Poor writing and word choice aside, after 8 sessions the client was angry to the point of violence and overtly suicidal. There are T's that don't know what to do with this and will need to refer out rather than make a possibly fatal mistake. I see nothing wrong with referring if one is out of their depth. It's the refusal to discuss this that can end up causing pain.

I would rather any healthcare professional tell me they don't know than waste my time and money trying to figure it out. I don't like when a T claims to know what is best for someone, it's patronising and demeaning but I also think they can know that they are not what's best.