The war on drugs and millions of non-violent offenders in prison does not exactly suggest to me the term "sacrosanct."

Every honest therapist looks at all components of a patient's life, and the patient, too, has a responsibility to identify what is helping and what is hurting them, or in which situations a trade-off is justified.

We will never be able to arrive at a complete and perfect answer for everyone because people happen to be individuals. However the medical profession (including therapy professions) lean heavily on generalizations to avoid the overhead of having to deal with a living, breathing individual with a history and family context, where possible.