Counselors can have very different understandings of what is helpful to their patients based upon their extensive experience and education. To limit what they can talk about because the State of Virginia takes a position on dealing with personal issues is an attempt to "close" the issue in the eyes of the state. When it comes to very personal issues, there is no way anyone should try and define with strict language the total understanding of the issue.  This amounts to a violation of a person's freedom of speech. We don't have to agree, but we do need to respect the qualifications of those who see certain issues quite differently. This is especially the case when one political party seeks to "enforce" their world view on another, and creates a very dangerous precedent for further "state endorsement" of the only right understanding on issues involved in a person's life.