[SarahSweden]

My T does and I don´t like it but I don´t want to make a big deal out of it as it´s customery at this clinic. I also don´t think she´ll bother but mostly ask why I didn´t like it.

Perhaps I´ll just mention something more briefly but not as a complaint as I know she has the legal right to speak to her colleagues within the same clinic and I also know she does around other clients than me.

Does your T speak regularly to colleagues about your case?

[stopdog]

I doubt it. She is quite old, I doubt she has a supervisor, she is a solo practitioner with no staff, and is in an office building with other professions. And I am not that interesting.
But I would never give the therapist permission to speak to anyone else or tell anyone else about the therapist.

[retro_chic]

I'm assuming my T has a supervisor but I have no idea if she has talked about me to them. I wouldn't be bothered by it if she has - if it helps my T to give me better treatment then I think it is a good thing. If I had a Pdoc I would want my T to be in communication with them. I think it is good to have everyone on the same page.

[itjustis]

My T has told me a few times that she has spoken to her supervisor about me. As for with other clients I don't think so...if she did I'm certain she would keep my identity confidential!

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[Victoria'smom]

Both my T and my husband's T talk as well as we get reviewed by the managment, head pdoc if we go IP all my therapists notes can be seen by pdoc.

I put no but more accurate would be 'other' because I know he has a supervisor. In fact in the UK in order to be a part of the main professional body, a therapist must be in regular supervision. It is anonymised though.

[waterlogged]

I'm assuming that she has both a supervisor and maybe that's she's mentioned me to her office mate who took call for her a few months ago when she was out. I was pretty fragile then so it's likely that I made the list of "clients who could call".

[awkwardlyyours]

I highly doubt my T has discussed me with anyone else or gotten supervision (I don't think she even has supervision).

Basically, because I highly doubt she's invested enough in me to do that -- I don't mean that in a bad way at all i.e., I actually find it highly comforting that she's so hands-off and doesn't seem to at all get concerned about my progress (or the lack of it).

I also don't think I am anywhere remotely near a sufficiently complex psych profile for her to think she needs help with me -- she appears to have a rather stellar opinion of her own abilities.

She's also a solo practitioner who works only part-time.

[AncientMelody]

I wish there were an "other" so I'll just decline to answer in the poll and I'll type instead. I don't know of any conversations my T/Pdoc has or has not had with others. If she has discussed my case I imagine it would be with 1) My family practice doctor who made the referral or 2) Her own supervisor when I was having frequent suicidal ideation. She may have the intent to discuss my case with one of her colleagues who she thinks I'll be seeing after she leaves next month, but in truth I will not be continuing with a pyschiatrist after she's gone.

I know she's sent a few progress notes to my family doc but again I don't believe she's discussed my case. I wouldn't be bothered if she had unless I had specifically requested otherwise

My T is a part of the mental health team I see. Within this team I see my T, my pdoc, my care coordinator and also now a social worker. So yes, they discuss my case together sometimes. It can be necessary for risk assessments and what level of care I may need at any time. I know when I first started seeing him he said our sessions would remain confidential. He would never actually tell someonw the ins and outs of what we talk about..he might say the general subject of what we have been working on but never what was said.

I think it's a good thing that they can all talk together, it means they can work together to help me better

[Chummy2]

I'm not sure.
Last year my T and Pdoc worked at the same clinic for a few months (until my T moved to another place). They could have talked about me during those months, though my Pdoc only worked at that place for one day a week.
After my T moved to another place, she hasn't contacted my Pdoc and also never told me she wanted to talk to him. I don't think it was necessary, I tell my T about the appoinment and Pdoc only was for the meds.

At the clinic my T works now, there're working several other T's. I know my T talk to my replacement T, to help me transfering. I also had two sessions with both T's together.

I don't know if one of them has also discussed me with other T's. I think they can do that, but then they can't say my name or who it is about.

I don't really mind if my T talks about my case to other colleaguas, but I don't them to know it's about me. I don't want T to tell them my name. But to talk about me (without saying my name) to ask for advice or something, I think that would be good, also for me.

But if you don't want that, then you should say it. T's shouldn't talk about you if you don't want that.

[LonesomeTonight]

I said "yes," but I've also signed paperwork allowing my T, marriage counselor, and p-doc to communicate with each other about me (and I can take that permission back any time I want). My T is particularly careful about this, and will explicitly ask me if it's OK to share a certain thing I've said with one or both of them. (Or is like, "Don't worry, I won't mention any of this to MC" if I'm talking about him.) Which I appreciate. She also consulted about me anonymously with another T there who I don't see (with my permission) when I shared with T my feelings for my MC, and she was trying to figure out the best approach for me to deal with that.

[divine1966]

I don't know if mine does and frankly i don't care and i don't mind if she does. My life is very ordinary and there is nothing much to discuss about me. And she has been in practice for over 30 years so it's unlikely she needs any kind of supervision.

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Yes, he has permission to talk to my pdoc and has done so on occasion over the years. He also consults with the pdoc in his own office in sort of a supervisory/supportive role. I am assuming he has discussed my case on occasion. In fact, I know he has because years back I was having some med issues and he asked the pdoc his opinion about what might be going on physically with me, and I did see that pdoc for a second opinion at my own pdoc's request (I'd forgotten about that until this moment.) I prefer that he discuss my case with my pdoc so we are all on the same page about things; he very much defers to my pdoc on matters of medication (which makes sense) and when I become severe and hospitalization decisions need to be made (which also makes sense).

[Argonautomobile]

I answered 'yes,' because my T and PCP can talk, but I don't know that they ever have. They do read one another's notes on the chart, though. Usually while I'm sitting there. This gives me the advantage of never having to communicate with my doctor beyond monosyllabic affirmations of what my T has already written in the chart:

Dr: "So you've been seeing the counselor fairly regularly?"
Me: "Yes"
Dr: "And that's working for you?--of course it is, otherwise why would you continue to go?"
Me: "Uh-huh"
Dr:"It looks like you've been working on X? And you feel you've made progress? So it's not so much of an issue anymore?"
Me:"No."
Dr:"And it says here you feel the medication is working well for you. So I'll write you another prescription for that..."
Me: "Okay."

Thanks to my T, nothing is expected of me at Dr's appointments beyond monosyllabic grunting and the occasional "thank you, Doctor." This frees the rest of my consciousness to scream "I'm not really here! I'm not really here! I'm not really here!" over and over again until I slip into a comfortable dissociative daze.

My T can then read the Dr's notes and fill me in on whatever I missed while I was too busy think-screaming "I'm not really here!"

So, overall, information sharing between my providers has worked out very well for me. I realize it's not for everybody, though, so I'm sorry if the situation makes you uncomfortable. I hope you're able to talk to your T about it at some point.

[BlessedRhiannon]

I don't go to a clinic. My T and Pdoc are both in private practice and I've given them both permission to communicate with each other as needed.

Additionally, my T has a consultation group that she meets with once per week. As part of the initial paperwork, she has clients sign off that she may discuss your case with her consultation group but will make every effort to keep the client's name anonymous.

[waterlogged]

Just curious - how do you all know this definitively? Did you ask?

My t works in a hospital outpatient clinic. She has regular consultations with her peers (the other Ts there), and has supervision.

My pdoc in the same hospital can also see my casefile and there's the Electronic Health Record.

I'd be very surprised if my therapist has a supervisor, but don't think I'm complicated or interesting enough to be talked about if she does.

[ScarletPimpernel]

My T has my written consent to talk to my Pdoc and DBT T. My Pdoc works in the same clinic as my primary and ob/gyn, so they have access to the same information. But none of them speak to each other w/o first telling me and they always tell me what was discussed. Out of courtesy.

[dolphingirl]

I went ahead and marked no. I don't know for sure if T does or doesn't, but I really think she doesn't. When I first started seeing a pdoc I signed a release form so they could talk and she only did once. Pdoc asks me if I still see t, how often, etc., so I don't think they've talked anymore. T is a supervisor and we've worked together a few years, so maybe I come up as an example or something in one of t's sessions with a t in training, but I doubt it and I'm not sure if I'd really care if I did.

[LonesomeTonight]

Originally Posted by waterlogged

Just curious - how do you all know this definitively? Did you ask?

I know that my p-doc told T (well, she already knew) and MC about something major that happened with me because my T told me. They also have weekly clinical meetings at their practice with all the T's/p-docs (I think there's like 10-12 total), and during that, they have a period for "cross-talk," where if a T wants to ask one of the p-docs about something going on with a mutual client or share information, they can do that (that's where p-doc told T and MC about the thing with me). And I know they sometimes discuss people anonymously, because my T told me she asked a question about a reaction I may have been having to my medication without identifying me, and my p-doc at the time answered (without knowing it was me).

[MobiusPsyche]

Yes they have permission to do this and my pdoc likes to receive regular updates from the therapist. I gather these are written letters. The pdoc would never lower himself to write anything to the therapist, as she is "only" an LPC and he is an ***** with an MD. They're both in their own private practices.

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[ThisWayOut]

I didn't vote because none of those fit. I know t talks to insurance, but only for billing purposes. I'm sure she talks to her husband, but he is part of the practice, and I don't believe she talks details, just what is needed for him to do his job as business manager. I gave t permission to talk to certain medical professionals, and also to my wife. Outside of that, I would hope t doesn't talk to anyone else. I'm thinking she keeps to confidentiality, though now that I think about it, I'm not sure I ever covered confidentiality with her...might have to do that soon.

[annielovesbacon]

I put yes but I don't know if she so much as discusses it, so much as my T and my pdoc have an online platform they put notes about me on so each other can see it. My T also had a supervisor so it's possible they could've talked about me in nonspecifics. It doesn't bother me.