I don't provide therapy anymore now that I'm in research full-time, but I was always surprised how often adult patients would tell me something and then say "I've never told anybody that before."
So much pain could have been at least partially reduced by reaching out to a trusted person or professional. It still seems normal to many people that just bottling everything up in silence will somehow lead to improvement over time.
In my experience, always wanting to be working is usually a sign that they are trying to fill something that is missing in their life (a meaningful relationship, hobby, etc.), or that their home life is in shambles and they would rather avoid having to confront it head-on.