I guess at the end of the day, given that the therapist is aware of what's going on at work, he should adopt a different approach or refer him to someone else or firmly decline to treat the guy until he agrees to take an anxiety pill or some such. I don't know the dynamics in the therapy room, it's true but is it not the T's responsibility to see that his client is not adversely affected by his particular treatment? His responsibility extends beyond the 45 minutes a week he spends with him

The guy's vulnerable and he continues to go back to the T, obviously finding some benefit from the sessions. But if he's a damned mess, three months on, at what point do you step in and say, hey, let's take a break. I don't think you have to be a rocket scientist to figure that one out.