I guess really I've distrusted therapists ever since my brush with Christian family therapy as a child and being told "Your father has your best interests at heart and God wants you to have a relationship with him"
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Ever since realizing that that therapist had her head fully up her ass and was talking directly out of it I've thought of all therapists as just being various degrees of this None of them actually know what they're talking about - they can't, they're not you
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Tbh the best therapist I ever had was the one time I managed to talk to an actual psychologist (I've had much worse luck with LCSWs) who fully accepted me saying "Yeah life in the world sucks and I want no part of it"
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And he was just like "Yeah so let's figure out a plan so you can implement 'withdraw from the world and stop participating in it' that works, instead of an unsustainable one that gets you dragged back into the world by cops or bill collectors two months later"
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It was very refreshing Infinitely better than all the "cheer up buddy" shit I was used to
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sometimes one hears about therapists endorsing the idea that only what happens in the therapy room is relevant, it doesn't actually matter what the reality is which seems mad to me! "they're out to get me" isn't an "intrinsically delusional" belief, indeed there is no such thing
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I had a therapist who kept advising me to cut back on my work hours "for [my] mental health" even though I kept telling her that I was struggling to pay my bills and access food with the number of hours I *was* working. I needed to "decide if my mental health was important."

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I've done a lot of therapy over the years, and although this isn't a popular take in a lot of circles, I've 100% done therapy that made my problems worse. I do not universally recommend therapy. Therapy needs to come with a warning and preparation for needing to exit for safety.
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My therapist now is helpful, but lots of my therapists were expensive, time-consuming, and didn't accomplish anything, some were actively harmful. The "everyone should be going to therapy" mantra needs to be mindful that sometimes therapy is *harmful.*
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There's another name for paranoia: survival instinct.
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