The split personality must have been known, cos the other psychiatrist called him charlie in the cave.
No, she didn't know beforehand. Up until that point, she had thought Charlie was Emily's imaginary friend. If she knew Charlie was David, she wouldn't have gone along with the imaginary friend thing. That would be incredibly irresponsible of her, to allow this thing to continue and leave Emily alone with David in the countryside while he was having this downward mental spiral. If she knew, she would have told David to come back to the city for treatment. She worked out that David was Charlie when she saw how different David had become and the things he was doing. Emily had said to her on the phone "I don't want to play with Charlie anymore", and it was clear that bad things were happening, so when she arrived and found David doing the bad things, well, it was clear.
"Couldn't care less" = "don't care at all"
"Could care less" = "care at least a little"
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