Starfleet’s top therapist when she loses emotion reading and actually has to do therapy: “Oh god, oh fuck.”
Risa
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Come on'n get your jamaharon on! There are no real rules—just don't break the weather control network.
I suspect she never learned how to read faces or tell tones of voice apart, which is why has so many problems when her empathic powers are supressed. She can sense sarcasm through an opaque soundproof wall, so why would she need to know that people sound different when they're being sarcastic?
The same episode also did show her in a session when she still had her powers. She was giving rote, generic advice to a crew member that was obviously not impressed.
The whole episode was her learning to do her job. Which is odd, the empathic power should have been a tool, not just something she sat around with.
In conclusion, Troi is an underwhelming therapist, and that’s concerning since she’s on the flagship of the fleet.
Troi counselling with her powers: Suck it up lean to live without.
Troi counselling without her powers: I don't know just get better or whatever... I'm a failure!
The Rules of Acquisition give more helpful advice than Troi