"I'm changing my business card to CPA, LCSW, Therapist"

You definitely are qualified based on your knowledge of phobias.  But I think all of us pretty much do that when we are dealing with clients (except Jim of course - no time for that).  I have seen my share of tears over the years too.  Clients get to know us and trust us, and they feel comfortable opening up to us.

My old boss used to bring up the story of how he killed a client.  Well, he aided in it anyway.  One time they found one of his clients dead, sitting at his kitchen table with all of his tax stuff spread out on the table.  Luckily for my boss, they just gave him probation for being an accessory in the crime.