Spilling the Tea on the Therapy Couch: Fact vs. Fiction
Getting Real About Misconceptions about Individual Therapy
By: Morgan Kobitka, MSW, LSW
Picture this: a quiet room, a comfortable couch, and YOU… talking about your deepest feelings. How does that image really make you feel? Awkward? Vulnerable? Maybe even a little cliché? Let’s unpack that famous therapy couch and tackle the biggest misconceptions surrounding what actually happens in individual therapy.
Beyond the couch: Just One Piece of the Therapy Puzzle 
When you hear the word “therapy,” does your mind instantly picture someone lying on a couch, maybe analyzing their dreams, like you see in old movies? The truth is “therapy” is an umbrella that covers so many different approaches. You might come across acronyms or names like CBT, DBT, EMDR, psychodynamic, internal family, somatic and many many more – each works a bit differently and focuses on different things. Don’t assume therapy is just about talking. You’ll find therapy sessions are typically diverse, carefully adapted to your personal and unique needs, this includes how the therapist implements different therapeutic styles. You could find yourself learning tangible coping strategies, completing insightful exercises, practicing mindfulness, exploring how you are thinking about things, or even channeling your experiences through creative tools such as art. Today’s therapy is diverse, engaging, and emphasizes finding the unique approach that’s right for you!
“Therapy is Just for ‘Crazy’ People”—Let’s Bust That Myth!
Let’s talk about a really common idea that’s just not true: the thought that therapy is only for people with serious mental health issues, or what some old movies and stories call ‘crazy’ people. Honestly, that picture is totally outdated and wrong!
The truth is, therapy is like a helpful toolkit for anyone trying to handle the everyday challenges and changes life throws at us – whether you’re a kid dealing with school stuff, a teenager figuring things out, or an adult juggling work and family.
People go to therapy for all sorts of reasons! It could be:
- Learning how to manage stress from school, friends, or work.
- Dealing with sad feelings when you lose someone or something important.
- Making relationships with family or friends better.
- Getting through big life changes like moving, starting a new school or job, or changes in the family.
- Simply wanting to understand yourself better, feel more confident, or learn new ways to be happy.
So, therapy isn’t only about helping with a big, specific problem. It’s also about keeping your mind healthy, learning cool ways to cope with tough feelings or situations (like learning a new skill for a game!), and just feeling good overall.
Think of it less like an emergency room visit for when something is seriously wrong. Instead, picture it more like a regular check-up to help you stay strong and healthy, or like joining a workshop to learn something new that helps you handle life’s curveballs. It’s about building your inner strength and skills to get through stuff, no massive crisis needed!
Myth: “Strong People Don’t Need Therapy.” (Truth: Real Strength is Asking for Help!)
Have you ever heard someone say that going to therapy means you’re weak? Or that ‘tough’ people are just supposed to magically fix all their problems by themselves, like a superhero?
Think about it for a second: realizing that you could use some support, or that something feels too big to handle alone, and then actually doing something about it? That takes a ton of courage! It shows you’re paying attention to how you feel and you’re brave enough to face your challenges head-on, instead of just pretending they don’t exist.
It’s kind of like if someone wants to get better at a sport, so they work with a coach, or if they want to get physically stronger, so they team up with a personal trainer. Would you say they’re weak for wanting help to improve? NOPE! They’re smart and taking active steps to get better and reach their goals.
Well, going to therapy is exactly the same idea. It’s a really strong, smart, and proactive thing to do. It’s about taking charge to feel better, understand yourself more, and learn new ways to handle things more effectively, whatever your age.
“My Friends Listen – So Why Therapy?” Understanding the Difference
“It totally makes sense if you think chatting with a good friend or someone in your family is pretty much the same thing as going to therapy. After all, talking about our problems definitely helps, and having people who support us is super important, right? Absolutely!
But there are some big, important differences between those chats and what happens in therapy. Think about it: your friends and family know you really well, they love you, and they’re part of your everyday life. Because of this, they naturally have their own opinions, feelings, and experiences mixed in when you talk. Sometimes this is called having a ‘bias’ which is like they might always take your side or have strong ideas about what you should do based on their own life. Sometimes, you might even hold back from telling them everything because you don’t want to worry them, feel judged, or make your relationship complicated.
Therapy, on the other hand, offers a unique kind of space. In therapy a therapist:
- Keeps things private: What you say in therapy stays in therapy (this is called confidentiality). *Unless something comes up about self-harm, child abuse or neglect, or hurting someone else.
- Offers a fresh, outside view: They aren’t part of your circle or daily life, so they can see things without already having personal feelings or opinions mixed in.
- Is specially trained: Therapists have learned specific ways to help you understand yourself better, build skills to handle tough situations (like coping skills for stress or big emotions), and work through challenges step-by-step.
In therapy, the entire focus is 100% on YOU, your well-being and what you need. It’s different from a friendship where you both share and support each other back and forth – this time is dedicated just to you. So, while leaning on your friends and family is incredibly valuable (keep doing that!), therapy provides a different kind of dedicated support, with special expertise and a confidential space that even the most wonderful friends usually can’t offer.”
Your Turn: Step Beyond the Myths!
Now that we’ve cleared the air about what therapy really is (and isn’t!), here’s a little challenge for you:
- Think About It: Did any of these myths affect how you thought about therapy? Now that you know the real deal, what feels different for you?
- Spread the Word: You can be a myth-buster too! Share what you’ve learned with someone. Sometimes, just talking openly about therapy can help others feel more comfortable.
- Curious to Learn More? If you (or someone you know) have been wondering if therapy could help, why not take one small step? This could be as simple as reading another article, just thinking about what you might want support with, or check out https://www.pillarstherapy.com/our-clinicians/ and seeing who might be a GREAT fit for you and your goals. Remember, even small steps forward are still steps!
Don’t let old, busted myths hold you back from feeling your best or supporting someone else on their journey. Your well-being is super important.
Are you ready to look beyond the stereotypes and see what therapy could truly offer?