I haven't noticed any pat comments by my therapist. He is a great listener and he responds to what I'm saying in what ever moment we are in. He doesn't give advice and isn't interested in telling me what to do. Only once in awhile does he piss me off and he's open and nondefensive to hearing about it. I wouldn't pay a T to say pat things to me or otherwise piss me off. That's available for free in many other places and in windows of time that are more convenient for my schedule.