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

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[quote=Anonymous]It sounds to me very possible that the husband is hiding behind the therapist's "policy" as a way to avoid discussing why he's not comfortable with the disclosure.

I'm a LCSW in private practice, which I hate posting on this board because y'all backseat drive everyone's professions and are pretty quick to condemn (see above). My policy is that for coordination of care (including communicating with your marriage counselor, your prescriber, your midwife, your PCP, your kid's school, etc. depending on what care is happening), we talk through the informed consent. The release is topic specific and clearly states what kinds of information will be provide. Session progress notes have to be specifically requested and are not generally provided without a court order in order to protect confidentiality. I wouldn't share my notes outside that context. But coordination of care conversations exist separately from those things in that they are people talking about the collective treatment of a specific problem for a specific person.

If a client's marriage counselor approached me with a release of information I hadn't heard about from my client first, I would want to discuss it with my client, particularly if I was an old school person with a hard line policy. Not in a "pressuring someone to disclose things they aren't comfortable with" or "pressuring someone to talk about childhood trauma" or whatever the PP is being accused of - because I would want to understand their resistance as part of MY work with them. If it seemed like my client had been pressured to sign that release by his wife or as part of a lot of open communication he wasn't comfortable with, I would be ethically obligated to disclose nothing to the marriage counselor. I have never been in this situation, FWIW. It would be a big deal for that case, for me, and I would definitely need to have clarifying conversations about how to handle that kind of disclosure issue.[/quote]

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