It's not always in treatment that they do not know you well enough, though sometimes that is the case, sometimes they do not possess the knowledge or the skills themselves to help whether they know you or not. In this case, I had only been with him about 9 months and he began researching other treatments with my current issues that might be more beneficial. He actually recommended a new therapy at the time and turned out to be a lifesaver. I just others had taken on this approach sooner if they felt they couldn't have helped.