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OliviaC said:
When I asked her about confidentiality she said that all the professional staff meets and are encouraged to talk about their "cases"; however if one of the therapists knows the patient, he/she is to leave the room at once.

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I can see where sharing patient information can be helpful when problem-solving about what the best course of action might be. This is particularly important when there are younger professionals in a group. The more experienced professionals can the provide mentoring which yields better care. Often when case information is shared others offer good insight and ideas for addressing problems. The two minds are better than one concept. Often times when this is done in medicine the patient's name or other identifying information is not included in the discussion. This model is frequently used in medical school, where medical residences and fellows meet with their supervising physician to discuss patients as part of their medical training.

The statement about if the therapists knows the patient he/she is to leave the room does not make sense to me at all! The whole point of sharing patient information is to get different perspectives on how best to meet the patient's needs. Leaving the room when they are talking about your patient seems...counter-productive.

Is you clinic associated with a university or educational facility?

Don't waste your time justifying your therapist/pdocs actions. It seems clear that your therapist is not a good fit for you. Also just because your pdoc has helped you when you needed it doesn't mean you are bound to her for life. Your therapy needs are not being adequately met. HMO or not you have a right to good care. If your pdoc really cares about you she will help you find a better fit. Have you checked into other facilities on your HMO list? You should be able to access this information online.

OliviaC I really hope you are able to resolve this issue. I also hope that if your T is treating you this way that she is also expressing some of this during the facility "sharing" sessions. The other professionals will likely see this behavior for what it is and give her some much needed mentoring or terminate her.