What would Freud say if he overheard me offering medical advice to a client for a toenail infection? He might be horrified because he'd want to probe for the deeper meaning of the topic. Imagining this conversation with the great psychoanalyst inspired me to address some changes in the practice of psychotherapy and psychoanalysis since Freud's time.
Of course like Freud, the psychotherapist aspires to the motto that, "Nothing human is alien to me." Ideally, we're not shocked by any confession, and we're sworn to honor a client's privacy, except in situations of potential suicide or homicide.