or do you have have to pay cash?

My T doesn't allow for me to see 2 individual Ts at the same time. I can have a group T, and I do have my Pdoc. My Pdoc does do some therapy with me. She's not trained per se, but she does a lot of research and reading. I like that my Pdoc does some therapy. She has great insight. It also gives her a chance to know me better. But overall, I think it just makes her more a part of my treatment team. She has helped me a lot over 2 years.

I've never been to a pdoc but I have very difficult time seeing my t on any regular basis, I have no extra free time. It's frustrating. I'll see her next week and last time I saw her was maybe 3 weeks ago. I wouldn't be able to see two people so I would use pdoc as a t to save the time

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I see two therapist one psychiatrist and one case manager well technically one therapist is sort of a case manager /therapist so it gets confusing

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Generally pdocs can choose to see clients for 15 minute med checks or longer (often 30-50 minutes). Insurance will often cover both but the pdoc will be reimbursed less for a longer appointment. So if the rate for a 20 minute appointment for a straight med check is $165 and a 40 minute therapy appointment is $265, they will probably be paid the same for both by the insurance company. So they stand to lose money. There are probably some insurance plans that don't cover longer appointments at all. Most pdocs don't do therapy for that reason or if they do its private pay. I can see my pdoc for therapy, but not for weekly intensive sessions. For that he'd refer patients out.

Thanks for all the replies. I don't think I want to do therapy with two different people, and I want to keep my current T, but it would be nice to have more than 5min with my Pdoc(which is what I get now) so I feel like they understand me. I'm waiting to hear back from her so I'll see what she has to say about how she runs her practice.

This Pdoc that I'm looking into does not take insurance at all.