I remember several conversations in the 70’s about the benefits – and unintended consequences following from the demise – of “smoke-filled rooms” as a crucial mechanism in the political process.
There are certainly a lot of credible reasons to hesitate to talk to a professional about problems and situations that have a personal, emotional piece.
It was never totally clear to me what the characteristics were of someone choosing to seek consultation. It wasn’t always an outright crisis, but sometimes