There is some seriously effed up psychology movement out there that intercedes when therapists go to consultation groups and talk about their patients, has them completely change their ways and enact new rules over night without consulting the patient. The thing is that this is traumatic and abusive to those of us who spent time and energy building up trust. I've learned to really distrust the notion of consultation as some therapists do it. We are not cases, we are people, and if you do not know how to deal with a client, figure that out early on before any attachment happens.