1. I want to get through it on my own.
We live in a society that places a lot of value on independence, but in truth, we are interdependent. Each of us does need other people to some degree. Participating in therapy is not a passive process. You are not “attending therapy”, or “getting therapy”. Therapists are not administering something to you. Therapy is an active, collaborative process of figuring out life. Therapists do have some specialized knowledge about mental health, but we act as guides, not fixers. In fact, but of the unique aspects of therapy is that therapists act as guides, not as fixers.
2. If my friends and family can’t help me, how will someone I don’t even know help me?
Friends and family play extremely vital roles in our lives, and there is no substitute for those types of relationships. Often the people in our life have a vested interest in what we choose to do or in what direction we move. The role of a therapist is very different. When you go to therapy, the first task is for the therapist to be able to understand your hopes and goals, because your agenda is our agenda. Sometimes family and friends have the tendency to try to make things better for you. Therapists are trained to help you find the tools to make things better for yourself.
3. It’s not that bad. I’m not crazy. Therapy is a last resort for me.
People participate in therapy for a wide variety of reasons.
Sometimes things in their lives are pretty bad when they initiate therapy.
Sometimes they start treatment because they aren’t feeling fulfilled, or because something in life feels “off”. They want to not simply get through each day, but instead want to thrive. Sometimes students come to therapy because they are aware that academic stress is unavoidable and they want to learn strategies to manage it before it starts to create problems. At UNC Counseling and Psychological Services (CAPS), we work with people throughout the whole spectrum, between preventing problems before they start and treating issues before they begin.
Mental Health is similar to physical health in that it is often a quicker, easier process if you take a proactive approach. I often hear from students who have recurrent depression that the first episode was the worst, in part because they didn’t know to take action until things felt completely unmanageable.
Stigma is real. Often times we are socialized to have some negative feelings towards individuals with mental health disorders and towards seeking mental health treatment. Where have you heard some of those messages? What do you believe? How might you overcome the stigma associated with seeking services?
4. Therapy is too _____________________ (Expensive, Time Consuming)
There is no arguing with that. Participating in therapy definitely takes time (typically 45-60 minutes weekly). It also may require a financial investment. Although CAPS brief therapy services are free, there are times when students may start off with or transition to a community provider, where there will likely be a copay.
Often when I meet with students, their symptoms are impacting their ability to be as successful as they could be academically. Their friendships or relationships with loved ones may be impacted. Anxiety, for example, could make it extremely difficult for a person to concentrate and learn new material, and to seek frequent reassurance from friends, or to avoid social situations altogether. Also, some of the symptoms they are experiencing are painful. They are in real distress. Can you relate to this? How are the issues you are having impacting your quality of life?
If one part of the equation is the cost/time/effort, please remember to include the other side of the equation- the impact the symptoms are having on your well-being.
Therapy is not for everyone. But therapy is helpful for some people, and it just may be that it could be helpful to you. But don’t take my word for it! See if therapy can help you. The best way to get something out of therapy:
- Come in with some goals in mind.
- Ask your therapist questions.
- If you don’t feel as if the first person you see is a good fit, work with someone else.
- Monitor your symptoms and your progress toward your goals, and work with your therapist to get the most out of your time together.
- Be open with your therapist about any concerns you have about the therapy process.
If you would like to initiate therapy or simply talk with a clinician more about your options for mental health services, please walk in to CAPS between the hours of 9*-12 and 1-4 M-F (8-5 if you have urgent concerns). *Friday morning initial appointments begin at 9:30 a.m.
Originally posted August 6, 2013. Revised and updated 2016.