In one of the final episodes of, “The Soprano’s,” Dr. Melfi comes to recognize that she is treating a sociopath, and finally kicks Tony to the curb. Even though she had allowed her ego to be satisfied having such a high profile patient, she understands that she is not helping her him and makes the choice to cut him loose. Howard’s therapist needs to take a fucking page. What kind of therapist continues to treat the same patient for decades? There are probably a lot of people who are better suited to speak on the subject (Dee), but isn’t there some sort of ‘code’ of ethics that a psychologist/psychiatrist is supposed to follow? I remember I was in therapy for two years and one day my therapist informed me that she felt like we had done a lot of good work together, and told me that after a couple more sessions I was done. It was a great feeling! She told me if things got shitty I could always come back to her or she could introduce me to another Dr. Why in the fuck isn’t Howard’s shrink doing the same thing? Howard is a first class narcissist. His therapy is for the sole purpose of validating his disgusting behavior to the people around him. His therapist reinforces Howard’s narcissism, and it gives him an out when he has to explain his revolting personality. If Howard’s therapist were truly interested in helping him be a healthier, happier person, you’d think he would realize that whatever he’s been doing for Howard the past decade isn’t working. He should recognize he’s incapable of helping Howard, and make an intro to a therapist who can. At this point he’s doing more harm than good, wasting time that Howard could be using to get his shit together.