I suppose to the extent I believe in the relationship part of interacting with a therapist, I do not believe it is the sort of relationship that requires me to pay attention to how they are doing. Out of all the stuff I do not think is written in stone about what the interaction between a client and a therapist is, the one tenet I do believe is that I pay them to pay attention to me, I do not pay them for me to take care of them. I tend to believe if the therapist is sick or losing money or sleep - they need to figure out a way to take care of themselves with their friends and family and it is not any of my business.