My T will occasionally comment on what I'm wearing, or a new haircut, or a piece of jewelry, but it's always a complement or just an observation (like "that color looks nice on you" or "did you get your hair cut?") She never makes any comments on my physical appearance. BUT, she also knows that would be triggering for me. She works with a lot of ED clients, so I imagine she is very careful about what she says regarding physical appearance.