Mhm, and I'd like to add that I feel there's ethical ways for a therapist to tell a client they need more than what the therapist can offer, even if it hurts the client to hear that.

That includes appropriate referrals if they can't or don't want to train to expand their scope of practice, in order to become what the client needs.

Not that I'm completely agreeing with Dr T, because I feel there's probably better ways for him to be less...shaming...?

My first therapist was harmful in just a handful of sessions in ways I still struggle with today, but the best thing he did for me was to refer me on, second thing being that he told me why although he kept it vague.

He said I needed a higher level of care due to my psychological and emotional issues, and made a referral.

My subsequent therapist was a clinical psychologist who also recognised the limit of her scope of practice.