The presenting problem isn't always the main issue. A good T can, after a few sessions, usually figure this out and make a plan to try and guide the patient to that realization. Yes, it's a team effort. The T can't (or shouldn't) drag a patient to a point the patient isn't ready for.

It's easy to tell someone what they need to do, what the REAL problem is, but as we all know even from here at PC, you can make the statements, but if someone isn't in a place to see or hear it, it is isn't accepted.