Psychotherapy: Myths and Facts

Psychotherapy is a type of counselling or talk therapy, which can be based on a variety of psychological theories. It can be for an individual person or child, for a couple, for family members, or for a group of people. The goal of therapy is usually to identify underlying thoughts and emotions, and to help bring a change in patterns of behaviour. It is used in the treatment of mental health related illnesses. It can also help in building skills to enhance coping, decision making, problem solving, communication at work, in relationships, or during life transitions.

There continue to be many myths and misunderstandings about psychotherapy. These misconceptions create stigma and often become barriers in seeking help, for people who need it. Here are some common myths about psychotherapy:

Myth: Therapy is best done in an informal setting like a coffee shop or a park

Fact: Therapy requires a structured space. The therapist’s clinic provides the confidentiality and psychological safety patients require to feel at ease and express themselves freely. The room is also set up in a manner to reduce noise and other distractions and minimize any potential triggers. 

Myth: Therapy is a very long process

Fact: Therapy is a scientific, evidence-based process. Three to six months in therapy can bring about symptom relief and lasting change. In some cases, however, therapy may last for a longer duration. This would depend on the nature and severity of the problem, and would be communicated with the patient as the treatment plan is formulated. 

Myth: Therapy will make me dependent

Fact: A key component of psychotherapy is building ego strength i.e. a person’s ability to cope with the challenges of life in an effective manner. Therapists do not offer quick-fix solutions or give advice. Sessions are spaced out and telephonic contact in between therapy sessions is discouraged. All of these measures ensure that patients learn to cope with difficult situations on their own, and develop strong support systems outside therapy. 

Myth: I will lose my originality if I go for therapy

Fact: Therapy does not, and cannot change a person’s identity or personality. Instead, it aims to change unhelpful ways of thinking or behaving that stop a person from reaching their full potential. The patient and therapist work together to establish goals for therapy, in a manner that aligns with the patient’s long term values and vision for themselves. 

Myth: Therapy is meant only for minor problems, not for a mental health illness

Fact: Most mental health illnesses result from a combination of biological, psychological and social factors. And so, psychotherapy is a key component of treatment in various mental health illnesses, including depression, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, eating disorders, somatic symptoms and personality disorders, amongst others. Evidence-based therapies are used to alleviate symptoms, improve quality of life, and promote long- lasting recovery.  

Myth: Taking therapy is a sign of weakness

Fact: We all have mental health, and we all have times when we may struggle to cope. Confronting problems, taking accountability, aspiring for change and seeking help are signs of strength, not weakness. Taking therapy is a way for people to lead more meaningful and fulfilling lives. 

Myth: It’s better to talk to a friend, why do I need to go to a therapist

Fact: Close friendships are a great pillar of strength and support, and are integral to our sense of well-being. However, a friend is not a substitute for a therapist, neither is a therapist a substitute for a friend. Becoming a psychotherapist requires years of training and experience. Through conversations, the aim of therapy is to change unhelpful thought and behaviour patterns, build emotional regulation, improve interpersonal relationships, work through past trauma, and strengthen the overall self. 

Myth: Therapy is for when you have a problem for which you are looking for a solution

Fact: Therapists do not offer advice or give solutions to problems. They work on building insight so patients better understand and make changes in their overarching patterns of thinking, feeling and relating to the world. Rather than making decisions for patients, 

psychotherapy empowers patients with the skills to make effective choices that resonate with their personal values and goals - and take responsibility for the outcomes of their choices.