Are you sure you are not just looking for problems with this one? I mean, if she is really confused at your appointments, then find a new one - but there are a lot of illnesses which could cause the symptoms and not have any real bearing on the appointments. I would not notice a therapist who was disheveled - but again - many illnesses could do that. The bloating could be from a prescription drug (my person was on great doses of prednisone for example), her chemo caused forgetfulness, and general fatigue caused some dishevelment. Also the chemo caused her to be very very cold all the time so she wore coats and hats even in the dead of summer.