In the old days we used to get more referrals, because people had insurance that paid for therapy. Now they belong to HMOs, and we can only be affiliated with a few HMOs.
People have motives and thoughts of which they are unaware.
I get people to truly accept themselves unconditionally, whether or not their therapist or anyone loves them.
Let's suppose somebody abused you sexually. You still had a choice, though not a good one, about what to tell yourself about the abuse.
I hope to die in the saddle seat.
People could rationally decide that prolonged relationships take up too much time and effort and that they'd much rather do other kinds of things. But most people are afraid of rejection.