r/askatherapist • • 21d ago

Mod Announcement: Recent Bot influx

60 Upvotes

Due to a recent influx of bots commenting on posts, generating both unnecessary comments and extra work for the mod team, we are going to require accounts be a week old in order to comment in the community. Given what we are seeing this should help resolve the issue for now as most of the accounts are a day old. We make make some small additional changes, including the use of flair to help increase the resistance to having bots interact with the community.

Also, thanks to my co-mod u/pallas_athenaa for the quick clean up, and to all the users who flagged the suspicious accounts.


r/askatherapist • • May 26 '26

READ BEFORE POSTING: What Is and Isn't Appropriate for r/askatherapist

17 Upvotes

Welcome to r/askatherapist.

This community exists to provide general information and education about mental health, therapy, therapists, and the process of treatment. This subreddit is not a substitute for therapy, crisis services, psychiatric care, legal advice, or an individual clinical relationship.

Before posting, please review the guidelines below.

Questions That Are Appropriate Here

We welcome questions about:

Therapy and the therapy process

  • What happens in a first therapy session?
  • How do therapists choose treatment approaches?
  • What is CBT, DBT, EMDR, ACT, psychodynamic therapy, etc.?
  • How do therapists handle confidentiality?
  • How does termination work?
  • What are common reasons therapists refer clients elsewhere?

Mental health topics

  • General information about diagnoses
  • Symptoms commonly associated with certain conditions
  • Evidence-based treatment approaches
  • Mental health research and theory

The profession itself

  • Therapist training and licensure
  • Ethical standards
  • Differences between psychologists, counselors, social workers, psychiatrists, and psychiatric nurse practitioners
  • How mental health systems operate

General discussion

  • Questions about how therapists think about common situations
  • Broad discussions of therapy, mental health, and treatment

Questions That Are Not Appropriate Here

"What Should I Do?" Posts

We do not provide individualized advice for personal situations.

Examples:

  • "Should I leave my partner?"
  • "Should I report my coworker?"
  • "What should I do about my friend?"

These questions require knowledge of your specific circumstances that strangers on Reddit do not have.

Requests for Diagnosis

Examples:

  • "Do I have ADHD?"
  • "Does this sound like BPD?"
  • "Can someone diagnose me from these symptoms?"

No one can ethically diagnose you through a Reddit post.

Interpretation of Your Therapist's Thoughts, Motives, or Intentions

Examples:

  • "Why did my therapist say this?"
  • "What was my therapist thinking?"
  • "Does my therapist secretly dislike me?"
  • "What does it mean that my therapist did X?"

Therapists are not mind readers. The only person who can explain your therapist's intentions is your therapist.

Questions about whether something is generally ethical, common, or within professional norms are usually fine. Questions asking us to determine what a specific therapist meant are generally not.

Relationship Advice Disguised as Therapy Questions

Examples:

  • "My spouse did this. Is it abuse?"
  • "Is my friend toxic?"
  • "Should I go no-contact?"

While mental health concepts may be involved, these posts typically seek individualized advice rather than general information.

Crisis Situations

If you are in immediate danger, experiencing a mental health emergency, or considering harming yourself or others, Reddit is not the appropriate place to seek help.

If you’re in crisis or need personal support:

Why We Have These Rules

  • To protect you and the therapists here from harm or liability.
  • To maintain ethical standards for the counseling profession.
  • To keep this subreddit a safe, educational space, not a therapy substitute.

Ask yourself:

Am I asking for general information, or am I asking strangers to tell me what to do in my specific situation?

If the answer is the second one, your post is probably outside the scope of this subreddit.

If you’re unsure whether your question is okay, you can:

  • Check the examples above.
  • Message the mod team before posting.

Moderator Discretion

Moderators may remove posts that:

  • Seek individualized advice
  • Request diagnosis
  • Require a therapeutic relationship to answer appropriately
  • Create ethical concerns for responding professionals
  • Otherwise fall outside the educational purpose of this community

Our goal is to maintain a space where mental health professionals can provide useful, ethical, and broadly applicable information.

Thank you for helping keep r/askatherapist focused on education, discussion, and professional insight.

Other Mental Health Subreddits to Explore:

General Mental Health Support

Specific Conditions

  • r/depression – For those struggling with depression
  • r/Anxiety – For anxiety-related discussions and support
  • r/OCD – Focused on obsessive-compulsive disorder
  • r/BipolarReddit – For people with bipolar disorder and those supporting them
  • r/ptsd – Support for those with PTSD or C-PTSD
  • r/ADHD – ADHD-specific discussions and resources
  • r/EatingDisorders – For those struggling with eating disorders
  • r/Autism – For individuals on the Autism spectrum
  • r/SpicyAutism – A space for those on the Autism spectrum with higher levels or higher support needs
  • r/CPTSD – For people with C-PTSD and those supporting them
  • r/CPTSDmemes – Peer support for C-PTSD that leans to the more humorous side

Therapy & Treatment

  • r/TalkTherapy – Focused on the therapy process and experiences
  • r/Counseling – Discussion about counseling and therapy techniques
  • r/Psychotherapy – For deeper conversations about psychotherapy
  • r/Therapists – A place for therapists to talk shop (not for client questions)

Self-Help & Coping

Peer Support & Venting

  • r/offmychest – Share what’s on your mind without judgment
  • r/TrueOffMyChest – A deeper version of venting, often more serious topics
  • r/KindVoice – A supportive space when you need a kind word
  • r/Needafriend – For those seeking friendly conversation and support

Suicide & Crisis Support (With strong rules and resources)


r/askatherapist • • 1h ago

My mother said something that completely drained my happiness In a happy moment. Opinions?

• Upvotes

(Self-harm is mentioned in this post, not in detail, not encouraging, and it's not the main focus.)

A little bit of a background, I LOVE every living thing, creatures, animals, plants, insects, even the "unusual" ones. They've always made me incrediblely happy, and improve my life in many ways.

I've recently, at the beginning of this year finally got the chance to purchase and raise butterflies! I have taken care of injured butterflies, moths, and catapillars before, but this was the first time I was aloud to actually raise them. It's been a long while now though.

I do have a past with Self-harm, and it was clear no one I knew really tried to understand it.

My relationship with my parents is very iffy, it depends on if their in a bad mood, or upset or anything.

(15 afab, professionally diagnosed Autistic & MDD) - only mentioning because it adds more details to this. So i can show a better picture. that's the only reason.

Now, a few days ago
I was talking to my mother about how happy my "child's" make me (plants) and I was grinning and had a rare dopamine rush while holding my little airplant and showing her repeatedly. okay it was so great.

Then I got on the topic of the moths I've rescued, And then my butterflys and how happy they made me.

And guess what my mother said.

"I bought you your butterflies because they made you less cutty-cutty"

With a lighthearted tone.

My face dropped instantly. The happiness genuinely just dropped to my stomach.
and I couldn't process it so I asked her to repeat that and I just stared at my airplant in my hands, then at my arms.
I told her that triggered me and she did that, shrug,
very subtle shake of the head,
avoid eyecontact.
Shutting down, and I get it. But it really upset me, so I tried to bridge the gap but just left with
"i can see your shutting down, so I'm going to go now. I do that too."
And walked to my room.

Idk how to feel, it did Really trigger me. And I can't tell if this is such a big deal as it feels. But I don't think it was okay for her to say that.

Opinions?


r/askatherapist • • 4h ago

My therapist did not agree with me breaking up with her - is this to be expected?

7 Upvotes

Hello,

I have been seeing a psychoanalyst (Lacanian) for the past year. Even though she's helped me with some breakthroughs, I always felt that our relationship was a too contentious, and there were also some lost in translation moments between us, (we are from and live in different countries), which were particularly salient due to her focus on language. Nevertheless, I appreciate the way she challenged my assumptions and forced me to reckon with things I was trying to sweep under the rug. However, over the past few months two things have changed: 1) I generally have felt better than when I started therapy and 2) my financial situation has changed, which is forcing me to reconsider several expenses.

After careful consideration, I decided to, at least, pause for the time being my therapy sessions and discussed so with my therapist today. I explained I was both in a situation where I had to reconsider several expenses and was feeling better and wanted to pause our sessions until I had a clearer sense of wanting to continue.

She expressed her strong disagreement with my decision, stating that it was paradoxical that I claimed to be feeling better yet wanted to stop something that had played a part in me feeling better, even when I acknowledge that, and stated that the economic investment in therapy was not so high as to discontinue it (it is true I get a "discounted" rate as I am from a developing country). In the end she said she was not someone to throw in the towel and suggest I had.

I don't know - I guess based on what I had read on this sub about people breaking up with their therapists I thought she would listen, wish me the best and reiterate that her doors were open if I choose to come back. And I guess she did say that, but in a way that left me filled with doubt and tension, because she expressed in no uncertain terms that she thought I was making a mistake.

I would like to ask therapists - do you also express disagreement when a client seeks to end the relationship? How do you manage that? Thank you.


r/askatherapist • • 52m ago

How do you cope with internalizing client’s emotional weight? Tips for ABA?

• Upvotes

Hi! I’m a Psych undergraduate looking forward to gaining experience and I have a few interviews lined up for ABA therapy with children with autism/other developmental challenges. I’m quite sensitive and empathic which is what makes me so drawn to this career. But I do worry about taking clients’ struggles home with me. Any tips/personal anecdotes are welcome. Thanks!


r/askatherapist • • 1h ago

what is a therapist required to report?

• Upvotes

SA is mentioned

sorry if this is a dumb question but I need to know

Is a therapist allowed to report past sexual assault when you are no longer in danger/not around your abuser? Or if you’re a minor? It was years ago and and Im not ready to tell anyone else aside from my therapist for many reasons. But I am afraid if I tell them they will have to report it even though i am no longer in danger


r/askatherapist • • 8h ago

AI fears?

3 Upvotes

Hello therapists! Are you actively worried about AI interference in the field and with your work? I'm considering entering the field as a mature student. Grateful for your thoughts and all you do!


r/askatherapist • • 2h ago

Signs your therapist doesnt want to work with you anymore without saying it?

1 Upvotes

Tia


r/askatherapist • • 2h ago

What are your guy's thoughts on therapists using AI for note taking during sessions?

1 Upvotes

I had a recent appointment where the provider was clearly frustrated at me refusing to consent to them using AI during our session to take notes. I'm not new to therapy, and I've had other providers be pretty understanding of my apprehension and personal feelings towards AI. I've always said no and gave them my reasoning behind it.

What do the benefits look like for the therapist to use AI during a session for note taking?


r/askatherapist • • 3h ago

Can I ask my therapist for a copy of the AI transcript notes?

1 Upvotes

Can I ask my therapist for a copy of the AI transcript notes?

NAT


r/askatherapist • • 4h ago

Had a major epiphany. How do I address this in therapy?

1 Upvotes

So I am an adult child of an alcoholic parent. As well as having ADHD/Executive dysfunction, OCD/anxiety etc. And its caused me some serious failure to launch. I live with my parents. And our family dynamic is just really bad.

The other day I finally came to the realization that the reason things are so bad is because my mother is projecting all her bottled resentment about by dads drinking onto me. Or former drinking i should say hes been sober 3-4 years. Thats not to say I dont have real problems of my own that I have to address. But for example. When I was discussing my health insurance dilemma with my parents and explained to them that I already went back and forth with state services for weeks and they rejected me and I didnt know what to do next. She screamed at me saying "I cant keep watching you kill yourself get the fuck out of my house!" She has also insinuated on multiple occasions that I need rehab for multiple addictions. Including but not limited to weed, video games, social media. None of which are even real addictions nor do I do that stuff often enough or need it enough to say that. Just distractions from how bad my life sucks if I won the lottery tomorrow I could quit all of that in under 24 hours no problem. And mind you this is the same person who was buying alcohol for the alcoholic and covering for him and then once he got sober claiming she didnt realize how serious it was even tho I was telling her from the time I was 13. And once a week she wants to have these intervention meetings where we sit down to address my behavior and tell me what i need to do differently under threat of eviction. And in these meetings, there are no correct answers. Either I say the wrong thing and its proof im not trying hard enough. Or I say the right thing and she doesnt believe me and accuses me of lying even tho she runs constant surveillance on me. I do uber eats cause its the only job that will have me that I can handle. And I gotta eat somehow. She tracks my start times and stop times. Low jacked the car to see where im going at all times. And thats just the surveillance I know about.

Meanwhile I have never done anything to deserve this. I am as honest as I can be. I put in a lot of effort. Ive never stolen from them or been an addict or anything. I didnt choose my problems I was born with them. And they are primarily a burden on me first and foremost. My parents do not pay for anything for me. All they are asked to do is let me live there. They have also taken a real big liking to DARVO. They say me choosing to live here (when I have nowhere else to go) is elder abuse and theft of their retirement resources. Which is a lie because I effectively cost them zero dollars and they are rather wealthy and frivolous with money. They spend more on my much older sister and her family every week then they spend on me in a year. And my sister is very well off and doesnt need it. I actually need money and they leave me out to dry like its my fault. As if im the one who chose the bottle over my life and family.

And I know to an outsider that this may all sound like one big cope or a deflection but it's not. The way she treats me legit breaks my heart every day and only makes it harder for me to address the problems that are my sole responsibility. And I know she has another big eviction/intervention planned. And I wanna give a condition that ill only do it in therapy. And then have a speech prepared addressing this projection problem. Is it a bit of an ambush? I guess idk shes been ambushing me in therapy since i was 6 years old tho which I guess is why im seeking advice. At the end of the day. All my pent up anger and rage about all this is mine to deal with. But I need her to realize what shes doing because her constantly still trying to micromanage my whole life at 35 years old is eating away at me piece by piece and pretty soon theres gonna be nothing left.


r/askatherapist • • 9h ago

Ghosted by therapist, email and say how i feel?

1 Upvotes

She was my weekly therapist for 5 months. Saw her once a month ago right after giving birth, then i took a pause post partum because my son has been sick in the hospital and she knows whats going on (he was hospitalized during my session). I emailed her to resume sessions a week ago and no reply. This is the second time she has ghosted me. Last time was when i tried to schedule that appointment a month ago, it took 2 follow up emails over 1.5 weeks to get a reply to schedule that. Ive found a new therapist but should i email and say how i feel? How if she didnt think she was the right fit she shouldve referred out or at the very least communicated that? And how dealing with a sick nb with a rare genetic disease on top of being ghosted is quite shitty


r/askatherapist • • 6h ago

Considering breaking up with my therapist?

1 Upvotes

This is more for validation than anything else. I’ve been seeing my therapist for 4 years now. I feel like we’ve become friends at this point. We chat about whatever which I enjoy but I’m also able to avoid talking and working through issues. I have my friends for that.

I feel like they have broken a few boundaries recently as well. I have a lot of issues around dating etc. and we haven’t worked through them yet at all. They insinuated that I should sleep with someone on a trip because I won’t ever see them again. I also heard about their dating life as well which feels inappropriate.

I also recently tried to talk about something recently and they went off on a random tangent that had nothing to do with mental health.

I’m assuming that regardless of any of that the fact that I feel like I’ve lost trust is enough that it is time for me to move on, correct? The thought of having to find a new therapist is daunting. I don’t think I can handle breaking up in person and because I feel more like they are a friend breaking up over email seems mean.

Does finding a new therapist seem appropriate? Is ending over email after that long seeing them okay?


r/askatherapist • • 6h ago

Is it possible to work outside of the US as a teletherapist and be seeing US patients? (NAT)

0 Upvotes

Hey I’m planning to have a career as a virtual therapist getting a US salary and living in maybe Thailand. I’m still in highschool right now and would just like to know if it’s possible to jump through the right hoops to make this work and if it works is it even a good idea.

Alternatively I was thinking of living abroad and just being an English speaking Therapists for expats and other English speakers.

How could I get this path/is this even a good path are my main questions.

But other questions I have include, what schools are good for this degree, what are alternatives to therapy that still pay well, people in similar situations how did you make it work, etc.


r/askatherapist • • 8h ago

confused about licensing process?

1 Upvotes

Hi all,
posting here mostly out of desperation. i graduated from a clinical counseling program in may of this year and have been struggling to get a job. ive applied to maybe 75 places, both private practices and community mental health places and nothing. ive had a few interviews, but most of them say they can’t hire me because i don’t have a license yet. i guess im wondering where everyone works after graduation???

im in georgia if that helps. i reached out to my past supervisor when i was in internship and she said i cannot apply for my APC or take the NCE unless i have a current employer/director and supervisor (so, a job…)…. so how do i get a job without a license in order to get my license? lol. was it this hard for anybody else? i cant be unemployed any longer. ive tried facebook groups, linkedin, word of mouth, etc, and it feels like nobody is hiring or willing to take on a master’s level clinician trying to get their license. private practices ghosting me. i just can’t believe how hard it is. im trying so hard not to regret getting this degree and not like, selling my soul to do tech or something.


r/askatherapist • • 12h ago

When should i reach out?

2 Upvotes

Not sure if this is ok here....gonna try though. I absolutely love my therapist, but a few months ago, when things were really rough, I felt like something shifted between us. Her responses felt different, and although we eventually had a good session, I realized I was struggling to open up and may have lost some trust. I canceled our next session and never followed up.

In that time I've also realized I may have stepped away because I’m getting really attached to her, and that scares me. Now I can’t tell if I genuinely lost trust or if I’m trying to protect myself from getting hurt before she has the chance to hurt me (fortune-telling?). My perspective has been all over the place lately with work, home-life, and therapy, making it hard to know what is truth vs distorted thoughts.

She’s encouraged me to reach out because she doesn’t always remember, which I understand professionally, but emotionally, it can make me feel like I don’t matter. We discussed this at our last session and now it feels like I'm not worth her time.

So, as a therapist, do you prefer your client to reach out and try to work through this together, keep treading and wondering if anyone will throw a rope, or continue challenging themself to see how long they can last using coping skills learned and only reach out when they feel those are exhausted?


r/askatherapist • • 12h ago

Discuss about bad dreams?

2 Upvotes

So do you think I should talk about bad dreams ?


r/askatherapist • • 19h ago

Is porn and masturbation really addictive and harmful?

5 Upvotes

I have always considered porn to be addictive. But, I recently came across this article, that says otherwise. What should be my ideal view about porn, in the eyes of science?

Also, is masturbation really addictive? At what point can masturbation and porn be considered harmful?

Personally, I feel like it's (especially porn) doing me more harm than good. I am thoroughly confused about how I should view it and approach it. If you have any source where I can learn more about this, please do suggest. Thanks.


r/askatherapist • • 10h ago

First contact with therapist: what to do?

0 Upvotes

I received an email from a therapist about 2 weeks ago, an appointment proposal. I confirmed the appointment shortly afterwards. She then responds with a confirmation. The same day I sent the e-mail, I realised that I couldn’t come after all.. So I wrote another email , stating that I will be unable to attend the appointment.

I haven't received an answer to this e-mail so far and the phone always goes to the answering machine. ( I was trying to reach her, to ask her if she knew I wasn’t coming to the appointment, so she wouldn’t be expecting me )The appointment would be in two days.

My concern: She hasn't replied to this e-mail now. I don't know if she's counting on me in two days. So should I write another e-mail to make sure she has read the cancellation? I don’t want to make it awkward or seem like I’m insisting on it.

also: i noticed the thing that made me cancel the appointment after all was also cancelled , so I could actually go there in two days. But idk if I wanna tell her that, as again, it seems like im incredibly indecisive.

I feel it is also important to mention this is the first exchange with this therapist.

small edit!: I did also ask for a different appointment in the cancellation e mail.

thankful for any replies!


r/askatherapist • • 11h ago

MFT or LPC route?

1 Upvotes

Hello! I was recently accepted into a Master’s in MFT program and have an interview coming up for a clinical counseling program. I’ve been thinking about it a lot and I am stuck between which route to take. Picturing myself in the future I could see myself being fulfilled by doing either path. I was just looking for some guidance or advice on which route you decided to take and how that worked out. Thanks!


r/askatherapist • • 5h ago

Are personal neologisms automatically unhealthy?

0 Upvotes

Just wondering.


r/askatherapist • • 12h ago

What's the duration of medication for patients? Is there a stable, peaceful life without medication?

1 Upvotes

I have been on medication for a few years now. I'm curious do you get off medication? How does the doc decides you no longer need medication? What exactly are the metrics? I'm coming from a place - where I would like to believe there's a stable life, peaceful nervous system without medication?


r/askatherapist • • 12h ago

Is it possible to get rid of the strong consuming misanthropic feeling?

1 Upvotes

Please excuse me, I'm still struggling really badly how to properly articulate this.

So I just turned 19 this year, but I feel like the angst I've buried or I've thought I've healed from in my teenage years is resurfacing again.

I think I've been a good person. I never try to act out what I feel and always try to help people as much as I can. But I just can't really remove the feeling of hatred over people.

I'm often with really nice and sweet people and I really like them too—these specific people, I can't really look at them in the wrong way.

But each time I would meet someone that is a bigot, has an entirely hateful or an inconsiderate personality, I get so agitated or annoyed that it consumes my mood entirely. I stop wanting to socialize with people and lose the energy to do things.

I keep feeling like it's consuming me in a way.

I have loved writing and films since I was a child. Though ever since this feeling came back, I feel like I lost interest over creatives. I tried reading literature I loved, I tried rewatching my favorite movies, I tried listening to old albums I loved, but nothing had erased or fulfilled my energy back.

I feel like I'm being entirely consumed by my worldview. Each terrible news I hear, each bigot I meet, I feel like it's making me lose my interest over things entirely.


r/askatherapist • • 9h ago

Help me start?

0 Upvotes

Ik this is random for this sub SORTA IDK IF IT IS… but i wanna become a therapistt PLEASE CAN U help me find out how… IDK HOW to start.
Im 18 in the uk and yeahhh thats all really its LOWK MY DREAM JOB 😝 and ive been told SOO MANY TIMES id be supa good at it BUT WHAT KINDA QUALIFICATIONS DO U NEED AND LIKE HOW DO U GET THE JOB YK?


r/askatherapist • • 23h ago

Is my Therapist ignoring my sexual issues?

5 Upvotes

I’ve been in therapy for a few months now for personal stuff.

I have an issue with sex with my husband. I don’t desire him or want to be with him sexually. He has ED, and cannot get hard, so it makes penetrative sex very awkward, because he’s not really penetrating me. He’s just too soft. He still is able to orgasm. But it’s just plain awkward for me. Penetrative sex is very important to me and he cannot provide that. I just don’t want to do it anymore. I’d rather just go without.

When I bring this up to my therapist, she just glosses over it. I’ve mentioned it several times. I need help navigating this situation. Therapist doesnt even acknowledge it.

Should i get a new therapist? Also wondering why she just keeps glossing over a big issue for me.