Can therapy be harmful?

Answered by James Kissner

Can therapy be harmful? Unfortunately, the answer is yes. While therapy is generally seen as a helpful and healing process, there are instances where it can be detrimental to one’s mental health. This is not to say that all therapy is harmful, but it is important to acknowledge that bad therapy exists and can have negative consequences.

One way in which therapy can be harmful is through re-traumatization. If a therapist is not trained or skilled in handling traumatic experiences, they may inadvertently trigger or worsen a client’s trauma during therapy sessions. This can lead to the individual experiencing intense emotional distress, anxiety, and even flashbacks. Revisiting traumatic memories without proper support and guidance can be very damaging and hinder the healing process.

Another way therapy can be harmful is when therapists lack cultural competence or fail to understand and respect a client’s unique background and experiences. This can result in misunderstandings, miscommunications, and a lack of trust between the therapist and client. If a therapist is not sensitive to issues of race, ethnicity, gender, sexuality, or other aspects of identity, it can cause harm by perpetuating stereotypes, invalidating experiences, or even inflicting further trauma.

Furthermore, therapists who impose their own beliefs, values, or judgments onto their clients can also be harmful. Therapy is supposed to be a safe space for individuals to explore their thoughts, feelings, and behaviors without fear of judgment or criticism. When therapists impose their own biases onto their clients or dismiss their experiences, it can lead to feelings of shame, self-doubt, and a breakdown in the therapeutic relationship.

In some cases, therapy can also be harmful due to unethical practices by the therapist. This could include breaches of confidentiality, dual relationships, or exploitation of the client. Such actions can cause significant harm and damage trust in the therapeutic process.

Lastly, therapy can be harmful if the therapist lacks the necessary skills, experience, or training to address specific mental health issues or concerns. For example, if a therapist is not knowledgeable about a particular disorder or treatment modality, they may provide ineffective or inappropriate interventions, leading to worsened symptoms or prolonged suffering.

It is essential to remember that not all therapists are created equal, and finding the right fit is crucial. If therapy is causing distress or harm, it is important to speak up and address your concerns with the therapist. If necessary, seeking a second opinion or finding a new therapist may be necessary to ensure your well-being.

In my own experience, I have encountered instances of therapy that were not helpful and, in some cases, even harmful. One therapist I saw lacked cultural sensitivity and made assumptions based on stereotypes, which only deepened my feelings of being misunderstood and invalidated. This experience taught me the importance of finding a therapist who truly understands and respects my unique background and experiences.

While therapy can be incredibly beneficial, it is important to acknowledge that bad therapy exists and can be harmful. Re-traumatization, lack of cultural competence, imposition of personal beliefs, unethical practices, and lack of necessary skills can all contribute to therapy causing harm. It is crucial to be aware of any negative effects and take appropriate action to protect your mental well-being.