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Is therapy worthwhile?

Hello,

Lately I have been overwhelmed with my schedule, finances and social life. I am always trying to improve my mental health. With all of this stress I am considering therapy, mainly for someone to talk, to process all my thoughts, and maybe help me develop ideas or come up with strategies to cope better. I have ADHD, Autism, and some other things if that helps anyone relate.

I have three main questions:

Has therapy helped you enough to be worth the time?

Is it very difficult to find a therapist you mesh with?

How do I find a therapist? From a doctor's referral? Online service? Through insurance? (I live in the United States.)

Any experience or advice you can provide would be greatly appreciated!

Edit: I just wanted to thank everyone for your help and support! I hope everyone is doing well and has seen positive changes. And I hope all these replies help other people besides myself. I'm feeling more positive and hopeful toward finding the right therapist. Your kindness is appreciated!

72 comments
  • To share my experience concerning your questions.

    Has therapy helped you enough to be worth the time?

    Definitely, but with very varying results, and also with the caveat that my time in phases of deep depression is almost worthless because I can't really use it for myself or even productively for others either. The varying results part leads to

    Is it very difficult to find a therapist you mesh with?

    Yes, I've been in all kinds of therapies, from analytic to purely psychiatric, have gotten a ton of different diagnoses since my early teens, and results have been sometimes disheartening and sometimes lifechanging in positive ways. My advice is: Don't be afraid to switch therapists if after a few sessions you notice it's not working out, and try to in advance research as well as possible if there are any specialised in cases like your own (seeing as you already have some diagnosis to work with).

    With the last point, I can't really help you much, no idea how it is in the US. Here, you can usually get lists with regional therapists that are covered from your insurance. Also there are more and more online platforms, although I couldn't help you with US-based ones.

    Here's hoping you will find someone that can help you, and even if that doesn't happen, that you will be able to manage to get through the curret tough times. Be well and take care.

  • It depends. Talk therapy works for a lot of people, but not all. But, it's almost always a good starting place. If you feel like you aren't making any progress with your therapist, you can always tell them that, and they can help you explore other options outside of psychotherapy. They could recommend a psychiatrist who can try medical therapy options with you. From there, if you still feel that you aren't making progress, your psychiatrist can possibly recommend medical operations such as ECT if you're still having trouble.

    It doesn't always have to take this path, though. But I can absolutely recommend therapy as a launch pad.

    For my own anecdote, I went to a therapist for several months, and after a while I felt like I was reaching a brick wall. And not due to any trouble with the therapist, but because I felt like I had milked therapy for all I could. He was able to refer me to a psychiatrist who then worked with me on finding an appropriate medication and we explored other venues from there. While I basically maxed out the gains I could get from therapy, I was still able to learn a lot of really useful things during that process anyway, which are still helpful to me today. So don't go into it with the expectation that you'll find yourself cured, but go into it with an open mind.

  • From my experience:

    1. It depends on the therapist. Ultimately what I got out of it is heavily based on what I put into it. If I just showed up and said everything was fine when it wasn’t, that obviously didn’t help. If I didn’t do the “homework”, that didn’t help. If I was bullshitting and the therapist knew I was and didn’t call me on it, that didn’t help. At one point I was struggling with religion, and having a therapist say I just needed to pray more didn’t help.
    2. It can be, but if you have an understanding of what you’re looking for it can be helpful. For example:
    • I prefer therapists who follow the school of cognitive-behavioral therapy (CBT) over almost any other kind. If they follow psychoanalytical methods I probably won’t mesh with them. If you like a particular school, go with that.
    • Are you religious or does it play a big role in your life? If not, it might be useful to find one that is friendly to atheists or doesn’t mention religion or spiritual guidance as a big part of their approach.
    • You mention you have ADHD and autism, finding therapists with focus/experience on those can be helpful. Same if you need help with a particular topic like familial relationships, sex, addiction, etc.
    • Are you a part of any other groups? If you’re not straight, going to a therapist that “supports diversity” or has similar sentences in their bio can help.
    • Are you more open over video? If so, a therapist that does video visits may help.
    1. My insurance covers mental health benefits, so I go to their site and find a provider. They usually have filters for main approach, specialties, etc. You should double check they’re taking new patients and take your insurance because sometimes that changes fast. I usually find a few I’m interested in and email them asking any questions. If we both seem ok, we move forward and schedule something.

    Don’t give up if you don’t find someone immediately, it can take a few to find one you vibe with. Best of luck!

  • Their only real function is to help you figure out stuff you're not aware of or willing/able to address on your own. Like if you find yourself unable to change some negative aspect of your life but don't know why, that is where a therapist really helps. If you have occasional circumstantial depression from the isolation inherent to partial disability, a therapist is not able to do anything except medicate the symptoms.

  • I can help a bit. The short answers are yes, yes, and it's complicated.

    Therapy absolutely can work. It's very circumstantial. It depends on what kind of problems you have, and whether you're prepared to work on them. I don't say this in a judgement sense, but it's important to understand that most work takes place between sessions. If they're good, they give advice on things to practice when you're in a situation and then you try it and report back. That sort of thing.

    Is it hard to find a therapist? God, I wish I could tell you "no!", but in my experience, it is. Part of it is the challenge of getting an appointment with anyone, and then after that is the challenge of finding someone capable with whom you're compatible. My best advice is to think of it a bit like dating or interviewing someone for a job. If they don't seem to get you, move on, and keep doing so until you find a match that is at least good enough.

    How do you find one? If you have insurance, you call them or email and they email you a list of in-network people or direct you to a list on their website. Then you call each during your lunch hour and a bunch are disconnected or require you to go through a long phone tree before you learn that they do physical therapy, not the head kind, or they have no availability for new patients. Eventually, you get a call back from leaving a message on a bunch of voicemails, and the direct you to complete an intake questionnaire, then schedule a first session.

    I advice trying to get into a clinic with multiple providers instead of a solo practitioner, because if the first person you talk to isn't a match, they can connect you with a different shrink at the same clinic if they've got several. Otherwise, you have to keep looking again and fill out the new patient questionnaires again.

    It really sucks how many barriers are there, and I advise getting help from a supportive friend or partner if possible. If you get access or end up signing up for BetterHelp with a podcast code, eventually it can make life-changing difference. Good luck.

  • I can see how for some people it might be, but I tried therapy for a few weeks, but I didn't find it helpful. I have plenty of people I can talk to about various issues. I think therapy might work for me, but I would need someone really talented and spend a fortune.

  • I have found it to be marginally useful. Somewhat. Basically it’s a chance to express myself and somewhat vent to someone who gives (ideally) useful feedback. If they’re not actually good at their job, sometimes the feedback is useless or even harmful, so talking to them worse than not.

    • Thanks for your honest perspective. I will definitely make sure to keep evaluating if it is really helping me. I am hopeful that if this ends up being the case I can acknowledge it and possibly find a therapist who is more helpful.

      • To clarify a bit, I always enjoy it, it’s just that I’ve never found it changes anything. I think it’s good for people without friends or family to talk to in particular, or if you’re going through something private or intense, it might be better to talk to a professional vs wearing out your friends. It also depends on your personality, what sort of issues you’re seeing a therapist for, and the therapist themselves.

        Most recently I saw someone about drinking alcohol. I liked taking to him and he gave me some good advice, mainly about my relationship. However it didn’t have any impact on my drinking. I also told him about my drug use as a teen and was not thrilled to see it permanently recorded in my medical record, which suggests to me to not be honest with therapists, something I already have a notion of from around 20 years ago.

        Also my GF and I were seeing a counselor about our relationship, and while we enjoyed taking to her, again, it didn’t really have any impact. We have all the same problems we had before to the same extent.

        One common thing with those cases though is we weren’t trying that hard to change, ourselves. I was fairy lackadaisical about not drinking, and my GF didn’t take counseling very seriously. She mainly seemed to think it was an opportunity to criticize me.

72 comments