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fullmoon | 2 years ago

If all you need is someone to talk with, there is no difference.

discuss

order

mnky9800n|2 years ago

then why pay someone to talk as opposed to going to the pub with your friend?

germinalphrase|2 years ago

Because your friend may be too close to your problems to be of help, may not speak with candor to avoid harming you/your relationship, may be an active participant in your problem, may have no experience talking/thinking about your problem limiting their ability to offer useful feedback…

Without even broaching the diagnosis and treatment of mental health conditions, there are any number of reasons why paying a neutral third party to discuss your problems could be preferable than talking to a friend at a bar. Nor are they mutually exclusive.

codeulike|2 years ago

Talking to anyone is pretty good, so you're not far wrong.

A counsellor or therapist has training - think of it as a mental toolkit - to help explore things with you. Depends on their exact approach but most of them wont give advice for example, they will just ask question or reflect what you say back to you to encourage you to figure it out yourself. Or they might look for parallels between your early life and current life, as most people follow repeated patterns in their relationships (or so the theory goes). At least 75% of their skillset is just listening and occasionally asking good questions which is an underrated skill.

There are many different flavours of therapy/psychotherapy/counselling and sometimes the adherents get quite religious about it (ask an integrative therapist what they think of CBT for example). But research generally shows that most 'talking therapies' are roughly equal in effectiveness and the main factor for success is the relationship between the client and therapist - i.e. whether they click. (putting aside for the moment the tricky questions about how to measure effectiveness of therapy - what does improvement look like? how do you have a control group?)

There's a thing called the 'Dodo Hypothesis' - that "all empirically validated psychotherapies, regardless of their specific components, produce equivalent outcomes" - see https://en.wikipedia.org/wiki/Dodo_bird_verdict

People heavily invested in a particular brand of therapy dont like to hear about the Dodo Hypothesis but broadly I think its an optimistic conclusion - talking to people helps, and if you find the right one, talking to a specially trained listener can help more.

Ferret7446|2 years ago

Bold of you to assume someone with significant issues has a friend, especially when friendship statistics (especially for men) are plunging through the ground.