Specifics may be different, but I think the larger difference is between those who believe therapy can help with the reason they decided to hire a therapist and those who do not. The woman tries to tell me what she thinks about me specifically and I want to know how therapy works. I don't go for the woman to be specific at me but because I thought she might know about therapy. She refused, so I used her for something different. Still not what she wants, but she takes my money anyway. I get to tell her she is useless when she tries to say she knows me. And she is put off when I tell her the reason I do so is because I think her only skill is in staying back. Satisfying in its own way.