Once I said to my therapist "I'm sure you hear this kind of thing all the time", and she said "No, this is like top 5".
(lemmy.world)
I was describing my insane in-laws for the record.
Rewarding people with the most positive behavior might still backfire, as the point of therapy (at least for me) was to stop comparing myself to others all the time. Even a small improvement for someone should be applauded, especially if you're already struggling with the small things.