Much is written and done to battle stigma in mental health these days. Groups such as WISE put out wonderful content to educate the public and eradicate stigma. One primary goal of stigma reduction is to get people past their shame to a point of being willing to seek help for their mental health. Yet there remains a persistent and pervasive stigma surrounding psychotherapy. With the history of modern-day therapy rooted in the Freudian psychoanalysis couch, it can seem like a scary and unwelcoming paradigm to those who are not familiar with it.
For many, it’s taking medication. This is often the first line of defense in mental health. Given a variety of factors, from the structure of our healthcare system to social sanction to our being conditioned to expect immediate results, people have become relatively comfortable with taking pills. These pills can be lifesaving but they are often not enough. Medication is not the only, or the exclusive, path. Psychotherapy, often used in conjunction with medication, offers an additional route to live one’s best life with a mental health condition.
“Therapy is for people with no friends. I don’t want to tell a stranger all my secrets. I don’t need help. Therapy is for people with more money than problems”. These are some of the stigmatized, false, and damaging statements that get thrown around about the beautiful and restorative process of psychotherapy.
As a therapist in training, I’d like to destigmatize going to therapy, shedding some light on what therapy is, what it isn’t, and how it can help with your mental wellbeing.
Remember that each individual therapy experience will be different based on your needs and the way your therapist works. And, by the way, it’s okay to try out different therapists until you find someone who you click with.
TRUE: Therapy is a safe space.
You can feel any feelings you have in therapy without judgment. You can share without fear of repercussions. You can experience your pain, joy, anger, and any other emotions while your therapist “holds space” for you. This means they will listen with genuine compassion, help you sort through your feelings, and guide you in whatever comes next. You can do all of this at your own pace.
TRUE: Therapy is for learning skills.
Therapy involves learning new skills. These skills might include emotional regulation, relaxation, distress tolerance, acceptance, thought challenging, communication techniques, mindfulness, self-compassion, and lifestyle changes.
TRUE: Therapy gives you new perspectives.
We all live life from our own vantage points. But perception isn’t reality: it’s just one data point. We don’t always consider all aspects of a situation. Therapy can help you identify alternative ways of seeing or thinking about things.
TRUE: Therapy helps you make changes.
Therapy gives you new skills and perspectives so that you can make the positive changes you want to see in your life.
TRUE: Your relationship with your therapist lets you examine how you relate to others.
Do you laugh when you’re uncomfortable? Do you get defensive when someone points out an area for improvement? Chances are you’ll do the same with your therapist; they will gently reflect this pattern back to you so you can examine it together.
FALSE: Therapy is only for those with serious problems or mental health conditions.
Therapy can help anyone going through anything. It could be a life transition, grief, an acute stressor, a relationship change, social discomfort, fears, discontent, substance use, depression, loneliness, concentration problems, anxiety, angst…the list is endless.
FALSE: Going to therapy means you are weak.
Being human is a beautifully complex and difficult endeavor. We ALL need help sometimes and people have been relying on each other for assistance since the dawn of time. Therapists make providing this assistance their life’s work and full-time jobs: to be compassionate, wise, regulated, and insightful.
FALSE: Therapists hypnotize or control you.
You, and you alone, have control over your actions in this world. (This is actually a perspective you might gain in therapy!) Therapy helps you become the person YOU want to be, not the person the therapist thinks you should be.
FALSE: Therapy goes on forever.
In some cases, people will need ongoing therapy to deal with chronic issues or severely traumatic pasts and that’s absolutely fine. In many cases, however, you undertake a course of therapy to address a specific issue(s). You will set goals, work towards them, and address anything that arises in the process. When you feel you’ve made sufficient progress towards your goals, it’s perfectly normal to stop going to therapy. It’s also perfectly normal to go back again when there is something else to address, like you would with your dentist or primary care physician.
FALSE: Going to therapy is just paying someone to be your friend.
Therapists and friends may both have your best interests at heart, but they are very different. Friends have their own needs, agendas, and baggage they bring to the relationship. Therapists create an environment that is exclusively about your needs and growth. Friends listen, give advice, and sometimes might tell you what you want to hear in order to be supportive. But therapists spend years training in order to guide you to be your best self.
As with anything, knowledge dispels stigma. Now that you know a bit more about therapy, what are your impressions? What might you attend therapy to address? What would you hope to get out of the process? What would you be doing differently in the future that would tell you it’s time to end therapy for now?
Andrea B. Vassilev is a fifth-year doctoral student earning her Psy.D. in clinical psychology. Her dissertation, titled “Overcoming Self-Stigma in Bipolar Disorder: An Intervention”, involved the creation of the first ever English language program to address and treat self-stigma in bipolar disorder. See www.ossibd.com for information. Ms. Vassilev works under her supervisor as a therapist for those with mood, anxiety, trauma, and personality disorders as well as with those seeking support and growth during life transitions or difficult times.
Personally, Ms. Vassilev dedicates herself to mental health outreach, awareness, and advocacy. Her primary passion is the fight to eradicate stigma regarding mental illness and heal self-stigma in those living with these conditions. To that end, she presents and writes on topics both academic and personal for outlets such as Slate Magazine, the International Bipolar Foundation, NAMI, and Behavioral Health News. These talks and articles cover a variety of topics both academic and personal. She hopes that telling her own story of life with bipolar disorder through the lenses of clinical causes, treatments, and outcomes will provide education, hope, and comfort to others. Click here to learn more.
Here are some specific examples of what partnership with us can look like. Every plan is customized — this is just a starting point.
Classroom wellbeing auditClassroom teachers assess their current wellbeing supports, identify specific strengths and gaps, and actively engage with research-based strategies to create an action plan for supporting student wellbeing in the classroom. This audit is more than a checklist—it’s a mirror that reflects how your everyday choices shape the mental health and wellbeing of everyone in your classroom. By pausing to rate, reflect, and plan, you will:
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Specialized mental health skill-building workshopsThis goes beyond basic literacy to provide staff with practical skills and techniques for managing specific situations and promoting positive mental health within the school. Examples
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Adult SEL developmentJust as students benefit from developing social-emotional skills, so do adults. Adult SEL focuses on educators understanding their own emotions, managing impulses, setting goals, showing empathy, building healthy relationships, and making responsible decisions. Examples
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Integration of mental health into curriculumEmbedding mental health education within the regular curriculum normalizes these topics, reduces stigma, and equips all students with foundational knowledge and skills related to their emotional well-being. Rogers’ understanding of key mental health concepts can inform curriculum development. Examples
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Mental health literacy trainingThis partnership focuses on equipping school staff with a foundational understanding of mental health concepts, common disorders in children and adolescents, and the importance of early identification and intervention. Examples
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Trauma-Informed practicesTrauma-informed practice recognizes the widespread impact of trauma and understands potential paths for recovery. In a school setting, this means understanding that students (and staff) may have experienced trauma and that these experiences can affect behavior, relationships, and learning. Training helps staff recognize the signs of trauma, respond in a way that avoids re-traumatization, and create a safe and supportive environment. It also includes understanding secondary trauma or compassion fatigue that educators may experience when working with individuals who have experienced trauma. Examples
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Mindfulness and stress reduction workshops for staffMindfulness involves paying attention to the present moment without judgment. Stress reduction techniques are practical strategies designed to lower physiological and psychological responses to stress. Training in these areas equips educators with tools to manage the inherent demands and pressures of their job, cultivate a sense of calm, and increase their capacity to be present and responsive. Examples
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Building resilience (CLE)Resilience is the ability to adapt well in the face of adversity, trauma, tragedy, threats, or significant sources of stress. Training in resilience helps educators identify their strengths, develop positive coping mechanisms, cultivate optimism, and build strong support networks. Examples
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Enhancing school climate – for the staffSchool climate refers to the quality and character of school life. A positive school climate for staff is characterized by trust, respect, collegiality, collaboration, and a sense of belonging. Consultation focuses on identifying areas for improvement and implementing strategies to foster a more supportive and positive environment. Examples
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Needs assessment and strategic planning (CLE)A systematic process of gathering information about the current state of staff wellbeing within the school, identifying key stressors, and understanding the needs and preferences of the staff. This data then informs the development of a targeted and effective plan for implementing wellbeing initiatives. Examples
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Developing supportive policies and practicesExamining existing school policies, procedures, and unwritten norms to identify those that may contribute to staff stress or hinder wellbeing. Consulting on modifications or new policies that actively promote a healthy work environment. Examples
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Consultation on school mental health systemsThis involves leveraging Rogers’ understanding of best practices in mental health care to advise schools on the development and implementation of comprehensive systems that support student and staff well-being. Examples
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Integrating wellbeing into existing structuresEmbedding wellbeing initiatives within the school’s existing operational framework rather than treating them as separate, add-on programs. This ensures long-term sustainability and demonstrates that wellbeing is a priority. Examples
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Leadership coachingCoaching specifically designed for school administrators and team leaders. This focuses on developing their leadership skills related to supporting staff wellbeing, creating a positive team culture, and effectively managing workplace dynamics that can impact stress levels. Examples
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Individual wellbeing coachingA confidential and supportive partnership between a trained coach and an individual staff member. The coach helps the staff member identify their wellbeing goals, explore challenges, develop strategies, and build self-awareness and resilience. This is particularly helpful for staff experiencing high levels of stress, burnout, or those seeking to proactively enhance their wellbeing. Examples
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Instructional coaching with a wellbeing lensIntegrating conversations and support around wellbeing into existing instructional coaching cycles. This recognizes that teacher wellbeing is intertwined with their classroom practice and provides a holistic approach to support. Examples
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Peer coaching programsTraining selected staff members to serve as peer coaches for their colleagues. This leverages internal expertise and fosters a culture of mutual support within the school. Peer coaches can provide a confidential and relatable source of support, sharing strategies and offering encouragement. Examples
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