Read the ads of most Bay Area therapist in psychology today, online. How do the try to woo new patients? Improving relationships...personal growth...depression and anxiety...communication skills... so basically trying to get pretty normal people to come in. Nobody is trying to recruit delusional patients in the middle of a crisis. They see people in crisis, but that is not how they advertise. They advertize primarily therapy for personal growth, in other words, in this scenario it is not a 'mess' situation but a 'for the brains' situation instead. Should an exemption to the rule be made in that scenario?