My therapist threatened to end our sessions if I refused to address my alcoholism.
She was correct.
She was a wonderful therapist.
She knew that it was pointless trying to address my issues while I continued to drink and refuse to see how big a problem it was.
Once I went to AA and TRIED to quit, that was a new beginning.
Just my experience.
Edit: I wanted to avoid the drinking issue in therapy, which was unrealistic.
I would leave therapy and get loaded. Kind of pointless. I did however always attend. Rarely missed appointments.