Yes, you should report your observations and concerns to the mental health professionals involved in your care. That’s the only way they will know what is happening in your life. Try journaling to record your thoughts and moods. Sometimes it is easy to forget about what happens between appointments. It might also clarify whether borderline personality disorder would be an appropriate diagnosis.
You may only see your treatment providers two to four times a month. The more detailed information you can provide them about your fluctuations in mood, things that are bothering you, and so forth, the easier it will be for them to help you.
Finally, you mentioned having both medication management and a clinician. I’m taking that to mean that you are seeing two different mental health professionals: one for medication and the other for counseling. If so, that is good. Medication can assist with mood stability and counseling is good for developing coping and problem-solving skills. Counseling is a particularly effective treatment for PTSD symptoms, suicidal thoughts and self-harm tendencies. From what you have written in this letter, it seems as if you are on the right track. Good luck with your continued efforts.
Dr. Kristina Randle