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sunrise said:
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.

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Thanks Sunrise. I am still considering dropping therapy altogether, as I am less depressed although still very anxiety ridden which this whole situation with T does not help. Strangely I do not feel so betrayed by my pdoc as I probably should. I think it is due to the fact that she does seem to care quite alot about her patients but is swamped with work and takes on too much.

I will limit my emails to her for sure and the content! I need her for my medication scripts so will continue with her. I saved my emails to her where I wrote about my T (her employee), and in most of them I asked her explicitly not to forward mail to my T. I guess she felt it was in my (and maybe my T's) best interest to do it anyway, I don't know. I just can't get angry at her because I instinctively trust she is not trying to sabotage my therapy.

The T relationship is another issue. She was visibly angry and even though I was crying (sobbing) during the visit where she told me I was hindering her and that she felt defensive and attacked, she continued to berate me for the whole session. I think the rift is too great to my relationship with her to repair. I don't know. She has excellent credentials and has had material on Medscape when she was still at Emory University a couple years ago. She showed a lot of care for me for the first half-year I saw her. I definitely will not start over with a new therapist. If I do stay, I will ask if I can have a written, signed agreement, as you mention above. Thanks again.