Having a conversation and trying to come to an agreement is a bad thing? Trying to understand why someone doesn’t want information shared is a bad thing? I never said I would disclose without a patient’s consent. No one on this thread knows what’s going on with the OP’s husband, not really. But the fact is that competent healthcare professionals can and do talk with other competent healthcare professionals about patient care *when granted consent to do so*. Mental health is health. Mental healthcare is healthcare. |
^^also, thank you, LCSW, for writing out the relevant issues so clearly and thoughtfully. Informed consent is an ongoing process! |
The above has it right. In addition to HIPAA, there are additional disclosure restrictions that apply to mental health services, treatment, diagnoses, case notes and records (and even more restrictions for substance abuse treatment and services). These are governed by federal, state, and local laws, laws governing educational institutions, payer policies, provider practices, licensing bodies and professional standards. A mental health provider does not need to disclose to a third party any information that isn’t required by law (e.g., mandated reporter, serious immediate risk of harm that can be ameliorated by disclosure), and doesn’t need to provide a good reason or one that third party thinks makes sense.
OP, you’re not entitled to know, and you should take a look at why you feel so angry about it. |
Where is there a stigma around mental illness in this thread? Many people have said that the individual therapist may be acting pursuant to her patient's interests. No Stigma there. Also, a PP asked you a simple question, and you won't answer it. You now fall back on the tried and true “impossible to answer without specifics” response, which is code for “I don’t really want to give the answer I will have to, but I don’t want to lie, so I’ll just refuse to answer.” I also note that you previously wrote, “Refusing to talk to any other healthcare professionals about anything is unethical care.” So your inability to opine on something without specifics seems a bit situational, and convenient. |
You should read and take to heart what your LCSW colleague wrote. She’s spot on. You are not. |
Why does OP/the marriage therapist need this information? What coordination of care is necessary? I don’t think that was ever answered.
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I’m a betrayed wife attacked by I’m guessing cheaters or OW a few pages back- it was my husband’s therapist that wanted to speak to me every couple of months to see what he was doing at home and what I was seeing as part of the ongoing evaluation and accountability for this particular mental health diagnosis. And, he was very transparent with everyone during this process. He wanted to get healthy.
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In this context, yes it is. Coming to an agreement means there are two divergent viewpoints that need to be reconciled. Here, one is the husband, who doesn't want his therapist (let's assume that's you) to discuss him with his marriage counselor. The other is . . . who? The wife? Who is not your patient? You're taking her position with your patient? Or is is the marriage therapist? Again, you are trying to get your patient to moderate his views because a third party wants information about him? Or is it that *you* believe that therapists should talk to each other, and you are trying to convince your patient to change his position based on what your think? And you really don't see that is problematic? Finally, stop repeating "mental healthcare is healthcare." We know. One person suggested is was different than medical healthcare (nowhere to the degree you are suggesting) and you are not using that as a shield because you don't want to honestly interact with other questions. |
Then it sounds like your situation is nothing like OP’s. |
BOOM! |
OP here. I never said this |
Actually, based upon what you've said, DH wants out and doesn't wantto "get that he is the customer". His counselor isn't getting involved because he's leaving the marriage. |
Right. That was the PP who NEEDED her husband’s therapy notes to make sure he wasn’t lying to her. |
OP, you may not realize this but when you post similar arguments against your DH at 11:52; 11:54, they all come up as posts on DCUM in sequence so we (or DH's lawyer) can tell they are being posted just minutes, one after another. |
This seems likely. I suspect that you also think this on some level, OP, thus the intensity of your emotional response. Might want to get your ducks in a row, in case. |