A few years back my pdoc wanted me to have a full psychological testing work up done, and while my T can do testing, he couldn't do mine because he knew me too well. So, I had to go down the list of psychologists on my insurance list trying to find those that do testing (they don't all). MANY of them didn't have secretaries and it was so incredibly frustrating to call and leave messages never to have them returned. Drove me crazy. A secretary simplifies the business end of things so much. I know some people don't like to deal with someone other than their T, but I like not having to go to him about scheduling, insurance matters, paying my bills, etc. It keeps our relationship about the relationship and the business end really never enters into our interactions at all. There's a real plus to that.