There is really not a lot of oversight with these guys and no structure to it so it is going to be different with all of them because they get to make it up as they go along. I am not saying that sometimes it doesn't work, just that it is very hit or miss. And clients really don't know how to choose between them. I mean if you obviously dislike someone that is easy or if you immediately hate cbt or something, but the rest of it is a crap shoot.