I get what you're saying. I guess if it was a surgeon or other Doctor I could judge how effective or how "good" they are based on the outcome. I guess an increasing number of fatalities in the medical profession would cause patients to run in the other direction. The thought never crossed my mind as to what my t's "outcomes" were. Once I got to know her and she expressed to me her thoughts about losing clients then she brought things into perspective for me. At the time I was having a difficult time and I felt as if she was minimizing my issues and she was MIA. It was at a time where I needed her the most. Somehow we got into the conversation about suicide and expressed to me how she can't blame herself for a clients action. It was the way she said it and it just seemed so cold. I thought to myself at that time that if I was someone else perhaps I would've committed suicide before that session. The fact that she was reaching out and I felt alone was a major issue. When she told me that she had several clients that did then I said to myself that I could see why. She said that my job deals with people life where it's a matter of life or death but she doesn't. I interrupted her because I totally disagreed but then it was the end of time and we never spoke about it again. I disagreed with her. I could be wrong but I think as a therapist you are dealing with people's lives. Words can either be triggering or comforting.