I think it depends how you define "real". Let's be honest, most Ts do care within limits of their salary (which is not that low at all). You pay them for "caring", proving solutions, teaching you skills and helping you out. That's all part of the contract. They may care on the humane level, but they aren't your friend. They likely will not go liking your funnies on facebook or go shoe shopping with you, or help shovel your driveway or walk your dog... things that friends do for friends in various occasions.

Yes, there is the money factor. You pay for service. Service that includes "caring". It's one sided. You don't have to care back. If you do, that is your "choice" but T will most likely not ditch you if you don't care for their life... whereas friend would likely.

It's not a standard relationship. And trouble comes when you try to mold your real life relationships by the therapy relationship.