Not a problem recently, but it has been in the past. When someone is saying terrible things about themselves, ISTM that any possible response is has to sail between two bad interpretations: 1: You're so right! You're hideous, a complete failure at life and a terrible person, and the world would be a far better place if you didn't exist! Damn, you really nailed it, well spotted! 2: Of course there's nothing wrong with you, you fucking idiot. You're absolutely great, apart from the fact that your judgement is completely worthless, and I have no respect whatsoever for your feelings on the matter. Both outcomes are, of course, problematic. People always say that it's most important to be supportive and avoid invalidating their feelings, but that leads you smack into #1 above. How do you support and validate the assertion that someone is human garbage, without, you know, supporting and validating the idea that they're human garbage? What are you supposed to say? More lemonade? Just not engage with it at all? That doesn't seem useful, so how the fuck are you supposed to navigate it?