I used to not worry about hurting my T's feelings until I told her something really mean about her appearance. She was hurt by it (I said it in a voicemail message) and in my next session asked why I felt I had to tell it to her. We knew it was about me, but I could have refrained from being so graphic and making her feel bad.

The issue needed to be addressed but I didn't have to use the horrible description that I did.