That would be really hard, even more so over video sessions. My t has really curly hair, one time a couple years ago I went in and she had her hair all straightened - and she looked SO much like someone from my past - I was so absolutely distracted I kept seeing the other person and could not focus one iota on therapy that day. I know t's have personal lives too but dang... they need to think about how a change like that is going to affect their clients, I think.