I don't think a therapist can care the way a friend or family member might. They do not have that status in your life. I have heard of therapists doing all three things you mention, but certainly not all therapists do them, so I think to them expressing caring is a matter of who they are and what boundaries they set for themselves.

Can they actually care? Sure, but I think they need to be careful about expressing it. And that inhibits many of them.

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