@LizzieLou
Sadly in the early days for us there was no communication with a private pdoc, it was a poor therapeutic relationship which was abandoned fairly quickly.
Sadly with little insight into his behaviours (but fortunately the insight that something was wrong) and without appropriate support from me (I did my best but had no idea and would just encourage him to go to the doc/take meds and suffer through his hypomania), after 8 years Mr Darcy spiralled into psychosis, going AWOL a number of times and he was in and out of hospital getting worse, he became delusional and attempted a few times, the last attempt resulting in major damage. After this and with me disagreeing with some treatment being given, a pdoc told me to look things up. When I did and understood I was able to report behaviours that were actually symptoms, his diagnosis was changed, he was appropriately medicated and has been stable for 4 years and has not been readmitted.
Following his last hospitalisation,I lodged a complaint and communication was a key component of this.
Certainly with a recent interstate move I have found our new public health care team to be accomodating. To me carer communication is essential, it is not negotiable.