I think (due to experience both as a client and as a provider) that many therapists will ask a client if they are willing to sign an agreement for communication between the people providing their services. I am torn on this issue. I think that "hidden" or "secret" commuication is harmful and paternal.

When I was asked this question by a therapist, I said that I'd sign the agreement with provisions. Of course he asked what the provision was. After signing the agreement, I wrote below my signature this statement: Dr. . .. . has my permission to contact Mr. . ... MSW, my former therapist to discuss issues related to my treatment and possible changes in the direction of my therapeutic ttreatment. HOWEVER, this conversation is NEVER to take place without me being being present. They will conduct this conversaton by conference call and they agree that I will be a contributing member of this converstation.

Many people say, "Well, why would they ever really talk trufully about what what they think or feel about your treatment if you are listening in?" Guess what I say? "Why would anyone AGREE to have a conversation happen without them being a present and contribuing member

People . . .do you really believe or think that people who are providing your care should be allowed/permitted to talk about YOU without you having imput on the information? If a person who is treating you truly believes/ is invested in the diagnosis that they are advocating for, why in GOD'S NAME WOULD they believe or think that you shouldn't hear or be a part of that converstation????