I personally don't really understand why the fee thing has to be a topic of analysis. I don't care what expenses a T has behind the hour when they mostly just sit there and converse with me, and I am willing to pay only so much. Not because I could not afford more based on my financial situation, but because I don't think the service is worth more - in my opinion, anything above $100 for 45-50 mins with a therapist is way too much for what they actually do/provide (I actually paid twice that already). And I don't care what goes on in their life - we all need to perform at work while also having personal challenges. If they cannot focus and participate even the pretty low amount they typically do, it's not the client who should be analyzed for being upset about the charges that are not earned. Being careful about what we spend our money on is not a pathology, at all. Just my opinion.