In truth, a good 'therapist' (someone with an empathic ear) is worth their weight in gold. Most often, these people are naturals, and the academic training just helps them strengthen their gift.
"Opening up" to people who are not genuinely interested, or who listen half-heartedly without offering viable help for resolution, can be as detrimental as the 'bad' therapist, or big-pharma-friendly psychiatrist.
So, don't be toooooo quick to ask someone to open up if you're not prepared to do the hard work of helping one see clearly the cause, effect, solution of what's buggin'.
And, don't ignore them either. Let them know help is available. Even offer support groups they can go to for help. Bottom line, there's too-much government regulation causing many who could help to shy away for legal reasons.
Peace.