That's all this guy is saying. There are those who don't want to stay stuck and there are those who may say that but aren't willing to do the work or, more correctly, even try to do the work.

I know everyone here has experienced people who have tried to "suck them dry"; certain friends, relatives, spouses, etc. There are people who one gives and gives to and gets "nothing" in return. That is who this therapist is talking about and how, as a therapist, he has to differentiate between who wants to work with him and who is just there for the sucking :-)

Therapy isn't just a "I pay for them, they have to listen" situation; the therapist is not just an expensive hired listener; they are people, like we are, and they don't have to work with you because you're paying money and they need money. If your therapist is working with you, you can quit worrying about if they "want" to work with you and if you're worth it, etc. Who is going to do the hard work of therapy with someone who's boring or not putting forth any effort? It's a collaborative working together and if either party isn't doing their part, either party is free to leave. As this therapist points out in the end of what he writes, one of two things happen; either the client leaves, usually in a huff, or the client works together with him on the client's issues.