I respect your skepticism and I can see why you would mistrust the field broadly based on those figures in it. I just don’t think we need to throw out the whole field because of bad actors. Someone like Jordan Peterson is widely discredited in the field.

Treatment IS important. There are REAL problems with roots in our own psychology. It is not purely psychological, but always biopsychosocial. Disregarding the psychological is not the way to treat biopsychosocial issues. In fact, it is one of the only ones we have any real agency or control over. And the more we develop psychology, the more just our understanding becomes. Think about 50 years ago when almost everything was just called “schizophrenia” and we treated people by shocking the shit out of them. That’s where we’d still be if we didn’t do this kind of work.

When someone comes to me writing in pain from traumatic flashbacks, or wildly out of control of their lives due to mood swings, or losing grasp on what is real or not, or paralyzed with anxiety from the rat race you’re talking about, or they just plain cannot enjoy anything anymore and want to kill themselves… it is a low priority for me to discuss systemic issues with them. We can acknowledge them as a tool for alleviating shame and guilt surrounding mental disorders, and we can brainstorm ways to work around them, but expecting a suicidal client to begin marching in the streets? That is not going to be a sustainable means of making their immediate lives better. It is often more of a distraction than anything. Systemic justice and advocacy work is the kind of thing you do for no singular client in particular, and usually done in addition to the individual work.

But mental health treatment is how we help people find peace right here and now. It is how we empower people to find agency in their own lives, and help make them strong enough people to go out and support others in the longer term. It’s the people who do not treat their mental health that end up devoting themselves to bizarre causes. I mean, think about how many Q anon supporters have addictive or psychotic tendencies.

If you acknowledge that there are real mental disorders (with both internal and external etiology), and you acknowledge that treating the individual can be a positive step towards addressing systemic issues, then the question becomes what kind of treatment should we use? That’s where the scientific method comes in too. Yes there will always be problems and questions, but we do what we can with what we have.

I have seen people make real progress and really turn their lives around. That includes the masturbaters too lol, who do come through from time to time. I don’t care if there are swindlers out there - as long as there are real people who are really helping others. Helping people figure out what is truly important to them can help them find strength to endure the shit they cannot change. Helping people build tolerance for and even appreciation for pain can help them make decisions that give their lives greater meaning. It helps people free themselves from the grasp of addiction and start giving back to others. It helps people find reasons to live. It is doing an immediate, person-to-person good. I don’t know what kind of world you dream of, but I hope it is one with room for that kind of justice.

Thank you for your thoughts on all this!