Both my T and my pdoc have had to get "tough" with me on occasion. I think of it more as "direct" or "firm" though I guess. I can be my own worst enemy at times, and their directness has at times been truly life saving. I don't like it at the time, but in retrospect I know they were doing what needed to be done at the time. Generally they are gentle individuals, but they are NOT afraid to fight for me if that is what needs to happen. Thank God for that.