In theory, sure. In practice therapists don't, because that patient won't be back.

All therapists give some some variation of "your problem is $SOMETHING_POSITIVE".

Never "your problem is you're too selfish" because those patients don't go back.

It's always "your problem is you're too willing to help" or "you give too much of yourself" or other similar such BS.

Good therapists don't. I know quite a few of them. They are pretty good at guiding you into seeing what an ass you are, but they make it seem like your own discovery, so the sting isn't as bad.