r/therapycritical

Do you think therapy as a mental health solution is oversubscribed? What kind of interpersonal help would you rather get?

Some people benefit more from role models, coaching, advice about how others similar to themselves or similar to how they what to be have handled life situations. Therapists speak of how they want clients to have autonomy and follow their own values, but this is coming from a place of privilege where they've had a high amount of opportunity to get to know themselves and try things out in the first place and have slowly emulated others when finding what they enjoy (in the same way that it's not wrong for clients to look at a therapist ​for ideas of what they can try doing) - they mistakenly think that these values and interests come fully from within, rather than also being a product of external influences - so they cannot imagine that role models and interpersonal influences can be the key missing piece for some people. To quote my therapist "I just did what ai enjoyed and it worked for me" - this shows the privilege of knowing what one enjoys, and having it align with wider goals. Imagine if someone enjoys getting drunk, so they just do that - is this going to bring them a long-term fulfilling life? No. Is it going to empower them or get them in touch with strengths or sides of themselves they didn't know they had? No.

Because therapy is taught and ran by relatively privileged individuals (those from relatively non-abusive households, those with a relative abundance of interpersonal relationships and experiences to learn from, those with childhood and early adulthood experiences which are largely culturally normative), they repeatedly deny that non-therapy methods can be much more effective in helping people. At some point, they've missed that their objective is supposed to be to help people's wellbeing, and not to stick to a rigid dogma. When people think of "mental health" they think only of "therapy", but there's a lot of possible intervention styles being left on the table when we believe only "therapy" is valid, and that if someone doesn't benefit from the therapy approach, they're in the wrong. It's far from empowering to tell people that what they know would help them is not actually valid or acceptable.

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u/gintokireddit — 6 days ago

The experiences I had with the therapists I tried

When I tried different therapists from different psychology approaches, I felt one or more of these problems in all of them

One of them constantly questioned everything I said intelectually, to the point of the conversation getting annoying and me feeling like I can't say anything while I'm feeling anxious, without him trying to refute my claim by calling it a cognitive distortion.

Or the opposite, I spend like, an hour talking nonstop, and barely hear any intervention or deep response, just silence

The best ones were the ones where I felt heard, but didn't feel like they were giving me any pragmatic advice to help me, any advice or direction of what I could try to do, just constantly telling me about the importance of self-knowledge and giving insight that I already knew or already had suspected about myself.

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u/Emotional-Island249 — 6 days ago