I've known quite a few people who went to therapy and I'm not sure that's even the right question to ask. I don't think they were paying to get helped as much as they were just paying to have someone to talk to. To be clear, there are people who genuinely need help, but for most, a therapist is probably just a substitute for a close friend / life coach.

And say what you will about this, a paid professional is, at the very least, unlikely to let you wind yourself up or go down weird rabbit holes... something that LLMs seem to excel at.