Ep. 31 - Why Therapy Feels So Confusing and How to Make Sense of the Options
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Dr. Andrew Rosen and Dr. David Gross start with a simple question they hear all the time. What actually is psychotherapy, and why does it feel so hard to understand?
The conversation moves from the early days of talk therapy and Freud’s influence to why so many people still expect a couch and silence when they walk into an office. They talk honestly about why long, insight focused approaches work for some people and not for others, especially when someone is in real emotional pain and needs relief sooner rather than later.
They explore how different styles developed, why thinking patterns matter so much, and why therapy is not one size fits all no matter how tempting that is for clinicians or patients. Along the way, they share real world examples, analogies that actually make sense, and a few dry observations about training, turf wars, and how people end up confused in the first place.
The thread that runs through it all is the importance of fit, careful evaluation, and asking clear questions before committing to any approach.
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