Tribal is right thats why you sign that HIPPA federal law patient confidentaility form at EVERY office visit you go to. They can not divulge any information that you tell them or it breaks Dr. patient confidentiallity.
The only time they can break that is if you DIRECTLY tell them you want to hurt the kids or yourself, then they HAVE to report it, otherwise they can not tell anyone, not even a family member without your SIGNED approval.
I deal with HIPPA in my line of work a lot and you have nothing to worry about there, now being a small village where everyone know everyone i dont know, but if he were even to tell his wife you could sue the pants off him. If they sue people where you life, sorry that is such an American thing.
<3 Dream