"The therapeutic industry is platonic prostitution"

If any therapists are reading this, feel free to skip this post or at least know that I do not intend to offend you or your profession.

I happened upon that phrase while scrolling somewhere. I thought that it is a harsh thing to say and while it is not something I entirely agree with, I also do not entirely disagree with it. It was real provocative too, so it really got me thinking.

As someone that has done hundreds of hours of therapy with little to show for it, I feel like it is an understandable thing to say because on a deep fundamental level, I truly get it.

If you are talking to a friend or loved one (who is not being paid to talk to you) about mental health, if you bring up some personal issue, raise a life problem, anything deeper than surface level interpersonal stuff, there is a high likelihood that the conversation will steer towards a version of this question: have you tried therapy?

That is - probably unintentionally and unbeknownst to them - the signal to me that the conversation is now over. They do not have the mental capacity to talk about it at the moment, maybe they feel they are out of their depth with such a heavy subject matter, or perhaps they do not have the life experience to relate to it. Maybe all of the above. It is all fair enough. So they bring up their best bet for a solution that in their mind might help. It gets very old but I remind myself to appreciate their good faith and good intentions.

The answer to that question is that yes I have indeed tried therapy. I have tried so much therapy, in fact, that whole teams of therapists have concluded that therapy cannot help me. I would be remiss if I was not open about that bias, and it is probably the reason I have found the incentive to spend so many hours writing this post in the first place.

The way we behave and interact with each other is unrecognizable compared to just one or two centuries ago before industrialization. It used to be that whatever troubles you were dealing with, you probably had a community around you. Even if you did not talk about what troubled you directly, the people were there to make you feel safe. You didn't have to talk about diagnostic criteria and therapeutic methods and psychiatric theories and mindfulness and self-help resources... you had people to talk to. The simple fact that people were around you all day every day meant that you got on with it and coped with things. You had a neighborhood or village or whatever in which friends and family lived and worked closely together every day. People to talk to all day. That is therapeutic in itself.

Nowadays, work-life balance is such an enforced thing that connections seem to be in rigid boxes. Not that people are not friends with their coworkers, but it is my impression that it is kind of rare to truly befriend a coworker. So you have a box that is called work, and you have a box that is called life. And you do not much mix them together - you certainly do not talk about heavy life things at work. Big no-no, even though it is the former that takes up a majority of most people's time awake during the week. Not to go on a tangent about capitalism, but the way our entire system is built up around individualism is not something that can be ignored here either. Through urbanization, we seem to have lost our sense of one another. I of course cannot speak to other societies than my own, but I do see these sentiments from people that live in other countries of the western world too.

I do not think that it is controversial to conclude that individualism can be extremely harmful. The we-society of the past pretty quickly transformed into our current me-society. So much so that "self-help" is a huge industry. A lot of people are getting by just fine of course, but for those of us who are not fitting into boxes, this societal obsession with individualism only worsens our states of mind. Off to school, off to university, off to work, start a family, get married, build a house, mow the lawn, rinse and repeat for the next generation. That is what the majority is doing and they have little to no problems doing it. Some of them think it is so normal and easy, even, that it becomes repetitive so they find themselves calling it the hamster wheel and start writing articles about how boring it is to be married and have children and own property.

But if you do not fit into those boxes, are not capable of these things, do not have a supportive environment, well good luck to you, there will be no networking, no meaningful connections, there will be major hardship ahead if you have not somehow managed to figure it all out on your own. Due to being even slightly socially inept, behind your peers in any way, or if you chose a different path in life, chances are that you are sooner or later going to run into this so-called platonic prostitution of the therapeutic industry.

On your own, family might be there but they are not truly supportive, might have a friend or two but they are not really close friends that can be relied upon for important stuff. Try to talk to them about things and they end up distancing themselves because it is either not that kind of relationship or they do not actually care or you are simply too much to handle for them. Therapy becomes the answer when you bring up the tough subjects and the things that happened as a child, be it bullying or emotional neglect or some kind of violence against you that the adults should have been there to protect you from or at least have seen the signs afterwards but never did. You are far enough outside of what is considered the normal problems, or you are already far enough into a long spiral of mental health issues, or far enough into the depths of psychiatric diagnoses that in order for someone to talk to you, to help you, they have to be paid to do it. How humiliating. But you are told therapy is the only way to help you.

Unfortunately all you can get is one session every two weeks. And the therapist does not even have time for all your problems despite being paid a hefty hourly rate by you or by the system. Come back next time and hope they remember their notes because otherwise you will spend half of their precious scheduled time reiterating your issues and reminding your therapist of your history. But you tell yourself that it is fair enough that they forgot some minor details like the death of your loved one. They are paid to be there, but they are only human after all, you tell yourself it is not fair to expect them to perfectly remember everything. Never mind all the other problems that arose in the time since the previous meeting, but there is not enough time to talk about that. But this is therapy, this will help and things will get better now!

I would usually spend the rest of the day after a therapy session thinking about what I forgot to bring up. The next day I would try to write a few things down, but once the next session comes around, those things are already out-dated and they do not seem to be relevant anymore. It does not matter anyway because there might have been a new cut on my arm because of things brought up in therapy that there was not enough time to process, and I did not care to hide it, and so now the entire new session is spent treating this tiny symptom of illness instead of the years of trauma that is the reason for it. That is how it has to be because the therapist has rules to follow, a system designed in such a way that something like self-harm must immediately be brought front and center. Forget your traumas for now. Forget your life circumstances. Let us do some breathing exercises! Let us do some grounding techniques! We should engage in some mindfulness!

Anyone would probably become mentally unwell and fulfill diagnostic criteria for something or other if their living situation became bad enough. Top of your class, job interviews, get romantically involved and move in to a great apartment together, get accepted to university, probably not going to be a whole lot of symptoms there when things are going great and breezing by. Lose it all though and you are suddenly a textbook example of multiple mental illnesses. Have you tried therapy?

But it will not cure loneliness, unemployment, financial ruin, bad environments, abusive homes. Probably not a lot of therapists would claim that it does, but those unfamiliar certainly do tout it as the cure-all, because they simply do not know better, because individualism is taught as the way of life from the moment you exit the womb. And it is so harmful. The things that therapy claims to solve is to stand on your own two feet and be self-sufficient, self-reliant, stable, need minimal help from the outside. It has even gone so far that a concept of co-dependency has been invented to be a criteria for diagnoses because god forbid you are actually a human being who relies on others like the pack animals we are. Even if you do not rely on others, if you truly desire to do it all on your own, it takes months and months and years and years to get there because of the time between each appointment you can get. It is not even in any way a holistic approach. It is one piece in a huge puzzle, the rest of which you probably cannot even find professional help with.

Let us say that the solutions to all sorts of problems in life are contained in a big toolbox. All those tools will be needed in one way or another, at one point in time or another, throughout life. Therapists are, for some reason, said to know the entire toolbox. Again, they do not claim this themselves. It is society that vaguely thinks so. But the therapist really only knows how to use a small set of the tools needed to repair you. Hopefully the therapist you find is competent, but you might get unlucky and not even know it before it is too late and damage has been done by the wrong treatment being used. They specialize in specific methods but end up applying the wrong one to you. Laymen put them on a pedestal as a mythical force that can solve all manner of serious and complex issues with just a few words of wisdom here and there, or they have hidden gems of mind blowing advice.

But as I have come to see it, the cure to most things that therapists try to solve is simply the formation of a bond. Yet when they undergo their training, it is specifically instilled in them that they should not ever form a bond with their clients because they should not get emotionally invested in them on account of it would cause burn-out to take on so much suffering from people every day. So they create a wall between themselves and the client, a distance they proclaim to be healthy for themselves but what most people would think was worryingly cold if it were any other meetings between two humans. But because one part is paying the other, it is fine, and it is also not a real bond with another person anyway because money was exchanged and services provided. It is robotic.

A bond and a community is what would solve the problems a lot of people who are in therapy have. But we are on average way too individualistic for that. Therapy would not exist to the extent it does if it wasn't so difficult to find solid friends and relationships in modern society. If we all had a tight knit circle that we could lean on, there would not be anywhere near the current demand for therapists and psychologists and psychiatrists and social workers and mentors and advisors and teachers and whatever other mental health professionals I could list.

The key is that the client-therapist relationship is inherently transactional. And so it can never be the nurturing environment that it needs to be to get better and to improve and to become a functioning individual. Even terms like emotional labour have been invented only to become a commodity through which an entire industry is built. People selling their time to help the less fortunate because they sure as hell will not do it to such an extent for free. Maybe some of them also volunteer their services, but I have a hunch that they are few and far between. They are good people for trying to help, but at the same time, they really are only even talking to me because they are getting paid to. That simple fact ruins any and all feeling of sincerity right away.

Why is a therapy-like session not something the average person simply just does for their next of kin? A favour to be returned when the time comes. Some people require more, some people require less, and that ought to be fine. But instead we have this whole industry of people that can sell themselves as the solution to oftentimes unsolvable problems. And those that never even tried it will also help sell it because their social media regurgitates fancy terms that sound smart on their feed, making it sound like a miracle.

But because of our individualistic way of life, or because what we struggle with is outside the norm, or because we did not grow up in a supportive environment, or we experienced things when we were very young, or we do not fit into exact boxes... Whatever it is. It is now entirely socially acceptable for everyone and anyone to say that they cannot deal with this, it is too much, you should get professional help. You do not need a friend, you need therapy.