We declare one thing, but do another.

There's a person, and he voices his internal conflict: I really desire A, but I do B. Help me to do A. What does he truly need?

1. The same desire he voices. Other psychological problems become barriers to his desire, so we need to help him overcome obstacles and achieve what he desires.
2. He doesn't need what he declares, but what he does. He desires but doesn't accept it. Perhaps we need to help him accept himself as he is and reevaluate his desire.
3. He needs precisely such a conflicting situation of resisting two desires, or the conflict between declared desire and action. As a conclusion, he doesn’t need to change anything. He's fine the way he is. And voicing the problem is one of the components of this state. Anything to add?