While implicit trust has to exist between patients and their psychotherapists in order for them to work together, “comfortable” would not be how I would like to describe a psychotherapy session. Like Dr. Piper, I would venture further to say that “discomfort” might be the necessary “devil” (as opposed to “at ease” in this case) in order for both patients and therapists to face the difficult internal truths at times. Without such “discomfort” to disquiet our lesser selves, it is tremendously difficult, if not impossible, for us to become our better, healthier selves.