Reply to DH’s therapist refused to talk to our marriage therapist

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]What is there to coordinate, though? Marriage therapy uses a different muscle, and has a different focus, than individual therapy. I wouldn’t necessarily think to have a marriage counselor consult with my individual therapist. I imagine you have specific circumstances that makes it more of a necessity? [/quote]

Interdisciplinary healthcare is standard of practice.  I don’t even consider couples therapy and individual therapy different disciplines, so this example is even more egregious; imagine if, say, someone’s PCP refused to talk to their ophthalmologist because it’s their “policy.”  This situation is no different.  As a therapist (I’m the psychologist PP), you’re darn right I want information from other healthcare professionals treating my patients, if there’s consent.  It only improves my care - I’m one person and I only see this person in one context.  When I worked inpatient, we had interdisciplinary rounds daily and at every single one of those, someone in one discipline, e.g., occupational therapy, shared information that a healthcare provider in a different discipline, e.g., psychiatry, hadn’t known about the patient and which was *relevant to their care*.  Refusing to talk to any other healthcare professionals about anything is unethical care.  [/quote]

DP, not the OP, but: Thank you for posting here and pointing out the importance of healthcare professionals actually communicating with each other! I think some PPs are agitated about some idea of "a therapist must never tell the spouse/another therapist anything, ever" but they are not seeing therapy as [i]healthcare[/i] in the way you can. It really is not uncommon for this type of sharing to take place, despite what some PPs insist. Sadly for OP and the marriage, it sounds as if the DH and his therapist are going to be a united front against any sharing. [/quote]

That’s because therapy actually isn’t “healthcare” the same as if the patient has diabetic eye problems and the ophthalmologist has to talk to the endocrinologist. In some cases it might be for severe mental illness - the individual therapist might have useful information about that to share with the marriage therapist. But I get the vibe from OP that she just doesn’t think her DH has the right to confidentiality with his therapist, or there’s some secret the individual therapist knows that she wants to force out. Regular healthcare doesn’t really deal with confidences in the same way. [/quote]

I have a lot of physical medical issues and I have to consent for my doctors to talk to each other.

I had surgery last fall, and I had to sign paperwork at three different offices so they could share notes, labs, x-rays, medicinal history, etc (surgeon, referring specialist, and the concierge PCP I pay $2000 per year to coordinate care).

Everytime I get labwork done, I need to sign a form that says who, besides the ordering physician, can get the results.

I agree that this sounds like a case of the husband telling his provider he didn’t actually consent to sharing info. Or the husband’s provider has this policy because she knows how many of her clients are coerced into signing consent forms by spouses who NEED to know things.[/quote]

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