Understanding the diagnosis and the root cause of struggle can inform the need for long-term therapy.Are therapists just milking you for your money? Does the mental health field take a page out of Paramore’s book and profit from a so-called “misery business” in which professionals benefit more from individuals remaining sick and hurting than providing relief that no longer requires therapy?
It is part of my role to provide recommendations to patients for their next steps after discharge. Not uncommonly, the recommendation to engage in long-term therapy is made alongside specific recommendations for styles, core issues to focus on, and the various interdisciplinary aspects of their ideal care . In doing so, I wonder how often those patients or family members look at such a recommendation with skepticism.
For example, a person may be depressed and meet criteria for major depressive disorder , but they also struggled with theirlong before they were depressed. They may have always had many friends but now feel alone because those relationships lack emotional depth. Also, perhaps this person realized through the pandemic that their only means of coping was through their job, exercise, or some other means of staying busy, and they don’t know what to do without those external activities.
Not everyone needs or wants long-term therapy. Sometimes those who want it don’t necessarily need it to live their life but can see room for growth. Moreover, there are certainly mental health issues that do not require a long-term approach to therapy in order to resolve pain and dysfunction.
Another way to sum this up is to say that people are far more complex than we sometimes give ourselves credit for, and the process of therapy is at least as complicated—one might even say messy—and sometimes a long relationship and in-depth approach is indeed the recommended treatment., is a psychologist at The Menninger Clinic and an assistant professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine.
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