Some of it is BS, for sure. Maybe most of it. But not all of it.

I am not particularly interested in being anyone's therapist or life coach and I do not conduct my sessions with an eye towards "healing." I like doing kinky things and that is what I'm here for. And yet I've had numerous clients tell me at length about how much I have helped them. I had one longterm slave who directly credited me for their coming to terms with and being open about their gender identity and sexual orientation. Others have told me that their urge to please me has lead to serious life improvements -- creativity, increased drive at work, exercise, treating the people in their lives better.

So I do think it can be therapeutic, but it isn't always and it doesn't have to be, and it doesn't make it not sex work if it is.