avatar
Alejandra Hope @alejandrahope.bsky.social

I personally blame insurance execs (specifically, the rise of "managed care") and 40+ years of underfunding CMH more so than CBT itself... but "coloniz[ing] all forms of psychological suffering" is a good way to frame the problem

sep 1, 2025, 8:48 pm • 9 1

Replies

avatar
avacatza.bsky.social @avacatza.bsky.social

CBT also seems to subside the therapist’s fear of not “doing enough” to the client. Teach a few skills and you can pat yourself on the back for a job well done. CBT+Managed Care has diluted psychotherapy down from an exploratory process of understanding a client’s psychology into “fixing” them.

sep 1, 2025, 10:51 pm • 6 1 • view
avatar
avacatza.bsky.social @avacatza.bsky.social

It’s created a fantasy of what therapy “should be” versus what it actually is.

sep 1, 2025, 10:51 pm • 1 0 • view
avatar
avacatza.bsky.social @avacatza.bsky.social

Being With vs Doing To

sep 1, 2025, 10:53 pm • 3 0 • view
avatar
Alejandra Hope @alejandrahope.bsky.social

We have lost so much, 😭😭😭

sep 1, 2025, 11:03 pm • 2 0 • view
avatar
avacatza.bsky.social @avacatza.bsky.social

That we have 😒 I hope this new generation of therapists, like you and I, can do what we can to bring it back.

sep 2, 2025, 2:34 am • 3 0 • view