If confidentiality is waived due to the pdoc and therapist sharing the same office, OliviaC, perhaps you could put special instructions in your chart that information is not to be shared among the other clinic staff as per your express request. And have the pdoc and T both sign it, so no further breaches are made. The breach already caused this rupture between you and your T (and was just plain rude in my opinion). Maybe you can prevent further problems by taking a measure such as I suggest.