wow, Sam you always make excellent points. This is so true about a person sharing personal information or feelings with a psychiatrist as most people assume the situation is similar to seeing a psychologist in that the information is kept private and confidential. The bit of info I shared with a young psychiatrist (during cancer Tx under the guise it was for “help with sleep medications”) she went ahead and published to widespread electronic records for thousands of health care staff to read. Now if she published what I had actually told her that would be one thing and would still seem like a breach of trust, but it was shocking to see she totally spun the facts to be her own version and actually put words in my mouth to publish lies. Then you learn that no matter how much evidence you have there is nothing you can do to get your records corrected. Patients have no protection. Doctors can lie and publish whatever mistruths they want about a patient and the lies can never be corrected. We learned that a psychiatrist is allowed to manufacture their own version of reality.