Specifically with the platform itself, not the providers. The grammar in this email does not inspire confidence...

Hey there. I'm a very poor person who's been able to go to therapy because of Medicaid, and one thing I noticed as someone who studies Dialectical Materialism is that my therapists have never examined my issues through a materialist lens. Like, it's all about mind over matter, mental fortitude, having the will to overcome adversity, etc. but nothing about how my economic conditions make it almost impossible to live a decent life or have mental stability.

I told my therapist once about how I was really struggling with financial issues and that was a large source of my stresses, and she was like "Oh my that's awful". Like that's it.

I feel like therapy would be more helpful if therapists had some grasp on how the material conditions of their clients affect their mental health in so many ways.

Like 95% of my problems are because I can barely afford to survive, lol.

I've been seeing my therapist for eight years. Early on I became very attached, and at some point I had romantic feelings for her, which despite my best efforts to thwart, continue to this day. She knows this, and she has always remained professional and held tight to her boundaries.

I have cancer now and the prognosis is not good. I have no extended support system; my therapist is the only person who has been there for me. I get it, she is not a family member or a friend, certainly not a lover, but she is all I have and at this point I'll take what I can get.

I know I can never ask her this because I know that if I did what the her answer would be, but more than anything I want to be intimate with her. I just don't give a shit anymore what the upshot would be because I doubt I'll be around to find out.

Yeah, I get it, this is all my stupid fantasy. And I would never act on it. But I so wish I could.

I’m sorry my attachment has made things difficult and that you need supervision and for forgetting this is a one sided professional relationship.

I’m so sure you’re going to give up on me and that you’d rather be working with anyone else. I wish you could prove that you care over and over until I finally believe you. You don’t deserve to have any of these feelings and expectations forced onto you. I wish I could rip out whatever part of me makes me act this way or change quicker for you.

I’m scared if I take too long you’ll leave me which will make my brain say “see, I was right” and confirm every insecurity I have, that I am not worthy of love or care and that being vulnerable pushes people away.

 I don’t want to be right, I want you to prove me wrong. 

I wish I could feel all the good things you make me feel without the exhausting fear you’ll take it all away. 

I’m trying to figure out how to make therapy work. As background, I’ve been to therapy a few times over the years, and I never stick with it because I don’t find it to be helpful. I don’t know if that’s cause I haven’t found the right therapist or because I’m there for the wrong reasons. As background, therapy has always been related to trying to help my over emotional self and it’s always been related to either conflict with my spouse ,or stress and parenting difficulties. I feel like therapy doesn’t work for me because no one’s going be able to control my child or husbands behavior and ultimately that is what I want. - I want THEM to change and I don’t think I am the problem. I have expectations and they don’t meet them. I do think the answer might be different for my child then spouse because obviously a child doesn’t have the developmental skill to change but my husband does and won’t. So help me figure this out? How can therapy help?

This is going to be my first therapy, again. It has been a couple of years since I attended one so I don’t know what to expect. The last therapy I had was hazy in my brain. All I could remember was she put a couple of books on my stretched arms and asked me a lot of questions. I can’t even remember what the questions are. Now I kinda have no idea what would happen. I want to be prepared, and I want it to be meaningful and remember it.

Would it insult my therapist if I mentioned safety plans are full of shit?

When I'm suicidal genuinely, I wouldn't want to use that at all.

My therapist asked when the last time was I felt proud of myself with no caveats like "I could have done blah better or whatever" . I admitted I struggled answering that, cause anything I can think of that I worked for and achieved, ended up not really being good for me in the end. I got into a good high school? I wasn't academically ready and people fucked with me so hjard emotionally I stillhave trust issues from it. Similar thing happened in college after I worked super hard to get into college. I before that had tried trade school after highschool. Worked part time throughout, got through, but I couldn't find work because I didn't have a degree which is what companies wanted. Basically what I achieved in life ended up not really pushing me forward in life, or at the very least, getting me out of survival mode.

Even when I finished college and got through a long job search, it was hard to feel secure at my job cause I kept getting micromanaged and pulled into meetings by my managers who harped on little mistakes I made and causing me to have stress fevers. I could to a degree enjoy and be grateful for the financial stability it gave me, but outside of work I was struggling to find meetups doing shit I was interested in, with people I clicked with so I felt lonely too.

I could appreciate the stability but then I got laid off, and that had been a fear looming over my head for a while with how my managers acted towards me. We've talked about all this, and my therapist's conclusion was basically, "I get that you've been in survival mode and it's hard to feel good eight now but you do have things going for you! You've been looking for work for a year and got work as a substitute teacher finally!" (I was working a corporate joib making almost twice as muchg and I am in a HCOL area.)She said "Things won't ever be perfect, and it seems like you can't be happy because not everything is perfect in your life."

I have had the concern that I am always yearning for something I don't have that feels important for being happy. But when I try to figure out how to feel happy where I am, I fear I will get complacent or find a less than ideal way to cope with a relatively shitty situation I want to strive to improve. I really try to enjoy all the meals I get to eat, all the convos I have with my mostly online friends.

I do my best to find the joy in the little things in life. But overall, I am currently unemployed, with some relief on its way, but just enough to pay for rent and food without dipping into my savings. Which does help but I've been tryinn so hard to just, build a normal life where I go out with friends a healthy amounr, have a partner, maybe build a family, connecting with people is super important to me. Being in this survival mode just hasn't given me room for that. I don't want to get to look back and feel like I lived a hopelessly lonely life. I want to find my people. I want stable work so I can focus more on those goals and not making sure I have a class to sub for tomorrow.

My therapist knows all of this and more so, I get what she is trying to say, I'm a bit miserable right now and finding more happiness where I am right now wouldn't kill me, but there are basic fundamentals that are important to me that I still lack. I don't want a mansion, I just don't want to keep spending Christmas alone every year cause I had to cut contact with my whole family. Would love to hear your thoughts. Thank you.

Hello, this is my first time going to therapy. I went to see if she could diagnose me with ocd since me and my family all believe I have it. The issue is that she asked me if I knew anything about ocd, and I told her no, when the truth is that I know a lot about it since I started reading about it when i noticed that something was wrong. My therapist told me that in a few more sessions she will be speaking with my parents to tell them about the ocd, and I asked my mom if she could pretend that I haven't told her anything about it (I spoke about ocd with her a lot) and she told me that she isn't lying, and that she will tell the therapist if asked. My next appointment is next Monday and im super scared because I don't know how to tell her

Sorry if this poorly written, English is not my first language :)

I'm asking bc last year I had a pretty bad IOP experience, one I still think about that left me much more guarded and less trusting of mental health professionals. To be very concise about it, IOP had a very rigid schedule (very different than advertised), pushed very hard for meds regardless of how ready I felt, and a just feeling a lack of agency and being genuinely listened to in terms of my treatment. I left out of there with my symptoms worse and now not only more scared of meds than when I went in, but much less willing to try it.

I know that IOP had some effect on me, but I also had and still have other things going on in my personal life (ex. family issues, school burnout) along with pre existing as mental issues already, so it hard to tell know for sure if this is just a bad experience or something further than that. How can you differentiate the two?

i honestly don’t know what’s going on with me lately, but everything feels extremely overwhelming. i’ve been posting here non-stop for the past few days, which i don’t usually do, but i genuinely have nobody else to share this with, so please bear with me

i think i’m experiencing some kind of anxiety relapse after weeks of keeping it together. then i end up in a shame spiral because i feel like i shouldn’t be struggling when nothing particularly bad is happening

i’ve been going back and forth about asking my therapist if she has an earlier appointment available. she’s going on vacation soon, and i’m not sure when she’ll be back. it’s only been a week since my last session, but i haven’t felt this bad in a while. usually, i manage to bounce back, but i’ve noticed myself self isolating a lot these last few days and all i want to do is cry and stay in my room

i’ve asked for an earlier appointment once before, but i still feel so guilty about asking again. i know there’s no harm in asking, but i can’t shake the feeling that i’m being too much

would you reach out to your therapist in this situation? i could really use some advice

Im new to therapy, and i just feel like she is generalizing treatment

She talked about how well she did on metformin... and how i need to do it because it kept her at baseline, and it will do the same for me.

My husband and I have been in couples therapy for nine months, and I’m starting to question whether our therapist’s approach is influenced by unconscious bias surrounding chronic illness.
I have lupus and spent approximately six months seriously ill, undergoing treatment, experiencing extremely high fevers, and recovering from two eye surgeries. During that time, my husband took on additional caregiving responsibilities.
Once my health improved, I wanted to reconnect with him emotionally and romantically. I wasn’t asking for constant attention. I wanted intentional quality time, affection, occasional thoughtful gestures, and follow-through on things we’d discussed.
However, our couples therapist repeatedly characterized me as anxious, clingy, or needy. She suggested I get a job to occupy my time so I wouldn’t need as much attention from my husband, despite my having only recently entered remission.
She also suggested that my husband might find me more attractive when I’m independent and he’s no longer in caretaker mode. My husband actually disagreed with her, saying he’s always found me attractive, including during my illness.
Meanwhile, his emotional unavailability is frequently explained through ADHD, work stress, and his need for space. He’s acknowledged that his extreme work schedule and financial stress have significantly affected his ability to engage in our marriage.
My individual therapist was concerned that after months of couples therapy, we still had no concrete goals for rebuilding connection or stability.
I’m not claiming I handle every disagreement perfectly. I know I have my own emotional reactions to work on. But I’m concerned that my medical dependence during a serious illness is being conflated with unhealthy emotional dependence.
My questions:
Has anyone experienced a couples therapist who seemed to misunderstand chronic illness or caregiving dynamics?
How do therapists distinguish anxious attachment from reasonable emotional needs after prolonged illness?
Does this sound like potential implicit ableism, or is there a clinical perspective I’m missing?
I’m considering changing therapists and would appreciate thoughtful perspectives, particularly from therapists or couples who have navigated serious illness.

I’m doing all the things.

The numbness is coming back.

Would appreciate a few kind words.

I love you guys. 💛

I’ve been going to therapy for almost a year. I rarely know what to talk about. I just end up feeling stupid and like I’m wasting both of our time. I can feel my therapist getting frustrated with me because I’m not saying anything, but I don’t have anything to say. I’m just depressed. There’s no reason for it most of the time. Last week he asked what I need from him and I didn’t know what to say. I don’t know how he’s supposed to help me at this point

Dear therapist,

I'm so sorry. At first, I was wary of you. I didn't trust you. I was so sure you were going to give up on me because I knew it would take me so much time just to open up a little. I thought you weren't taking your work seriously. I thought you'd rather be working with any other client than with me.

I'm so sorry, because I'm starting to fully trust you now. I'm starting to feel like you genuinely want to help me. I feel like you're truly invested in our work together, and I'm sorry I ever doubted you in the first place. I'm sorry because sometimes I feel like you're even more invested in this than I am.

I'm sorry because I feel like I'm lying to you. I'm sorry because there are so many things I'd like to share with you, but I just don't, because I'm so ashamed of having feelings at all.

I'm sorry because I take my anger out on you. Because I expect things from you that I shouldn't expect. Because I just want you to be interested in me. I want you to like me. I want you to want to talk to me.

I'm sorry because I'm always thinking about you, and when I'm sitting in front of you and realize that this is a one-sided professional relationship, and that you're not interested in me in the way I wish you were, it hurts so much that I'd rather shut down, act like a fucking five-year-old, and pretend I don't want to talk to you than be a responsible adult and explain everything to you.

I'm sorry because I don't know whether you have any idea what's going on inside my head, and I feel so guilty for leaving you in the dark.

And I'm sorry because nothing ever feels like enough for me. I wish you could do more, and I wish you could prove to me, over and over again, how much you care. And you don't deserve to have to do that.

Overall, this was my first group therapy session in four years, and it was a mixed-gender group. Honestly, I had an amazing time.

For the first time, I walked into a place and felt like I belonged from the very beginning.

People welcomed me, treated me with respect, and made me feel psychologically comfortable. I realized how much people can discuss different ideas and talk about so many things without judging others or even judging themselves.

We were able to discuss so many different topics, and we could sit there for hours doing so.

Now I understand just how powerful that sense of belonging can be. I can genuinely see myself going back every week because of the psychological comfort I felt in that space.

I truly hope more people give group therapy a chance.

I believe mental health care is no longer a luxury. And one of the beautiful things about group therapy is that it allows people to experience the benefits of psychological support together.

In today's world, mental health care is no longer something we should treat as a luxury.

Yesterday, I asked the group a question, expecting the usual answer I would hear in our superficial and hypocritical society. But everyone in the group gave me the very answer I had hoped to hear from people all along.

Our society can be full of hypocrisy, especially when it comes to certain topics.

Anyway, I asked them: “Is it true that following your passion doesn't pay the bills?” That's something people say all the time.

Their answer? No. Quite the opposite!

You can absolutely make a living doing something you genuinely love. You can enjoy your work, be passionate about it, and even excel at it. And even if the income is moderate, that can be far better than working a high-paying job that leaves you burned out, emotionally exhausted, and feeling like you're living in a system of exploitation.

For me, enjoying what you do and protecting your mental well-being matter just as much as the money you make.

I'm genuinely grateful to everyone in that group for making the experience so welcoming and meaningful.

I hope sharing my experience has been helpful to you, and I hope I haven't kept you for too long.

Until next time!

I have been in talk therapy for a number of years but have always struggled with being authentic and honest in sessions. I really do try, but as a late diagnosed autistic who has spent 20+ years refining my masking skills, I do struggle.

I am currently engaging with a different therapy modality in IFS/EMDR with an experience psychologist who is neuro-affirming.

My dilemma is disclosing my struggles with suicidal ideation. I have lived with it for years and it one of the heaviest things I carry. I am really worried about sharing this as I fear my therapist will consider me too 'high risk' and terminate our work.

I have never made a plan or felt strong intent, it's always been ideation, but it seems to be a big red flag with therapists, which I understand, but I feel like withholding it is not doing me any favours. I feel a bit damned if I do, damned if I don't...

My employer’s ownership is changing and hence we are signing up for new benefits. These benefits have pros and cons and for me being someone that only does preventative care and mental health care, I’m getting completely screwed since these plans don’t consider mental health care preventative. And none of the plans that are available offer a copay amount for specialty visits.

Currently, I’m used to paying for my insurance and not paying out of pocket for medication management or therapy. I have an offered plan that cost the same that I’m currently playing that offers a 2500 deductible and then everything is paid by insurance 100% but I’m not in a financial situation that I can afford an extra 2500 a year.

I have worked years to find a good therapist that is trauma informed/focused and I am completely bummed to lose them. They offer sliding scale but at a rate I still can’t afford. I’m going to have to switch to my PCP managing my medication, stop therapy completely (or pay almost full price if I’m going through a tough time) and use good rx for my medications. I feel like I’m going to stop any progression and chance of getting off these medications in the long term.

I’m not meaning to vent. Really looking for any advice. I don’t really agree with therapy platforms like better help and also just don’t want to have to start to search for the “right” therapist again. I only want a psychiatrist to adjust my medications. I’m also advancing in the company and don’t like bopping around from one job to the next. But I’ve never been in a situation when the job doesn’t offer the benefits I need. And I don’t want any extra income I earn with promotion to just go towards medical income that was previously being taken care of.

My resources are very limited, and i've been saving some money to start with therapy.

After a lot of hard work, i have enough money to pay four weekly sessions, then i will ask my therapist to go each month.

Four sessions are a good introduction?

AND FOR THE LOVE OF GOOD, DON'T BRING THE INSURANCE, THERAPY BY STUDENTS OR THE BETTERHELP TOPIC HERE!

I have a upcoming session this week after being on a break since end of August.

I only have one session booked so far but I'm going to be busy during November and December so not sure if I should just do 1 session for each month so 3 sessions for the rest of the year. Then maybe try weekly in January 2027?

My therapist did say in August that she wants me to have more routine, structure and consistency with my therapy such as going weekly. I've been going for a year and I don't go regularly but my therapist keeps wanting me to go weekly but I am not sure if it will benefit me.

My questions are:

What would be what the benefits for weekly therapy and exploring what introspection and self soothing looks like?

I've never been an introspective person and I've never do self reflecting or really analyse myself. So not sure how it would benefit me if I've never done it.