It is just a different problem from the one identified by Scruton. It is not doctrinally committed, but rather is a philosophically informed dialogical practice, which enables individuals to explore their hopes, fears and anxieties within a setting which is likely to promote deeper self-understanding. What unites philosophical counsellors is their rejection of the excesses of the medical-model and their insistence that it is normal for a person to have psychological issues that need to be addressed. And herein lies a problem. There are no criteria generally accepted by philosophical counsellors which determine whether a psychological problem is susceptible to philosophical practice or not.
Lets take schizophrenia as an example.
According to Louis Marinoff, philosophical counsellors should not treat severe personality disorders, and presumably schizophrenia is included amongst their number. However, things are not quite this straightforward. First, it is not clear what kind of therapy a philosophical counsellor can recommend to a client who presents the symptoms of schizophrenia. Many philosophical counsellors reject the medical model completely, but anti-psychotic drugs, which have a direct and measurable somatic effect, have transformed the lives of many schizophrenics over the last 30 years. They are deconstructed enough themselves to have taken what evidence we have of the undermining of absolutism and to have applied it to the other extreme.