I think it's less that voicemail and emails aren't confidential and more that they are vulnerable to interference either via hacking or like in the case of OP sharing. Whereas what you say face to face is confidential because you're in a closed room and unless it's being recorded or something, no one can hack it. I would feel uncomfortable if I were the OP knowing that my voicemail got shared but being that they were both my providers (unless I misunderstood) there is probably some sort of sharing arrangement even if I'm not aware of it. For example. My pdoc and my T work at the same office. I assume they could speak about me if there were something radical happening with me. As for day to day stuff probably not because they are both balancing their caseloads, but if I go to the ER or Heaven Forbid IP, it would probably come up in conversation between the two of them. Do I like it? Well IDK, but it seems like a possibility at least. HUGS Kit