Which Statement About Negative Outcomes in Psychotherapy Is Accurate

Which statement about negative outcomes in psychotherapy is accurate?

A) Nearly one-half of all therapeutic encounters are rated by clients as "negative" or "harmful."
B) The primary reason for negative outcomes is a lack of training and therapeutic skill on the part of the therapist.
C) When a sexual relationship occurs between therapist and patient,it is harmful to the patient.
D) The vast majority of negative outcomes turn out to be reported in fraudulent or frivolous lawsuits brought by clients.