I would say the answer is both yes and no Delila.
We heard it with a lot if prior knowledge so we knew how cruel it was.
The Doctor needed to get Rob to listen and, if I remember rightly, Helen's name was in the paper work. Even with a lack of in-depth knowledge, the doctor could see Rob was difficult. But, as they say, no one really knows what happens in a marriage and the doctor could not even guess. Life is full of people not grasping the depth of other people's challenges.
It was certainly hard to hear but, I would say, well written.