Some certainly do. Just like every other business. You have the good, bad and ugly. I've had a really difficult time with this, especially the first 18 months. I thought, of course, it's only about the money and he is creating a need. He tried repeatedly to get me back into therapy. He knew I needed help. When I finally caved and called him, he couldn't pick up the phone fast enough (something he never does) and saw me that afternoon. Many do abuse their position, and to me, that is the ultimate abuse. Well, when I could no longer pay his fee, he reduced it. He offered to see my husband for free. I have actually accused him of getting pleasure out of my pain and by his response, I could tell I deeply hurt him. But now, actions speak louder than words and there is no denying he is authentic. But.....sometimes I still wonder if he is stringing me along. Then I do some serious thinking about how he has made himself available to me 24/7 and gone to great lenghts to correct misunderstandings, etc. This is definitely a tough/common concern.