From day one, my T asked me to call him by his first name. At the time I had trouble with this because I looked on him as a GREAT GOD!

After 4 years of therapy, we are more relaxed, I can call him by his first name, Dr. Mr. and sometimes I just call him T.

During therapy I have found he doesn't mind what I call him. Whether it's nice or nasty, ie - "You are a (insert favorite word here)"

The point of therapy being able to use all the emotions.

Anyway, I just feel that over time and with gaining trust a client will be able to address T with confidence however they wish.