I hold myself accountable but I wouldn't tolerate or find it helpful for my therapist to do that kind of thing. Quite on the contrary. I prefer to draw my own conclusions (generally in life and particularly so in therapy) and when I do the healthy thing, it's completely my choice. Then again, if I do something unhealthy, that's completely my choice as well, and while I accept responsibility when others are affected by my actions, I only answer to myself in personal matters. If my therapist tried to hold me accountable by checking what I did, it would ruin our therapeutic relationship for me and I would feel as if I were treated like a child, not an adult.