Episode 28. What Therapy Actually Is (And Isn't)
EPISODE DESCRIPTIONTherapy gets misunderstood constantly. This episode draws the real line between coaching, counseling, and therapy (including how an LMHC differs from an LCSW), then busts five myths: that therapy is unstructured venting (it follows a theoretical orientation and often a DSM Five diagnosis and treatment plan),that it's only for crisis, that it always takes years, that seeking it means something is wrong with you, and that it only covers feelings, not money. Along the way: why stigma is one of the biggest documented barriers to care, how it lands unevenly across different groups, and why financial therapy treats money as the emotional territory it actually is.Learn more about what I do!REFERENCES American Psychiatric Association. (2022).Diagnostic and statistical manual of mental disorders (5th ed., text rev.).https://doi.org/10.1176/appi.books.9780890425787Bennett, L. (2026, May 20). LCSW vs. LMHC: Key differences explained. Public Health Online. https://www.publichealthonline.org/lcsw-vs-lmhc/Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rüsch, N., Brown,J. S. L., & Thornicroft, G. (2015). What is the impact of mentalhealth-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11–27. https://doi.org/10.1017/S0033291714000129Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37–70. https://doi.org/10.1177/1529100614531398Financial Therapy Association. (n.d.).Home. https://www.financialtherapyassociation.orgHarrer, M., Miguel, C., van Ballegooijen, W., Ciharova, M., Plessen, C. Y., Kuper, P., Sprenger, A. A., Buntrock, C., Papola, D., Cristea, I. A., & Cuijpers, P. (2025). Effectiveness of psychotherapy: Synthesis of a "meta-analytic research domain" acrossworld regions and 12 mental health problems. Psychological Bulletin, 151(5), 600–667. https://doi.org/10.1037/bul0000465Jordan, M., & Livingstone, J. B. (2013). Coaching vs psychotherapy in health and wellness: Overlap, dissimilarities, and the potential for collaboration. Global Advances in Healthand Medicine, 2(4), 20–27. https://doi.org/10.7453/gahmj.2013.036Levy, K. (2025, April 4). 5 common therapy myths—and the research that disproves them. Charlie Health. https://www.charliehealth.com/research/therapy-mythsPsychotherapy Notes. (2024, May 15). Therapy and coaching: Understanding the differences. https://www.psychotherapynotes.com/therapy-and-coaching-differences/Quintero Johnson, J. M., & Riles, J. (2018). "He acted like a crazy person": Exploring the influence of college students' recall of stereotypic media representations of mental illness. Psychology of Popular Media Culture, 7(2), 146–163. https://doi.org/10.1037/ppm0000121Seidler, Z. E., Dawes, A. J., Rice, S. M., Oliffe, J. L., & Dhillon, H. M. (2016). The role of masculinity in men's help-seeking for depression: A systematic review. Clinical Psychology Review,49, 106–118. https://doi.org/10.1016/j.cpr.2016.09.002Üzümçeker, E. (2025). Traditional masculinity and men's psychological help-seeking: A meta-analysis. International Journal of Psychology, 60(2), Article e70031. https://doi.org/10.1002/ijop.70031Weir, K. (2016, December 1). Therapy on camera. Monitor on Psychology, 47(11). American Psychological Association.https://www.apa.org/monitor/2016/12/therapy-cameraWong, Y. J., Ho, M. H. R., Wang, S. Y., & Miller, I. S. (2017). Meta-analyses of the relationship between conformity to masculine norms and mental health-related outcomes. Journal ofCounseling Psychology, 64(1), 80–93. https://doi.org/10.1037/cou0000176