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Under*Over
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Default Aug 11, 2020 at 07:25 AM
  #1
My psychitrist insisted last appointment that she talk with my therapist. Im a little uncomfortable with it because Im afraid they are just going to sit there and bash me.

Have your T and Pdoc ever communicated before? Do you know what kinds of things they ended up talking about?
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quietlylost
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Default Aug 11, 2020 at 08:53 AM
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Yes. Most of the time the providers just want to communicate with each other to get updates on how you're doing in care, what issues you're discussing, and what kind of treatment plan they can make to be the most helpful. I doubt that it would be bashing you or talking negatively of you at all. In some cases providers meet if they are trying to answer questions about diagnosis or treatment direction. It may be that the psychiatrist wants to see if you're doing any better or worse on the medication, or to just get general input from the therapist. Most psychiatrists would also like you to be engaged in therapy, so this provider may just be checking in to see if you make it to your appointments. The therapist likely will keep much of what you have already shared confidential, but it depends on how much of a release of information you've granted them.
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Default Aug 11, 2020 at 08:59 AM
  #3
My T’s, massage T and Pdoc all have permission to talk amongst themselves. T1 is actually T2’s supervisor so they will be talking a lot. I have no concerns about them talking. T and Pdoc have never talked although they tried when I first started with T. It kind of frustrates me that they haven’t. I am thinking that I may set up a phone appointment with Pdoc during my session with T1 and possibly ask T2 to be there... I would like for them all to at least have faces to go with the names. But then I have been with Pdoc 10 years and trust her and T1 a lot.

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Default Aug 11, 2020 at 09:01 AM
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I would never allow the therapist to speak to anyone. I don't know how a psychiatrist could insist. I would refuse. (I have never hired a psychiatrist but it would not matter - I would get rid of one that tried to insist on anything.

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Default Aug 11, 2020 at 10:47 PM
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My T and pdoc share notes.

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Default Aug 12, 2020 at 06:46 AM
  #6
My providers have releases to talk to each other but they have not. I discuss with both of them what is happening with the other. They have always said they do not have concerns about my safety and know that if something is going on I talk to the providers involved. They do talk with each other about many clients but not me.

Working in psych I hear many of the phone conversations between providers. Normally they discuss what the other is working on, any concerns and coordinating so that everybody is on the same page.

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Default Aug 12, 2020 at 07:24 AM
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Yes, with my permission. You should be asked to sign a release to allow them to do so. Without the release they generally can’t. I think they almost always spoke on speaker phone with me in the room so there was no mystery there. It wasn’t a common occurrence; usually only in the case of severe crisis when hospitalization was a consideration.
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Default Aug 12, 2020 at 12:19 PM
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My psychiatrist's and my therapist's offices are next to each other, so they discuss my treatment every week. I think it's a good thing. I don't believe your providers will bash you. They'll exchange professional info...meds, treatment strategies.

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Default Aug 13, 2020 at 04:34 AM
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I think unless there is a safety issue they should be separate. Unless your therapy is so integral to your mental health treatment. Either way for them to speak with each other you should be signing releases.

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Default Aug 13, 2020 at 05:22 AM
  #10
My T was always annoyed when pdocs didnt contact him seeing as he had known me for 9 years and one pdoc after 35 minutes of talking wiht me gave me a completely different diagnosis that my T and my GP who used to be a clinical psych didnt agree with
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Default Aug 13, 2020 at 10:59 AM
  #11
I signed a release. I wasnt forced or anything but my psychiatrist basically told me it was necessary and I had to and so I signed it.

Usually I wouldnt be worried about them talking but for some reason this time around Im nervous.
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