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by axioms_End 1062 days ago
1) Length of therapy is strongly correlated to school. CBT and it's forks are relatively short and ability-oriented, where psychodynamic is very long with hazy endpoint. And generally CBT should be pushed much more, as it's faster, more goal-oriented, and less prone to, let's say, therapist biases.

2) Although I get the idea that people need friends and family, it's easy to forget that people with severe issues do not look like they have them. And taking care of eating disorder/personality disorder/*PTSD/whatever else treated through therapy, not medication patient is a lot of work to which most people are not equipped, and which drains a lot, to the point of resentment (if they can't run away) or just ghosting. Also, it's not that people do not hear "harsh truths" - it's more about not being able to comprehend them, due to broken thought patterns.

3 comments

I dislike immensely the idea of CBT and I reckon it's the reason therapy got such a bad rap. Talk therapy is immensely more free form. The goal-oriented approach works great in our modern productivity focused society, it's not a way to just learn to unleash what you actually want to be.

Source: 3 years of talk therapy.

Not sure if there's a branch of talk therapy you are engaged in, but if you look back into the history of the "profession" you might have a good idea of why it got such a bad rap.
Agree that CBT or other behavioral approaches are preferable and that there are some legit disorders that can't be easily helped. Point is that most people don't need or benefit from therapy, and are more likely to be harmed.
There's a big spectrum and you have good points.

I honestly believe that a small amount of people are better off being medicated, keyword being very small (<0.1%). Those that would be a danger to themselves or others in a real way. So I concede some ground.

But I refuse to believe that a society with a significant % of people on anti-depressants is a way to live. Look at my country's statistics: https://www.statista.com/statistics/1020727/antidepressants-...

Most of my friends on them are just bummed out about their life but not enough to change their situation. Perhaps CBT is the answer, my big issue is that the majority of therapists over-prescribes, and that makes me lose trust in the whole thing.

It's like trying to see the good parts of cryptocurrencies, you need to ignore a lot of shit and in the end you wonder if its worth it.

You ignorance on the matter shows. You are probably living in the US where pushing pills is the norm. Honestly, this entire anti-therapy subthread is a shitshow of misinformation.

Let me shed some light: there are psychotherapists, that are not doctor, and can't prescribe anything. Then there's psychiatrists, which are medical doctors, and might approach your depression with the pill du jour. SSRIs just cure the symptom, not the actual bloody problem one has.

You don't need a pill, nor a doctor unless it's an actual curable condition (bipolar, ADHD, etc.). You need someone to talk to.

Some of us are saying that paying a professional because you just "need someone to talk to" is a situation created, enabled, and perpetuated by this talk therapy culture. Some of us are pointing out the history of this profession and its incredible lack of scientific rigor and perverse incentives.