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Claire Pichel, LCSW, PMH-C's avatar

Somatic trauma therapist here. No therapist in the US who takes your insurance is profiting off of you. They are lucky if they can make a living. The ones who do have a full caseload of cash pay clients are not getting rich off of their clients unless they are charging some astronomical fee like 500 an hour. Comparing therapists to self help influencers is a false equivalency. The whole Instagram mental health industrial complex is not the same beast as traditional mental health. Both have their issues, but conflating them is useless. Diagnosing is not the same as treating, it is not a label, it does not define a person, and you use diagnoses primarily to make a treatment plan. You revise your plans and goals regularly with your client. You absolutely need your trauma validated in the beginning. Many people who develop PTSD were alone or felt alone when the overwhelming thing happened to them. Many of them don’t believe they should feel the way they feel, or that something is wrong with them. Healing trauma isn’t an intellectual exercise. You need mind body interventions because part of trauma IS chronic nervous system dysregulation and you can’t talk your way out of that. A therapist who “wants to keep you stuck in your trauma” is either incredibly unskilled or a sadist. Your job, as a therapist, is to set treatment goals and meet those goals so the person can move through the world in a way that feels better to them. Your job, as a trauma therapist, is to empower your client to make meaning of their experiences and build strength and resilience. But you are never going to tell someone who suffered chronic sexual abuse as a child that their abuse “made them stronger” or tell them they are “transformed”. Those are not helpful statements and they suggest that perhaps the abuse they suffered was a good thing. Yes, there are some inspirational figures who have overcome incredible pain, oppression and trauma in their lives without any therapy, like the ones named in this article. But for the people who can’t do it on their own, holding up these figure as examples is not helpful and adds to the feeling that there is something “wrong” with them.

I do not like the ways in which social media is shaping how people self diagnose, perseverate on what is “wrong” with themselves or others, throw labels around that they misunderstand and misuse. I don’t think it’s helpful to constantly be consuming one minute reels about attachment disorders, or trauma, or depression - all of which are complex issues that get watered down with zero nuance on social media. But it’s ironic to me that this author is asserting that you don’t need an expert, while arguing that it’s those experts who are trying to keep you trapped in your pain, while using social media as proof of this phenomenon. I cannot tell you how many times I have had to debunk some mental health snippet a client saw on TikTok and tell them why it doesn’t apply to them or why it’s just completely untrue. To me, the culture of “self healing” which is usually headed up by some cult like figure, and Instagram mental health influencing, is far more damaging to people than a therapist who has invested significant time, resources and energy into their profession, and who is held accountable by their peers, their licensing boards, state laws and their clinical supervisors to behave in ethical and safe ways. That doesn’t mean there aren’t shitty therapists - there are. But to assert that the issue is “expertise” that’s forcing people to stay stuck in their trauma is misguided. It’s actually the death of expertise and the rise of simplistic thinking and platitudes that is keeping people stuck. You know. Telling people who are suffering with their mental health to heal, build, create and conquer. That’s like telling someone with a broken leg to just go run a marathon.

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Helen's avatar

OK, but I think there's a line between 10 sessions of 'Let's talk about your rotten tooth' without removing it, and 'Let's pretend your tooth a.) isn't rotten and b.) is making you stronger'. I agree the ultimate goal should be to remove the rotten tooth and not spend ages talking about it and sticking your tongue in the cavity to retraumatize yourself, but in order to remove the rotten tooth we have to acknowledge that it's there, that it hurts and is a problem, and THEN set about removing it. The thing is, toxic mental nonsense isn't as easy to recognise as a rotten tooth. Trauma definitely doesn't make you stronger or add to your life in any way, neither does endlessly talking about it or victimizing yourself with it, but it DOES need to be acknowledged as the problem that it is, and we do need to learn how to soften around it and get intelligent with it BEFORE unpicking it and getting it out. 'Rah rah toughen up' or 'Rah rah let's just get over this' believe me is a mindset all of us get daily from everywhere, we don't need to be advised to follow that line when it's literally everyone's go-to. There's a happy medium, but that happy medium requires great intelligence and skill and it's going to be different for every patient, something your average therapist just isn't skilled enough (or let's face it, incentivised enough, as you point out) to do

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