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Dispelling the Myths of Psychotherapy
Natalie DeRose • September 14, 2020

What do you think of when you hear the word “psychotherapy?”. Do you think of a session you have been in? A story that your friend has told you? A scene from a Hollywood movie? Since there are so many depictions of what therapy is, it’s hard to disentangle the truths from the misconceptions. However, in order to truly understand psychotherapy, it’s important to address the myths that surround therapy and the therapeutic process.


While many myths surround the concept of therapy, the following nine myths are some of the most common:


Myth #1: Therapy is only for people with “real” or “serious” concerns


Therapy is for everyone and anyone; there are no specific criteria which an individual needs to meet to obtain psychotherapy. For example, there is a misconception that you must have a diagnosis or diagnoses in order to engage in psychotherapy (Tartakovsky, 2018).  The truth is, people engage in therapy for a variety of reasons, some of which include: interpersonal concerns, relationship difficulties, stress, lack of motivation, low self-esteem, lack of assertiveness, unresolved guilt, anger, the need for support and validation, and the desire to have their voice heard.


Myth #2: A friend can do the same job as a therapist


While friends can be a source of support, they do not have the same training therapists have. Registered/licensed therapists have a great deal of education and clinical training. Typically the minimum education requirement for a registered therapist is a master’s degree while psychologists usually have a doctoral degree. Their training is vast: from understanding clinical diagnosis(es) and treatment modalities, diagnosing (psychologists), knowing and strictly keeping to the parameters of confidentiality, and ways to effectively interact with clients in order to promote their growth (Tartakovsky, 2018).


Since therapists are not a part of your personal life they can be more objective. The inherent nature of friendships can cause friends to be biased. They may also have their own perspective about what is best for you (or what is best for them) which may interfere with your goals and achievements. Therapists have a non-biased approach when implementing effective coping skills, modalities, and other therapeutic means.


Myth #3: Therapy is too expensive and it takes too long


There are many different ways to obtain cost effective therapeutic services. Some graduate students offer low cost therapeutic services. Graduate students are in the process of refining their therapeutic skills and gaining experience in the field (Hatfield, 2011). These students are being observed, trained, supervised, and evaluated based on how they interact and treat their clients (Hatfield, 2011). Students are training to become future practitioners under the supervision of a licensed professional who has been approved by their institution. A second option is asking the therapist if they offer a sliding scale. Sliding scales allow the therapist to decrease the price of a session; however, the minimum cost for the sliding scale will differ from practice to practice (Tartakovsky, 2018).


Therapy is an investment in yourself. As such, many consider it money well spent.


Myth #4: Therapy is only helpful if the therapist has experienced the same event


It’s understandable why this misconception exists, as many people believe that in order for another person to truly know what you are going through, they must have experienced the same thing. There is a belief that this idea stems from the true desire to be understood (Tartakovsky, 2018). A therapist is able to understand and acknowledge the stressor that you may have experienced. By listening to you and understanding your situation, an empathic therapist is able to approach all the aspects and affects of the stressor with you and provide evidence based treatment (Tartakovsky, 2018). If a therapist does not have the training to address the stressor and the concerns that you have, the therapist will be inclined to refer you to another therapist.


Myth #5: People who go to therapy are weak


There is an underlying stigma suggesting that an individual is weak if they believe they need help shouldering their own stressors. On the contrary, being your most vulnerable self and seeking help is brave. It is difficult acknowledging that we cannot carry certain burdens all by ourselves; however when we overcome this obstacle, we become stronger and empowered.


The act of engaging in therapy has been stigmatized to evoke feelings of shame and guilt for various reasons, one being the idea that we should be able to cope with our stressors on our own. Instead, it is important to know that there is courage in disclosing your concerns to a professional. Why? Because it is not easy to open up and tell our story, let alone your most vulnerable stories. There is courage and healing in sharing with your therapist and the therapy process. 


Myth #6: All therapists are the same


Just as there are different types of therapy, there are also different types of therapists. Each therapist brings with them different training and educational experiences that fundamentally alter the way they approach and conduct therapy (Hatfield, unknown). Since all therapists are different, it’s important to find a therapist who you feel comfortable with, that you believe best suits your needs, and has experience with the concerns that you have. In the same way it’s important to communicate with your therapist what it is that you need in therapy versus what you feel is not helpful to you.


Myth #7: I don’t need therapy, I only need medication


Mental health differs from physical health whereby medication is typically the solution. Take the common bacterial infection, for example, if a doctor prescribes medication it is likely that the infection will resolve. When it comes to addressing mental health concerns, medications do not have the same impact that they do with physical health problems. Medication may help to alleviate and regulate some mental health concerns; however, medication does not resolve the source of the problem. Therapy allows you to get to the root of the problem, understand it, and learn how to approach it in a healthy way (Hatfield, 2011).


Myth #8: Therapy will not work


Due to therapeutic myths, many people are not aware of what therapy entails. Primarily, therapy requires hard work and dedication. When we take medications, we rely on them to resolve the problem without having to do extra work. Therapy takes a different approach. In therapy “you get what you give” and therapy works best if you actively participate in evoking change (Tartakovsky, 2018). Therapy also works when individuals want to be in session as opposed to when they are pressured or mandated to be there. If an individual is pressured to be in therapy, it is likely that they will not actively engage in the therapeutic process and will not obtain the full benefits.


Myth #9: I don’t have time to see a therapist


We often maintain very busy lives that leave little room for going beyond the parameters of our routine activities. This leads to us often forgetting to prioritize our mental health. The good news is that many therapists offer weekend appointments to accommodate the patient (Hatfield, unknown). But what if that still isn’t enough? The concept of therapy has now expanded to include telepsychology. Telepsychology allows individuals to participate in online therapy sessions while remaining in their homes or wherever is most convenient for them. This makes therapy more accessible, versatile, and time-efficient.




Written By: Natalie DeRose, M. Psy., B. A. (Hons)

Edited/Reviewed by: Dr. Stacy Lekkos, C. Psych


References


Hatfield, H. (2011, June 08). Top 7 Therapy Myths Debunked. Retrieved from https://www.webmd.com/depression/features/therapy-myths#4


Tartakovsky, M. (2018, October 08). 9 Myths and Facts About Therapy. Retrieved from https://psychcentral.com/lib/9-myths-and-facts-about-therapy/


Photo by mentatdgt from Pexels


By Dr. Stacy Lekkos August 29, 2024
Cognitive Behavioural Therapy (CBT) is a widely used approach in mental health care that focuses on the connection between thoughts, feelings, and behaviours. It may offer individuals valuable tools for managing stress and anxiety. By exploring how these elements interact, CBT aims to help people understand and modify patterns that contribute to their distress. The importance of managing stress and anxiety cannot be overstated, as these conditions can significantly impact overall well-being and quality of life. CBT addresses these issues by helping individuals recognize and change negative thought patterns and behaviours. Through cognitive restructuring and behavioural activation, patients can work on altering unhelpful thinking and engaging in positive behaviours. Cognitive restructuring involves identifying and challenging distorted thoughts, while behavioural activation encourages participation in rewarding activities to counteract depression and anxiety. These methods may empower individuals to handle challenges better and improve their mental health. Understanding how CBT can be integrated into personal care routines may benefit those seeking to enhance their psychological well-being. How CBT Addresses Stress and Anxiety Cognitive behavioral therapy (CBT) offers valuable strategies for addressing stress and anxiety. By identifying and challenging negative thought patterns related to stress, CBT helps individuals recognize how these thoughts can contribute to their stress levels. Techniques such as cognitive restructuring aim to change these stress-inducing thoughts, while behavioural interventions work to modify the behaviors that often accompany stress. For instance, someone overwhelmed at work might learn to break tasks into manageable steps and develop healthier work habits through CBT. When managing anxiety, CBT can be particularly effective in reframing anxious thoughts. Through techniques like exposure therapy, individuals gradually face their fears in a controlled manner, which can reduce anxiety over time. CBT sessions often teach coping strategies and skills that help individuals manage their stress in various situations, such as deep breathing exercises or structured problem-solving. The benefits of CBT for stress and anxiety include a better understanding of personal thought patterns and the development of effective coping strategies. This approach may offer long-term relief from stress and anxiety by equipping individuals with the tools to handle their challenges more effectively. Consulting with psychologists in Toronto can provide further insights into how CBT may support personal mental health goals. Consulting with a Psychologist Consulting with a psychologist for cognitive behavioural therapy (CBT) can provide valuable support in managing stress and anxiety. During your first CBT session, you may discuss your concerns and goals with the psychologist, who will work with you to develop a treatment plan. This plan may include strategies to address negative thought patterns and behaviours contributing to your stress and anxiety. Finding a qualified psychologist in Toronto, such as those at Toronto Psychologists, can be a crucial step in accessing effective CBT. In summary, CBT may offer significant benefits for managing stress and anxiety by providing a structured approach to understanding and changing unhelpful thought patterns and behaviours. If you are considering CBT, consulting with a psychologist may be a helpful next step in finding personalized support and exploring how this therapy can work for you.
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No matter how complex or simple it is, when you have a reason to do something, you are more likely to actually follow through with it. Remember to remind yourself why you want to focus on this area of your life. This will be particularly important when the going gets tough or if you fall victim of your previous routine way of functioning. Remember, meaningful change (in this case, sleep) does not happen overnight. Limit Blue Light Exposure Cutting out screen time before bed is one of the most effective ways to improve sleep quality. However, I’m fairly confident that most of you reading this will end the last moments of your night on a screen, whether it's a phone, computer, iPad, or the television. Throughout human evolution, humans evolved to be awake when the sun was up and to fall asleep when the sun went down. The problem with blue light specifically is that it has shown to stimulate the brain in areas that are active during alert day hours, disorienting the body’s natural preparation for sleep. Furthermore, blue light suppresses melatonin production (the hormone that makes you sleepy) and elevates cortisol (the hormone associated with stress ). Mariana Figueiro, PhD., found that two hours of screen time before bed displayed a suppression in melatonin levels in the brain (Figeuiro et. al., 2011). In fact, even when our eyes are closed, we have photo-receptors all over our skin that absorb light just as our retinas in our eyes would. Thus, having screens on anywhere around our sleeping areas is problematic. Tips to manage blue light exposure: Setting a screen time curfew Wearing blue light protective glasses Turn on blue light blockers on devices, i.e. phones and computers (f.lux and Nightshift are recommended for iOS users and Twilight for android users) Instead of watching TV, movies, or YouTube before bed, listen to a podcast or audiobook with the screen off or on sleep mode. Ensure your room is completely pitch black at night, with no lights on, curtains closed, and any technology still on should be covered. For those of you who sleep with a light on, it’s recommended to buy a red light for your bedroom. Not only do these look cool but red light on the visible light spectrum has been shown to have little to no effect on both melatonin and cortisol levels. This is hypothesized to be due to the fact that humans have evolved sleeping by fire throughout human history (Stevenson, 2016). Caffeine Consumption Before getting into what you can do to manage your caffeine consumption, let’s take a simplistic look at what caffeine actually does to the brain that impacts our sleep. During normal functioning hours, the brain slowly accumulates a chemical called adenosine that binds to receptors to slow down brain activity and make you feel tired. The longer you are awake, the more tired you feel. Where caffeine comes into play is that it is shaped very similarly to adenosine and it binds to brain receptors. When these receptors are blocked by caffeine instead of adenosine, this tricks the brain into thinking it's not tired. Caffeine has a half-life of about 6-8 hours. A standard cup of coffee has roughly 150g of caffeine in it. What this means is that after about 6-8 hours there is still about 75g of caffeine in your system. Therefore, the timing of your caffeine consumption is just as important as the quantity. With this being said, the best strategy involves setting a caffeine curfew in order to reduce the amount of caffeine in your system by bedtime. It is recommended to cut out all sources of caffeine approximately 8 hours before bed. This includes coffee, caffeinated teas, espresso, or any other source of caffeine. Change Your Mindset in Regards to Sleep Although the other two points mentioned will probably apply to most readers, this one was the most influential point towards improving my sleep. I associated sleep with a negative outlook, specifically with loss of time. I knew through research and extensive thought that if I was going to improve my quality of sleep I was going to have to change my mindset. That isn’t the easiest task, especially when you spend years of your life thinking you dislike something. Some things that I did that helped me with this was reinforcing my why . The more I thought about why I was addressing my sleep, the easier it became to desire wanting sleep. Once I slowly worked towards this, I found that my anxiety associated with loss of time began to reduce and I was able to associate sleep with a positive mindset. Meditate Mindfulness is the act of becoming aware in the present moment, without judgement. The practice of mindfulness through mindful meditation can provide an opportunity to create mental space at bedtime and to help you feel more relaxed. Mindfulness can also help you to cope with negative thoughts surrounding sleep and to help you shift your focus to your body and to be present. This technique is easily accessible by downloading free apps or using beginner guided sleep meditation videos on YouTube. Other Minor Tips to Improve Your Sleep Journaling is an excellent release before bedtime, especially if you are an over thinker. Letting out the thoughts on paper and getting them out of your head will allow you to focus more on sleep and less on what’s on your mind. Invest in a good mattress. As mentioned earlier, we are going to spend about one third of our lives sleeping so why not ensure that we get the best sleep possible? If you are not in an ideal financial situation at the moment, perhaps investing in a proper mattress isn’t realistic. For you, I suggest buying a memory foam topper or just a mattress topper. This is an inexpensive way to improve sleep quality. Sleep and wake at consistent hours. Our super complex yet lazy brain loves to work off of routines so do your brain a favour and go to bed and wake up around the same time. This will make the process easier on yourself and will make you less likely to give up from frustrations of not being able to accomplish what you set out to. Do not, and I repeat do not, do any work or eating or anything in your bed besides sleep. The brain works off of associations so don’t confuse your brain into thinking your mattress is an office, movie theater, or a kitchen table. This is just the beginning when it comes to ways to improve your sleep, as solutions often depend on one’s specific sleep challenges. However, trying any of these tips can be beneficial as improving our sleep is crucial to improving our physical and psychological well-being. Best of luck on your sleep journey and sweet dreams. Written By: Erik Michalik, M. Psy Candidate, BASc, Edited/Reviewed by : Chantal Legere, M. Psy References Figueiro MG, Wood B, Plitnick B, Rea MS. (2011) The impact of light from computer monitors on melatonin levels in college students. Neuro Endocrinol Lett .; 32(2):158-63. PMID: 21552190. Stevenson, S. (2016). Sleep smarter: 21 essential strategies to sleep your way to a better body, better health, and bigger success . New York, NY: Rodale Books. Photo by Andrea Piacquadio from Pexels
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Let’s put something into perspective here: each day consists of 24 hours. Of those, it is recommended that each person sleep approximately eight hours per night. According to these numbers, we spend one third of our entire lives asleep, yet for some reason the majority of us are choosing to ignore the importance of this inevitability. Sleep alone can improve our stress , memory functioning, alertness, mood, immune system, hormone functioning, and weight, to name a few. There are no quick fixes or super pills anyone can take for instant success but sleep is truly one of the closest natural aspects we can improve on in order to benefit almost EVERY aspect of our lives. So what can we do to improve our sleep? Define Your Why A recurring theme when deciding to make changes in our lives is defining our ‘why’. Any meaningful action requires meaning or purpose for it to be achieved. No matter how complex or simple it is, when you have a reason to do something, you are more likely to actually follow through with it. Remember to remind yourself why you want to focus on this area of your life. This will be particularly important when the going gets tough or if you fall victim of your previous routine way of functioning. Remember, meaningful change (in this case, sleep) does not happen overnight. Limit Blue Light Exposure Cutting out screen time before bed is one of the most effective ways to improve sleep quality. However, I’m fairly confident that most of you reading this will end the last moments of your night on a screen, whether it's a phone, computer, iPad, or the television. Throughout human evolution, humans evolved to be awake when the sun was up and to fall asleep when the sun went down. The problem with blue light specifically is that it has shown to stimulate the brain in areas that are active during alert day hours, disorienting the body’s natural preparation for sleep. Furthermore, blue light suppresses melatonin production (the hormone that makes you sleepy) and elevates cortisol (the hormone associated with stress ). Mariana Figueiro, PhD., found that two hours of screen time before bed displayed a suppression in melatonin levels in the brain (Figeuiro et. al., 2011). In fact, even when our eyes are closed, we have photo-receptors all over our skin that absorb light just as our retinas in our eyes would. Thus, having screens on anywhere around our sleeping areas is problematic. Tips to manage blue light exposure: Setting a screen time curfew Wearing blue light protective glasses Turn on blue light blockers on devices, i.e. phones and computers (f.lux and Nightshift are recommended for iOS users and Twilight for android users) Instead of watching TV, movies, or YouTube before bed, listen to a podcast or audiobook with the screen off or on sleep mode. Ensure your room is completely pitch black at night, with no lights on, curtains closed, and any technology still on should be covered. For those of you who sleep with a light on, it’s recommended to buy a red light for your bedroom. Not only do these look cool but red light on the visible light spectrum has been shown to have little to no effect on both melatonin and cortisol levels. This is hypothesized to be due to the fact that humans have evolved sleeping by fire throughout human history (Stevenson, 2016). Caffeine Consumption Before getting into what you can do to manage your caffeine consumption, let’s take a simplistic look at what caffeine actually does to the brain that impacts our sleep. During normal functioning hours, the brain slowly accumulates a chemical called adenosine that binds to receptors to slow down brain activity and make you feel tired. The longer you are awake, the more tired you feel. Where caffeine comes into play is that it is shaped very similarly to adenosine and it binds to brain receptors. When these receptors are blocked by caffeine instead of adenosine, this tricks the brain into thinking it's not tired. Caffeine has a half-life of about 6-8 hours. A standard cup of coffee has roughly 150g of caffeine in it. What this means is that after about 6-8 hours there is still about 75g of caffeine in your system. Therefore, the timing of your caffeine consumption is just as important as the quantity. With this being said, the best strategy involves setting a caffeine curfew in order to reduce the amount of caffeine in your system by bedtime. It is recommended to cut out all sources of caffeine approximately 8 hours before bed. This includes coffee, caffeinated teas, espresso, or any other source of caffeine. Change Your Mindset in Regards to Sleep Although the other two points mentioned will probably apply to most readers, this one was the most influential point towards improving my sleep. I associated sleep with a negative outlook, specifically with loss of time. I knew through research and extensive thought that if I was going to improve my quality of sleep I was going to have to change my mindset. That isn’t the easiest task, especially when you spend years of your life thinking you dislike something. Some things that I did that helped me with this was reinforcing my why . The more I thought about why I was addressing my sleep, the easier it became to desire wanting sleep. Once I slowly worked towards this, I found that my anxiety associated with loss of time began to reduce and I was able to associate sleep with a positive mindset. Meditate Mindfulness is the act of becoming aware in the present moment, without judgement. The practice of mindfulness through mindful meditation can provide an opportunity to create mental space at bedtime and to help you feel more relaxed. Mindfulness can also help you to cope with negative thoughts surrounding sleep and to help you shift your focus to your body and to be present. This technique is easily accessible by downloading free apps or using beginner guided sleep meditation videos on YouTube. Other Minor Tips to Improve Your Sleep Journaling is an excellent release before bedtime, especially if you are an over thinker. Letting out the thoughts on paper and getting them out of your head will allow you to focus more on sleep and less on what’s on your mind. Invest in a good mattress. As mentioned earlier, we are going to spend about one third of our lives sleeping so why not ensure that we get the best sleep possible? If you are not in an ideal financial situation at the moment, perhaps investing in a proper mattress isn’t realistic. For you, I suggest buying a memory foam topper or just a mattress topper. This is an inexpensive way to improve sleep quality. Sleep and wake at consistent hours. Our super complex yet lazy brain loves to work off of routines so do your brain a favour and go to bed and wake up around the same time. This will make the process easier on yourself and will make you less likely to give up from frustrations of not being able to accomplish what you set out to. Do not, and I repeat do not, do any work or eating or anything in your bed besides sleep. The brain works off of associations so don’t confuse your brain into thinking your mattress is an office, movie theater, or a kitchen table. This is just the beginning when it comes to ways to improve your sleep, as solutions often depend on one’s specific sleep challenges. However, trying any of these tips can be beneficial as improving our sleep is crucial to improving our physical and psychological well-being. Best of luck on your sleep journey and sweet dreams. Written By: Erik Michalik, M. Psy Candidate, BASc, Edited/Reviewed by : Chantal Legere, M. Psy References Figueiro MG, Wood B, Plitnick B, Rea MS. (2011) The impact of light from computer monitors on melatonin levels in college students. Neuro Endocrinol Lett .; 32(2):158-63. PMID: 21552190. Stevenson, S. (2016). Sleep smarter: 21 essential strategies to sleep your way to a better body, better health, and bigger success . New York, NY: Rodale Books. Photo by Andrea Piacquadio from Pexels
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