What you want to hear from someone is not only “I have a problem and need to change,” but also “I need help and am looking for it.” Taken together, these statements are hopeful, but one without the other is not. Someone who admits to a problem and is not getting help is stuck, and someone who is getting help but then always tries to convince the helper or the coach that she really doesn’t have an issue is equally hopeless, at least for the time being. Change requires both.