I also have a hard time rectifying the idea that you can pay someone to listen to you, and at the same time try and hold the belief they really care about and like you. If they care, why are they accepting money just to listen to you? To accept the premise of psychotherapy, and what they tell you in sessions, namely that they do care, it seems you need to achieve a suspension of disbelief that I never could.
I've always wondered what sort of damage that could do to you psychologically, holding that belief for a long period of time. I mean, the person who you place the most trust in, who knows you best, is also charging you an arm and a leg every week. You paid for their summer home.