I’ve encountered a significant number of people who suffer greatly from mental illness yet are unable to pinpoint a cause.
Traditional psychologists are trained to apply cognitive behavioural therapy techniques and identify underlying causes of our behaviour 
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really important, and the extent to which we’re ignoring that. This too is a philosophical problem, and it is also why medication may not work / the person returns to their previous state as soon as they go off. We need to target our solutions, and bring philosophy back.
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Good distinction between causes of ongoing psychological distress. (I wouldn’t call existential concerns ‘mental illness’) But I wonder whether psychologists are th best people to address those problems. I feel like that’s a gap modern secular culture hasn’t really figured out.
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Agreed. Though I think when left unchecked for a significant period of time, existential concerns affect our emotions and behaviour, consistent with symptoms of mental illness. So I’d say mental illness can easily be a byproduct. This is from my own experience as well
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