10 Reasons Why People Refuse to Talk to Therapists

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Iโ€™ve heard it so often over the years:ย โ€œHeโ€™s going through a hard time,โ€ someone will say about a friend, โ€œbut he doesnโ€™t believe inย psychotherapy.โ€ Or perhaps itโ€™s, โ€œMy mom could really use some therapy, but sheโ€™d never do that.โ€ As a psychologist in private practice, I often hear stories of people who could really use someone to talk to, but for whatever reason, refuse to see a therapist.

Following are the 10 most common anti-therapy attitudes Iโ€™ve heard over the yearsโ€”along with the reasons why each doesnโ€™t really hold up.ย 

1. โ€œIโ€™d rather talk to my friends.โ€

Of course, you should talk to your friends and your family. Itโ€™s important to find support when times are hard. Therapy doesnโ€™t supplantย friendshipโ€”but then again, friendship canโ€™t do the work of psychotherapy, either. A therapeutic relationship is more than a friendship: Not only does it provide support, but it challenges you, allowing you to gain valuable insights into yourself.

Therapists are trained listeners who can help you find the source of your problems, even if the source is your thoughts, your family, or you. And your friends arenโ€™t going to sit down to talk about you all the time, every week, are they?

2. โ€œIt costs too much.โ€

All too often, insurance doesnโ€™t cover the full cost of psychotherapyโ€”so it does become an investment in yourself. Itโ€™s true that there are times when the expense is not practical, but sometimes, an investment in therapy today can head off much more costly, life-affecting problems in the future.

Related: The 4 Most Valuable Things I Learned From My Therapists

3. โ€œI donโ€™t have time.โ€

If you have the kind of problems that arenโ€™t going to go away, finding a few hours to deal with them now might actuallyย saveย you time, as well as money and heartache, in the end.

4.ย โ€œI saw a psychologist once, and it didnโ€™t help.โ€

Every psychologist is an individual, with a uniqueย personality, so thereโ€™s no reason to believe that a new therapist would fail you in the exact same way that the old one did. Very likely, the person you saw back then was just not someone you could connect with. Another psychologist will, by definition, be different.ย 

5. โ€œWhat good is talking going to do?โ€

Lastingย personality changeย does result from psychotherapy, which has been shown in aย recent studyย to reduceย neuroticismย and increaseย extraversion. It also often helps just to have someone you trust, who knows you well and with whom you can talk about difficult topics.

The working alliance you forge with your therapist is a relationship, and as you develop that relationship, permanent change becomes possible.

6. โ€œIโ€™d feel weird talking about this stuff to a stranger.โ€

In my experience, this seems more like a problem than it really is. Most therapists are skilled at making you feel comfortable quickly and do not want to come across as judgmental strangers. If you do have a few sessions with a new therapist but donโ€™t feel comfortable, you can try being open about your concerns, or you can seek out a different therapist.

Therapy is a relationship that is both professional and personal, and the alliance you form with your psychologist is an important factor in the treatmentโ€”all of which is to say, it wonโ€™t take much time for your therapist to no longer feel like a stranger.

Related: 11 Signs You Need To Talk To A Therapist

7. โ€œTherapists donโ€™t say anything; they just sit there and judge you.โ€

That depends on what kind of psychologist youโ€™re seeing. Many of them will tell you right off the bat that they like to say whatโ€™s on their minds. Many of them offer practical advice or provide detailed feedback about the way they understand you and your problems. Even the therapists who do more listening than talking are not judging youโ€”they are quietly working to perceive your problems your way, empathically.

And if you do feel judged by your therapist, you should bring up those feelings. It might seem uncomfortable at first, but your therapist will most likely be glad to talk about any feelings that arise in the course of treatmentโ€”including those brought up by the therapist or the treatment itself.

8. โ€œTherapists donโ€™t really care about you; they do it for the money.โ€

In general, people choose psychotherapy as aย careerย because they care about other people and want to help. I donโ€™t know anyone who became a therapist to get rich.

9. โ€œIf I wasย depressedย and I wanted to feel better, Iโ€™d just take Prozac.โ€

Psychiatricย medications donโ€™t work equally well for everyone. Plus, every psychoactive drug has additional effectsโ€”also called โ€œside effects,โ€ if you prefer the language used by the pharmaceutical industryโ€”that can be quite serious, like weight gain or sexual dysfunction.

On the other hand, psychotherapy has no chemical side effects and represents an active, positive coping strategy. Even in the cases where psychiatricย medicationย maintenance is the treatment of choice, it often works best when supplemented with weekly psychotherapy.ย 

Related: Top 10 Reasons You Should Conquer Your Fears According to Therapists

10. โ€œI wouldnโ€™t want to air my dirty laundry out in public.โ€

Psychotherapy is confidential, and the material discussed in therapy sessions is protected by law. As long as you do not present a danger to anyone, what you choose to talk about with your therapist will not leave the therapy room.ย 

Generally speaking, itโ€™s always pretty easy to find a reason not to do something thatโ€™s good for youโ€”like exercise, getting a full nightโ€™s sleep, or finding a therapist.ย In my experience, psychotherapy usually helps quite a bit. People who are suffering can forge strong working relationships with their therapists even if they have never tried therapy before.

If you are going through aย stressfulย time, or feel unhappy,ย anxious, or unsatisfied with yourself and your life, please donโ€™t talk yourself out of taking care of your feelings.

Check out Dr. Soeiroโ€™s personal websiteย www.lorensoeiro.net, for more such informative articles.


Written By Loren Soeiro 
Originally Published In Psychology Today
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