I could see how this potentially be an issue for some people. That's where the demeanor of the therapist would come into play. My providers office is located in one of the wealthiest towns in the state and is surrounded by other wealthy towns. So this is going to make a difference in the socioeconomic status of the staff and most of the clients.

I am not from the area and do not feel as though I am below my pdoc or T at all, and I don't feel they treat me that way. My psychiatrist is from the Ivy Leagues and looks very much like the clean cut frat type with every hair in place. and this might not appeal to a lot of people, like my husband. My husband works in the corportate world but was brought up in a very blue collar family and this did seem to make a difference in his perception of our one session together. My H said he knew he didn't like him the minute he saw him, which I thuoght was really odd at the time. Clearly his general demeanor/appearance was somehow intimidating, even though he wore khakis and a shirt like every other professional guy out there.

So while I don't think they look down on patients or clients, but it might effect how well they relate to them. And it might effect how less confident clients percieve them.