Just to clarify, amandalouise, this thread wasn't "are there clients some therapists don't like to work with." I think it's fair to say different therapists have different preferences for who they want to work with. But this thread was "are there clients no therapist wants to work with." I understand about the crisis center and I also do not work in a long-term therapy center - I work in a place that does short-term intensive behavioral therapy for pediatric OCD. But I also always challenge the T's who say, "They must just not want to get better." That's the thing I didn't like and is such a judging stance to take on people with mental health problems! The way you expressed your frustration may have alienated those among us who couldn't jump right into therapy and fix their issues in the first few sessions. You suggest this is a failing on the person's part. I firmly disagree as I have discovered (finally) what actually works to help me get better, and it wasn't any kind of rigid system that expected immediate results. Maybe it's a failing of your system. I think saying, the crisis center isn't appropriate for those cases, is much more fair.