Why Therapy Doesn’t Work For Mentally Ill People
Traditional therapy is failing the mentally ill community. The current system wasn’t built for those battling severe mental health challenges.
Insurance barriers and practice models push the most skilled therapists toward treating the “worried well.” The harsh reality is that finding a therapist who truly understands chronic mental illness requires exhausting trial and error.
In this video, I explain why most therapy techniques fall short for severe mental health issues. You’ll learn why your past therapy experiences may have failed you and gain realistic expectations for finding the right help.
If you’re looking for a good therapist, you might enjoy this video on my criteria for choosing.
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Disclaimer: This content is not intended to be a replacement for receiving treatment. It is purely educational in nature. My relationship with you is that of presenter and audience, not therapist and client.
But I do care.
34 Comments
Thank you being sincere
In most case I agree…but I chose the spiritual and holistisk way…by meditation and yoga etc…but I cant live without medication
Therapists are fallible and broken human beings as well. Perhaps putting them on a pedestal is not always a sound policy.
Absolute waste of time, was just there so some family members could finally shut up after recieving a letter that im not as crazy as they said i was.
You are so right I am at a point and been this way for a very long time but it's so bad now that I can't even get out of bed I honestly don't know what to do anymore
Therapy is more about making people feel better instead of real life solutions.
I have a therapist who was a social worker and I feel like her background and past jobs make her an amazing therapist , I think she’s a gem in the field lol.
Therapists aren't aware that Chat GPT can do everything they do…and it's going to be a shock when HMOs and big hospitals replace all counselors and therapists with Chat GPT.
The wild part is that therapists don’t seem to do their part in this vetting process. They seem to blame the client. Oh he was not ready yet to make the change yet, oh he was not able to stick with the time and/or financial commitments. It seems like a gross abuse of the clients trust in the academic degree.
Obviously there’s always exceptions to the rule, but it’s also hard to meet them because therapists are often fully booked via insurance or are simply a high financial investment for the majority of the population. Spending 500€ to get to know each other with no progress made is something you’ll just not do 20 times over.
It's interesting that you've said you went to therapy looking for answers that were not in yourself (i relate to this). However you didn't find your answers in therapy – you just did it without knowing how. If you 'just did it' would you say that the answers or the strength or whatever 'it' was, was actually inside you? And if not, where did it come from?
I ask this as someone who flip flops between believing therapy is helpful or useless depending on the day and who still hasn't decided. But thats probably black & white thinking 🤔
You’re soooo right!!
Last night I wrote these words in my sketchbook: “THEY CAN’T HELP ME.” I was referring to therapists… so it’s crazy that I came across this video. My case is very complicated and I feel like no one wants to see me, in fact many flatly refuse upfront. I feel like I have to be my own therapist, but from experience I can say that doesn’t always end well. Here’s hoping…
Maybe the problem isn't us, its the modern system.
Alot of people who say 'go to threapy' have no experience of it at all.
I TOTALLY AGREE. I think therapy just keeps the problem ongoing. The problem your suppose to get over is constantly being rehashed. I think we all know the answers. I'm in a group therapy. I'm seeing other peoples problems. It's 4 hours of depression. The only way out is within you! 👍👍👍
What a terrible title to apply as clickbait. All the very distressed people who read this and lose even more hope.
This is why I want to become a therapist – I just need to find my way out of this first. On a fun note, at 4:20 it's 11/11 at 11:11am on his calendar and clock.
He is fully correct as that was my experience in therapy. I had serious issues but it felt like there was no solution just looping remembering till finally i put two and two together.
This quack cant help me only i can help myself… Thats why they loop in hopes i have some sort of realization in hopes they can goat me to the more favorable mindset or give me happy pills.
Either way im tired of this being everyone's default for help that usually doesn't… I mean it i haf serious issues in life and when i shared them to therapist i was met with many a shocked expression.
Truth. I feel like Ive become sicker because of therapists. Its really odd how they spend a lot of time studying something and then go into practice with what feels like very little understanding of what they are treating. In the end , the patient has no idea if they are making it all up or if what they are sensing is valid.
ChatGPT does whats feels like a worlds better job than most therapists for moderate to heavy mental illness and complex trauma. Its all really sad.
If everyone just shut their mouths and stop the endles talking and analysing and just begin to HUG, TOUCH and shae pure love with eachother every one's pain will be healed for instance… The energetic age of humanity is around 12-13 years and abides completely in the energy of the boy. Everyone is talking talking talking when in fact everyone needs to shut their mouths and begin to FEEL and BE LOVE.
Goddamnit Scott, I haven´t even finished the vid yet but you already described my frustrations with therapy to a T. And I´ve seen a shitload of those suckers. Psychiatrists too. My parents would always ask me when I described my symptoms "so what do these therapists have to SAY then to that?" …and I never had an answer. What DID they actually say to me? They never had a clear story or plan of action, while I've had hundreds of hours talking to them under my belt.
I've learned over the years that mental states are one of those things that everyone has an opinion about, just like politics. Then therapists in the worst case get falsely confident because they have a degree, but still they have no clue how to specifically address your issue or state of mind, life circumstances, etc. Plus it's shocking how little some of them actually know about social conditions, your financial/living conditions, opportunities/inequality, etc. They derive everything back to your "personality" or "thoughts" or "how you feel about it". That's individualization, meritocracy. It's all YOUR fault. I've become a firm believer that social conditions actually altogether determine your mental state, so sociology is actually way more important than psychology. Just like a fish who lives outside the water without other fish goes crazy and then dies. Same goes for humans.
One psychiatrist would sometimes join in with my meeting with a therapist for 30 minutes, be silent half the time, make a few remarks then would leave again. I would check the invoice on my health insurance a month later and that "consult" would have cost about €375. It was covered by my insurance, but she would take a large sum of that home. At the time I was stacking boxes in a warehouse and would take home €400 a week, breaking my back. Tell me again how I should "reframe my thoughts" again you bitch.
Therapy is the scam of these neoliberal times to individualize problems that have systemic causes. Trust your feelings, you feeling like shit is not your brain "misfiring" or any of that crap. It's your mind showing you the ugly truth of how shitty things are now.
I talk 100 words a day with other people.
I feel like I just have rude mannerisms when I talk with people, just cuz I don’t make much eye contact and don’t know what to say or react when they talk to me. I just nod and ask some questions. But it feels fake, as if I just don’t try to make them feel shit cuz I’m don’t interested in a convo with them. Idk if it’s social anxiety. Or just avoidance. Or mutism. I can read people’s body language, I think I’m not autistic. I’m maybe just selfish to allow space for other peoples life’s cuz I need to figure out my shit first.
I requested some therapy, idk if it’s worth it. I think I just need some grounded lifestyle and hobby’s. I get that after I make money. Then my confidence rises, I’m happy, fulfilled and open for people with same values or hobby’s. I’m in a transition phase I guess. It feels lonely but peaceful and I have a defined vision.
I am a therapist and a person with mental illness. I agree that the system is broken. The best therapists in my area charge over $200 an hour and they do not take insurance. Most therapists are not competent in treating serious mental health challenges. Most can deal with situational challenges. Therapy is a business especially in private practice. Many therapists claim to be “specialized” in things that they are not truly specialized in. Many therapists will say that they specialize in trauma, EMDR, CBT, depression, ect. However, most therapists are just listing the populations that they prefer to work with. Doing a 3 hour trauma informed training does not make someone specialized in trauma. Most therapists are not going to tell you that they can’t cure you or significantly help you. They are not going to tell you that it will take years of therapy to moderately improve your symptoms. Most individuals with severe mental health problems will not make significant improvement in therapy. They will at best find moderate improvement. If patients were provided with this information ahead of time, then they wouldn’t do therapy unless they are looking for a paid “friend”If therapy was very helpful for the mentally ill then the pharmaceutical companies would go out of business. Also most graduate programs do not train people to be good therapists. They just teach the DSM and various theories. A therapist will need a lot more training outside of graduate school to be a good therapist. Regarding master’s level vs doctorate level therapists, I have not seen much of a difference.
Brilliantly put and what I've felt/known for decades you communicated well ty
Therapy is a business. Most therapists are generalists. They are not specialists. However, in order to survive therapists must have attractive profiles in order to attract potential clients so that they can make money. Most therapists will say that they specialize in X Y Z in order to attract new clients. Clients want to see someone that specializes in their issue. They do not want to see someone that has some experience in XYZ. The client reads the therapist’s profile and they feel like they found someone that can help them because the therapist looks good on paper. The client does a 15 min consultation and the therapist sounds promising. Therapists use 15 minute consultations to sell themselves. The therapists sounds like they know what they are talking about. The client sees the therapist for a few sessions and is disappointed because they are not making progress. They stop therapy and try to find someone else.
Also the issue with therapy is that the licensure exam is a written exam. The therapist is graded in how well they can answer questions. The therapist does not have to record themselves doing a session to the board to get licensed. The therapist can easily pass a written exam but do a terrible job applying these interventions in a therapeutic setting.
As a therapist, I only had to record two sessions in graduate school. I didn’t have to record any sessions while I was getting my hours towards licensure.
This is quite refreshing!
If you’re lucky enough to find someone who incorporates solution-based therapies like DBT, EMDR, CBT, MAT, and isn’t afraid to change course if something isn’t working, there can be change.
I think for some people, who have literally never verbally voiced terrible things that happened to them out loud, doing so is an incredibly important and validating part of therapy…but you can only talk about your pain for so long before you realize one of three things is going to happen: your pain will become your identity, it will be a catalyst to help you get to where you want to be, or it will grow and fester until it becomes so unbearable that it becomes the end of you.
Don't waste your money with psychotherapist
They see you as money and nothing more
Depression, anxiety, trauma need love and understanding. You find the cure from a good friend or a relationship. Only love can win this hell called mental illness. Psychiatrists are fake too. Their psychiatric pills are deadly not solving the problem, just make it freeze , be strong all of you
Solid
Even psychiatrists can't help me. Mine keeps telling me to read a certain book. I can't find an environment I can focus long enough to read it. plus it gives me college flashbacks and all the pressure college was. My therapist tells me to fill in a CBT notebook. I can't carry that around all day. It'll gather attention and then certain people will wonder "what's in her notebook?" I feel so alone but then my therapists tell me to do things alone. Um I'm having an anxiety attack I can only do so much to take deep breaths or whatever soothing actions they suggest you do. Even if I was in a mental health facility — they ignore you there too.
It took me nearly 20 years of doing therapy on and off to realize that therapy is bullsh*t. I saw all kinds of therapists that you can imagine, nothing ever worked at all. I was finally done with therapy when my last therapist blew me off when i told her that I was su*c*dal and needed to schedule a session with her urgently. After that horrible experience, it finally hit me that after all those years, i still struggle with the same EXACT problems i deal with since the very first time i went to a therapy session. It was alll a scam. In fact, most of the therapists i had were terrible. They made made me feel much worse about myself. They lacked patience, empathy, judged me, were condescending, and talked down to me like i was an idiot. At the end of the day, i think that therapy is just a placebo effect. People think that it "works" because they're paying someone to listen to them talk about their problems. Some people say, "well, therapy takes time to work…." But if it takes so effing long for it to work,. maybe I should try to fix my problems myself and save my money while i am at it.
I am livid now that i realized how much money i wasted on quacks. I feel robbed. That's tens of thousands of dollars that i will never get back…. 🤦🏻♀️ Live and learn…. At least I was able to break free from the illusion of therapy being effective. It is norhing but a waste of time and money. A huge scam.
Also, therapists only "care" about you while you're paying them. Once you can no longer afford their sessions, they couldn't give two sh*ts to know if you're even alive. Thinking that a therapist cares about you is like thinking that a stripper likes you. They only do when you're paying them
I agree with a lot of what you said. I feel like most conditions like depression and anxiety are a natural results for seeing the world for what it truly is. “Taking off the rose colored glass” if you will. How tf can a therapist help with that ? On a side note most of these therapist have their own therapist… if they can’t resolve their own shit how can they help with anyone else’s???
They dont care as long as they are getting paid 😂
Thomas Szasz wrote book upon book about the myth of mental illness
People are not mentally ill, they are unique. Just developing brains at different places