This is typical DUmbass bullshit. Unless the moron is at a sex therapist, actual physical sex probably won't come up. The point of therapy for someone with bipolar disorder is (along with meds) to provide a way for the patient to recognize his swings and attempt to manage them so that they don't become debilitating. Talking about what he does in bed with whom (or with what) is less important than the underlying lack of self worth that sometimes accompanies bipolar disorder. A therapist is also not a matchmaker, so when the DUmmy tries to attract flattery by repeatedly claiming that he is not worthy of love, the therapist will focus on that rather than attempting to soothe his nerves.
In other words: it's a difficult process, not a way to get someone to say, "you're a GREAT catch!" Dennimiinnmi will spend thousands of the bank's stupidly-lent dollars figuring that out.
