you should definitely be aware of everyone your therapist is sharing your case with. it should be spelled out clearly and as often as you need. how can you feel comfortable being open if you dont know where your information is going?

i do informed consent and i explain in plain english and and give clients a copy and they know who i share information with. they sign releases so that i can talk to people, otherwise i cant even acknowledge ive met the clients. if i want to present their case at a conference or seek counsel or supervision, thats a whole separate conversation and informed consent form explained and signed.