Basically same experience. Even the mental health hotlines can be the same way. Unless you tell them you plan on killing yourself they say there is nothing they can do to help.
So then you go to a therapist and they're like "You have to want to change".
I don't know about that. I used to have friends. I don't want to change, I want to have friends again!
Considering how much therapy costs, I've joked about just hiring prostitutes to be my friends for hourly pay. Why can't the gig economy meet that demand, huh? I'll pay $15 an hour to share my opinions on Linux with another trans girl while she pretends to listen. That's an entire work shift for the price of 1 hour of therapy!
If you talk to escorts a surprisingly large chunk of their clientele does exactly that. That said $15 is no where near enough to have to listen to someone talk about how great Arch is.