I think you're right. Before we complain, we should sit in the other chair for awhile, even listening to ourselves, and ask ourselves, from that view, what would you think and say about the person talking to you. I will agree some will exercise opinion than expertise, especially when they have a client/patient outside their experience and knowledge. But for the most part, it's very simple, if the therapist isn't working for you, either they're not the right therapist for you or you're not communicating your life and situation.
All that said, for the most part I've gained from my therapist who is both a life coach and gender therapist, so we don't always focus on gender issues but my life in and around my transistion. We've had both good and bad sessions, and occasionally I take a few months vacation. In the end though, the reality is that they will be the one who writes the letter(s). So we need to understand that while we know we're right in our life decisions, we should remember they're betting their professional career with our decisions.
Just my thoughts too.
--Susan--