No, there is tremendous cost! They have to sell their souls to the TV audience to get this treatment. They are picked apart on international TV. Dr. Phil, a long time ago, used to be pretty good. Then one day, he changed his studio decorations, and became a sensationalistic, ratings seeking monster, abusing those who were desperate for help.
I consider Dr. Phil to be the worst in American TV, exploiting the already hurt. I confess, I have not watched his show in more than a decade, but the direction he took was just wrong!