My T definitely has used tough love on me: In October 2013 she refused to schedule any more sessions until I had applied to any job. She had tried everything else before that, and I would always back out last minute. That day, she was calm but very firm and said she could not enable me any longer to come in every week, but never do any of the work. I was welcomed at the skills group she would start soon after, I could always call if in a crisis, but no session until I had actually done something.
I hate to admit it, but it worked...