Seems very accurate. After 22, my experience is that social life gets very compartmentalized. Your work friends are great to discuss work-related topics with, but most are not people you'd talk about deep philosophical questions (whether there is an afterlife, why we exist) with. And who listens to your problems? A paid therapist. And while this isn't true of prostitution in general, when high-achieving men hire prostitutes they tend to ask for the "girlfriend experience"-- kissing, cuddling, and conversation with an educated woman, because they aren't looking for sex, but for the untarnished intimacy they were able to have in high school. Americans are now paying for emotional closeness that was free in a younger, more innocent age when the stakes of even the littlest things didn't seem so high.
The problem is that American society treats success and failure as proving signs of personal merit, so everyone has to create a veneer of uninterrupted and effortless success because to seem like anything other than a rockstar signals weakness and despondency. This makes real emotional intimacy impossible.