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I disagree with the poster above who said that rav moshe’s psak would not apply to “heintegeh” therapists. While it’s true that therapists were more patriarchal and directive in previous decades, and would impose their beliefs on their patients, the issues aren’t limited to such extreme problems. As rav moshe wrote, they will advise *sometimes* to violate something – anything – in torah. Even if the therapist is very supportive of the personal beliefs of their patients, there are a ton of pitfalls in which a therapist who means well can damage a client. Imagine a client is beset with guilt over aveiros, and says he wants to give up and just keep doing them, the therapist will feel it’s healthy to encourage them to engage in aveiros that the psychology field would consider healthy. The therapist might suggest watching a movie to destress. He might validate hashkofa problems a client has and encourage them to “find their own way”. These are but a few examples.