In my DBT program they have consultation (which is made up of 3 t's and a pdoc-all DBT certified) that meets every week for 90 minutes. It is a treatment team approach. Yah it completely sucks because it doesn't feel like you can trust your t with confidential material. There is always that thought in the back of my mind that he will disclose it to them. And I have absolutely no control over that. I wasn't aware of the consultation when I started DBT and by the time I found out it was too late......I was already attached to my t and couldn't leave. To their credit I wasn't in any condition to even think about that. If I was aware of all that is entailed in DBT I would not have agreed to the program.