I think it depends on the patient and the therapist. If there isn't a good fit, the relationship will go downhill. I thought my relationship with my xT was a good one, until now. Now I see it was wrought with pain that didn't have to be. He didn't 'get' me at all. I sat there the whole time, I knew deep down, but I wanted to preserve the relationship no matter what. I ended up being decimated by the termination. I am beginning to try to really trust my current T, who is a good fit, but the lasting effects from my last therapeutic relationship has left me not trusting myself. I do know that now my current therapeutic relationship is positive, therapeutic, and that my T is trustworthy and understands me. I don't think I could ever guess where this will lead, but it feels like it is going in the right direction.