I've thought about this too.

It used to bother me, because I was convinced that I was such a nightmare patient that surely she would dread my appointments and vent to someone about them.

I imagine that she has discussed some parts of our sessions. This is because she has said that she belongs to professional groups that discuss cases and that she consults with other Dr.s.

She said a few weeks ago that a decision about my treatment bothered her so much that she couldn't sleep the night before. I'm pretty sure that would have caused her to discuss it with her psychotherapist husband.

But it doesn't bother me, because even if she said to a friend, "Geez, I have this patient named Clementine, who is SUCH a difficult patient, ect. ect.." no one would have a clue who I was, and even so, I know she would never ever do this.