In my upcoming series of discussions, I will address some uncomfortable truths about the counseling industry. These are not easy conversations and are certainly not without personal risk. Recently, I have faced assault due to my willingness to speak out against the entrenched norms and typical practices within our field. However, I remain steadfast in my commitment to advocating for change and implementing proven validated techniques.
The need for change in counseling is echoed strongly in Abigail Shrier's "Bad Therapy," a book that highlights the various shortcomings and potential harms within our industry. Inspired by Shrier’s work, I will delve into several critical issues over the coming weeks, including:
Uncharted Mind: Many practitioners lack comprehensive education about the brain's complexities and how different therapeutic interventions can impact it. This gap in knowledge can lead to ineffective or even harmful treatment practices.
Risky Business: Clients often enter therapy without being fully informed of the potential risks and side effects. Transparency is essential in fostering trust and ensuring clients can make informed decisions about their mental health care.
Because I Say So: Too many therapeutic approaches lack empirical support and measurable outcomes, both for the client and the therapist. It is crucial that we adopt and adhere to methods that have been scientifically validated to ensure effective treatment. Of the many therapists I have discussed how they "know" their approach is working, virtually zero have utilized assessment standards or client surveys.
Yes Master: The industry is plagued by norms that are not only outdated but also harmful. For example, the concept of "indentured servitude" within counseling refers to the often exploitative conditions under which many new therapists work. These norms must be challenged and reformed to create a healthier environment for clients and practitioners.
Feelings Aren't Facts: The industry's heavy focus on feelings increases client distress. While emotions are an important aspect of therapy, they should not overshadow the importance of evidence-based practices and objective progress.
Heal Thy Self?: There is a concerning incidence of counselors who have never undergone their own psychotherapy. This lack of personal experience with therapy can lead to them using client sessions for their own emotional processing, which is both unethical and detrimental to the client's progress.
Jack of All Trades, Master of None: Many therapists are generalists and try to do and be everything for their clients, leading to the use of watered-down tools and techniques. This approach often results in clients becoming dependent on the therapist rather than being empowered to manage their own mental health independently.
Forced Allegiance: A troubling trend has emerged in the counseling and psychological industry where affirmation of mental illness is the norm. Those of us who adhere to more conservative views are being ousted and labeled as uncompassionate villains.
My commitment to advocating for these changes is unwavering. Only through open dialogue and a willingness to confront these issues head-on can we hope to bring about meaningful transformation in our industry. Stay tuned for more in-depth discussions on these topics and other crucial points throughout the series in the coming weeks.
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