- Financial constraints
- A harasser
- A medical problem
- Etc.
a therapist/counselor can't help you very much. Whenever I've had issues I needed help with, there were real issues behind it. A therapist/counselor won't be able to do much, if anything.
If you're making a $350k salary in a hell-job while having $100k in financial obligations, the solution is simple enough.
If you're making a $350k salary in a hell-job to pay for your kid's medical problem and meet mortgage, talking to a therapist or "just quitting" won't do much.