Actually T needed to vent a bit before my session today and complained about a couple of her clients in front of me. (I know not very professional, but that's the kind of relationship we have and she didn't give me any detail that could identify those clients.)

She said she's scared of losing one client because he for some reasons he can't take the meds he would need, and those he's on don't help and he keeps getting worse.

And she told me one of her clients was admitted yesterday after a Sui attempt and that she felt like she had failed her by not seeing that client's text yesterday. She told me she had cried today when told the news as she really felt bad, though she doubt she could have done anything.

So I could see first hand how much toll difficult clients can take on a T and I understand why they wouldn't have too many like that on their caseload.