- Jul 22, 2022
Updated: Mar 2, 2023
There are numerous myths and misconceptions about therapy based on its portrayal in the media, outdated information, and a general lack of understanding regarding what therapy entails. Many of the myths are very "cringe" for those of us working in the mental health field, so I thought I'd take some time to review and refute a few:

Therapists get paid to listen. While it is accurate that part of our role is to actively listen to those in our care, this represents only a small piece of the work we do. Therapists are typically masters- or PhD-level clinicians who have amassed years of formal education and training in order to develop and hone clinical skills. We draw from a variety of therapeutic approaches, strategies, and evidence-based treatments in order to produce measurable and meaningful results for those we serve. We also spend time reviewing and reflecting upon sessions, writing treatment plans, and completing other behind-the-scenes work in order to better serve you. Do we listen? Yep! Do we only listen? Absolutely not.
You are "just a number" or "just a paycheck" to your therapist. It is true that therapy is our livelihood and that we do need to receive payment for the work we do in order to get by, but very few therapists enter the field for the purpose of monetary gain. The bottom line is that we care about people and want to help them. We reflect on our work with clients in our free time; we are reminded of clients throughout the week when we hear certain songs or stumble across relevant memes; we share in clients' joy and accomplishments; sometimes we even shed tears with and for clients. The therapeutic relationship is professional in nature, but it is real.
Therapists have it all together and this makes them experts on mental/emotional wellbeing. Psychologist Carl Jung (1875-1961) coined the term "wounded healer" to describe the apparent tendency for some individuals who have experienced suffering to gravitate toward professions (therapists, nurses, etc.) which involve alleviating the suffering of others. Many therapists have struggled themselves, and this is one of the factors that commonly inspires a career in mental health; having weathered difficult times ourselves engenders empathy and understanding. Additionally, therapists are (traditionally) humans, and we encounter the same life stressors and blind spots as everyone else. For these reasons, many therapists are intimately familiar with being in the client's seat themselves; in fact, we are encouraged to attend our own therapy as a means of navigating personal issues, preventing burnout, and ensuring that we can be fully present for others.
Therapists psychoanalyze everyone in their lives. Believe me when I say that we do not want to work off the clock. So often, when I meet someone new and reveal my profession, I am met with recoil and an "Uh oh, I'd better be careful what I say, you'll psychoanalyze me!" Nope, I really won't, I promise. In our personal lives, therapists are just existing and interacting with others the same way as everyone else, and it would be exhausting and counterproductive -- not to mention unethical -- to evaluate the psyches of everyone we encountered!
Therapists will tell you what they think you want to hear in order to keep you coming back. Sadly, there is no shortage of prospective clients; we do not need to retain individuals on our caseloads for extended periods of time in order to make a living, so we will not work to keep individual clients coming back unless we believe it is in their best interests to do so. Additionally, building commitment to therapy for those who need it is not achieved by adopting a "yes-man" approach. As discussed above, our priority is helping people to feel well and to live fulfilling lives. To that end, we will tell you what we think you need to hear; sometimes, that may align with what you'd like to hear...but anyone who has worked closely with a skilled therapist will attest that therapy can -- should, even -- involve hard conversations.
So...what do you think? Have you encountered any of these myths/misconceptions yourself? If so, I hope this post will illuminate alternative perspectives and leave you with a more accurate (and potentially more favorable) understanding of therapy/therapists.
*All points expressed above represent my personal opinions and do not unequivocally represent the opinions/approaches of all mental health clinicians.