Do You Need Therapy?

depression1_2112Although you might enjoy therapy – who wouldn’t like having someone’s undivided attention and invitation to talk about themselves without need for reciprocation – do you need therapy? While deciding the answer to that question is an inside job each of us has to do for ourselves, if someone were asking me to answer it for them, I would want to know a couple of things: the nature of the issues they have experienced or are currently experiencing, and the quality of the support they currently have available to them.

Ultimately, that’s what a therapeutic relationship is, high quality support to stand with you and help guide your processing the issues in your past or present, someone able to help you gain a different perspective, a new direction, or just some peace and resolution.

If you’re trying to determine whether therapy might be right for you, writer and psychotherapist Martha Beck has devised the following list of questions to consider:

1. Is there anyone who knows and cares about all or almost all the significant events of your life?

2. Do you feel as though you’re living life behind an invisible screen, unable to truly connect with anyone or anything?

3. Is there at least one person you talk to at least once a week who really understands all or almost all your feelings?

4. Is there anything you feel you can’t or mustn’t tell anyone?

5. Do you feel comfortable crying in front of the person or people you love most?

6. Have you recently suffered any kind of serious emotional wound, such as the loss of a job or a loved one?

7. Have you benefited from therapy in the past and recently felt wistful about it, missing that kind of reliable support?

8. Do you have unexpected negative emotional reactions to others’ behavior toward you, such as feeling shame when you are praised or anxiety when you are loved?

9. Are you able to freely express love to your family and friends?

10. Does your fear of others’ disapproval dominate your choices?

11. Are you lonely even if—or especially when—you’re with a group of people?

12. Do you have to be under the influence of alcohol or drugs in order to be open about your thoughts and emotions?

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About Lee Kotsalis-Thulin

With a Master’s Degree in Counselling Psychology from UBC, Lee is a Registered Clinical Counsellor and has been working in the field since 1995. In 2003, she founded ModoSano Counselling, a private counselling practice serving individuals, couples, and families facing a variety of concerns. Lee is passionate about health and healing, and practices a counselling approach that is grounded in respect, mutuality, confidentiality, acceptance, and the capacity of every person to heal and transform their lives. Her particular areas of expertise include working with disordered eating and body image concerns, substance misuse, emotional wellness, and relationship disconnect.

Lee’s belief in being an effective counsellor is having an interesting and balanced life, and she feels fortunate to have a family and circle of friends who keep her energized, curious and grounded.

  • Kathryn

    Thanks for this article. Seeing a trained therapist regularly is probably the best thing I have done for myself in years. We hire professionals to train our bodies, style our hair, fix our teeth, repair our cars- why not a little tune up for the mind as well :)