Nobody needs to know what you see your therapist or doctor for. If anyone has an issue about it, tell them to discuss it with with their therapist. It's called a boundary, and it sounds like they need to learn some.
I know I don't need to offer any justifications but enforcing that privacy now is generating a lot more scrutiny than I was hoping for at this moment in time
If people want to scrutinize ask them their blood test results, ask mom how menopause is going, ask them every morning if they rememberd to take their medications. Hell, ask them if they washed their hands when they leave the bathroom or eat something. Maybe even ask them if they washed their ass after they get out of a shower. At least once a week ask if they're feeling okay or if they've put on weight. Drown them in their own annoying behavior till they cower in fear of the psychic tournament you inflict upon them if they step out of line!!!

DOWN WITH CIS!!!
The thing is my mom totally would talk to me about her test results or the woes of menopause if I asked, we've just never really had that barrier. Of course being incessant about it is another thing but that's not the issue I'm having here.
We've just been too close for too long. My therapist uses the phrase "emotional incest" which feels a bit loaded but I really have been treated more like a partner than a child when it comes to her problems and emotional needs
Well, that's probably the thing to work on establishing. Probs work with your therapist on how you could broach that.
And DOWN WITH CIS!!!

That's the plan! My therapist sees this as a good outcome to an unexpected event because is et a boundary, but I'm still unsure
Do listen to them. Letting this continue will screw up your relationship with her and that can leak info other relationships by allowing her hangups to wedge between you and friends or partners.
traaaaaaannnnnnnnnns
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