Under the Influence (with Jo Piazza) - May 09, 2024


Help! My Therapist is on TikTok

Topics
Genealogy Influencing is a Real Thing with The Barefoot Genealogist Sunday Nice Things: The Magic of Audiobooks

Episode Stats


Length

46 minutes

Words per minute

175.08

Word count

8,122

Sentence count

238

Harmful content

Toxicity

10

sentences flagged

Hate speech

6

sentences flagged


Transcript

Transcript generated with Whisper (turbo).
Toxicity classifications generated with s-nlp/roberta_toxicity_classifier .
Hate speech classifications generated with facebook/roberta-hate-speech-dynabench-r4-target .
Topics generated with Qwen2.5-3B-Instruct.
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00:00:45.000 Hello, hello, hello. So happy to be here with you today.
00:00:56.040 Now, the other morning, I was stopped in my scroll by this headline from Bustle.
00:01:03.640 My therapist is a TikTok star.
00:01:07.640 I mean, for some people, it's a dream come true. For others, it's their worst nightmare.
00:01:13.600 air, and I wanted to know a little bit more about this. So I'm going to read you the first
00:01:20.740 paragraph of this story. While scrolling TikTok in 2022, Kaylin came across something unexpected.
00:01:29.120 A video about relationships and anxiety made by her therapist. She wasn't sure how it found her,
00:01:36.900 since they didn't have each other's numbers. But what was most remarkable about this experience
00:01:43.120 was that it had happened before.
00:01:46.580 She had come across her previous therapist online on YouTube in 2022
00:01:51.480 and had been uncomfortable then, too.
00:01:56.120 That was actually part of the reason why I was like,
00:01:58.840 I think I'm going to stop therapy for a while,
00:02:02.160 the Los Angeles-based 29-year-old says.
00:02:06.100 Oh.
00:02:08.020 This brings up so many thoughts, so many issues.
00:02:13.120 so many problems, I think. I mean, finding a therapist is hard enough as it is. Figuring
00:02:20.440 out how to pay for therapy is often impossible. And now we have to be asking, are you also
00:02:28.940 on the TikToks? Here to talk to me about all of it today is the author of this piece for
00:02:37.480 bustle, Kate Lindsay. Okay, Kate, I am so excited to have you on today because this is a topic I
00:02:47.740 think about a lot and not just with therapists, but with everyone. And especially because I have
00:02:56.880 a podcast and I have a very pathetic social media following, but following nonetheless. And, you
00:03:04.760 know does does my gynecologist follow me do my kids teachers follow me and listen to me and like
00:03:15.220 how would they feel if they heard me talking about certain things I feel like the world that we live
00:03:21.380 in right now is so strange because we all seem to have many different kinds of identities like both
00:03:29.960 public and private. And you really got to the heart of that in this piece called My Therapist
00:03:37.940 is a TikTok Star. And I just, I want to dig into all of it. I want to get into all of it.
00:03:47.320 I read a little bit about the story in the introduction, but tell me, tell me about
00:03:54.300 So Kaylin, tell me about the person that you opened the story with.
00:03:58.980 Yeah, so when I went kind of looking for this, this one was an interesting one when it comes to finding people for it because lots of times TikTok can be a really great tool because kind of for similar reasons you were just saying, everyone is posting everything online.
00:04:15.520 So like if I'm looking for sources who have had a particular experience, they've posted about it and they're really easy to track down.
00:04:22.040 with this i so i i thought it would be as easy as it has previously been and this was a little
00:04:29.160 bit more difficult because well it was like i knew statistically there had to like i there are
00:04:35.320 tons of tiktok therapists um and they all presumably have multiple clients i was like i
00:04:40.640 know i know this is a thing but this isn't isn't getting posted about as much when i was searching
00:04:45.580 for it um it was people who didn't have tiktok therapists but were talking about how how much
00:04:52.660 they'd hate it if they found their therapist on tiktok um so it took a bit of digging and um
00:04:59.640 kaylin is someone she was actually the first person i i found um and i she she just sort of
00:05:06.660 had i i think i found a post i think maybe on twitter uh just about this happening and i reached
00:05:11.420 out um and it was so interesting because not not only had it happened to her once that it happened
00:05:17.160 to her twice where she had realized that the therapist she was speaking to had a social media
00:05:22.660 presence in one case it was it was youtube um and so the fact that it like the fact like i just can't
00:05:30.180 like we kind of joked about it on the phone the idea of you get a new therapist because you're
00:05:34.840 old therapist you had some discomfort with their social media presence and then you're like oh my
00:05:38.340 gosh not again um that's basically what happened with her she just rather than having any super
00:05:44.260 concrete issues to point to the just the the underlying concern that the conversations they
00:05:49.860 were having um in confidential sessions could end up informing content or even if it didn't if it
00:05:56.880 just having that suspicion like she would she would see a youtube video and be like i wonder
00:06:02.560 if that is something they're doing because we said this specific thing in session i think
00:06:07.480 it just led to a certain level of, I guess, paranoia and distrust that you just obviously
00:06:12.040 don't want in a relationship with your mental health professional. No, no, you sure don't. And
00:06:19.100 we've done episodes before about therapy, social media, when I think that the one I did was about
00:06:27.060 three years ago. So it was probably before the rise of therapy talk, before it was as big as it
00:06:33.940 is now. But what I know is that there really aren't that many boundaries or regulations
00:06:41.740 about whether or not therapists can be on social media. What did you learn about that?
00:06:49.540 Yeah. So this I thought was interesting. So I spoke to, because one of the things
00:06:53.960 when my dad and I were talking about this, we were like, I wonder what they're being told,
00:06:59.680 Like, you know, what what therapists to be are being told in school about this.
00:07:04.640 And so I got in contact with a professor at NYU and sort of asked about it.
00:07:10.160 And they said that basically there there isn't.
00:07:14.800 So what they said was that the sort of ethics guidelines for counselors in general have not been updated since 2014.
00:07:22.200 so there is language about social media in that but it is for 2014 social media which
00:07:29.560 is before TikTok um and also just like more importantly before before what TikTok popularized
00:07:37.460 which is an algorithm that pushes your content out to strangers and the whole point of posting
00:07:42.900 on social media is to reach like as many people as possible versus talking to each other um so
00:07:48.360 there aren't really rules that account for the gray areas that come up when it's like you don't
00:07:55.320 know who will see this. And I also think a big thing that is at the root of a lot of people's
00:08:00.980 concerns about TikTok therapists, not just that, oh, are they saying things from their private
00:08:07.860 sessions online? But I think for me, what would concern me a little bit is where the reward
00:08:14.540 mechanisms of social media, particularly of algorithms where you're really incentivized to
00:08:20.260 make content that reaches as many people as possible. And you kind of subconsciously
00:08:25.340 might alter your content to be a bit more controversial or grabby. And a therapist
00:08:32.000 wouldn't be immune to that. It's very like chemical. And I think that's when you can get
00:08:37.120 instances of bad practice online, which there have been. But back to the original question,
00:08:44.260 And that's not really something they have any guidelines for about what they are and aren't allowed to post.
00:08:48.800 They just kind of really broadly, you know, they can't interact with their clients on social media.
00:08:54.380 And of the therapists I've spoke to, they'll do things like make sure there's really clear disclaimers that what they're posting is not therapy.
00:09:01.140 It is edutainment or, you know, mental health content.
00:09:06.160 Um, so, but, you know, things like that, where, uh, it's more about the relationship between them and the client and maintaining confidentiality. There aren't really any guidelines about, you know, how should they, what shouldn't, shouldn't they be posting on TikTok?
00:09:20.880 Right. Right. Or should they not be on at all? I, you know, I do think that there is a universe where maybe maybe you take some kind of, oh, that shall not be on on social media. I think it is just a quagmire right now.
00:09:40.380 I know. And it makes me think about because I think like, you know, maybe 10 years ago, even that ask is like would not have been that great. Like I think about it's still a little bit similar to like the shift I've seen with teachers on social media, which is when I was in high school, I remember like the only real rule.
00:09:59.960 well like I mean there was so much stuff about a teacher needed to be careful about their social
00:10:06.000 media presence and then we weren't allowed to friend our teachers on Facebook until after we
00:10:09.640 graduated and stuff like that um and now teachers show up on my TikTok all the time like in their
00:10:17.220 classroom filming their students sometimes like it reminds me of um it reminds me of therapists
00:10:22.760 in a similar way where I'm a little bit like wait shouldn't there be rules about this um and
00:10:27.860 And and yeah, and I think the hard part now is like before, like 10 years ago, being like, OK, don't be on Instagram.
00:10:34.940 That's not some huge loss. But I think because of the pandemic and just how our relationship with social media has shifted over the past decade, it's a lot more integral to how we live life.
00:10:47.900 And or at least it feels I think that more so it feels that way. It feels like it's something we can live without.
00:10:54.360 Yeah, absolutely. And I'm sure that there is also an argument for, well, this is my brand. I want to spread my teachings, spread my knowledge. This is how I acquire new clients. Maybe I'm working on a book.
00:11:14.220 and these days we we do all have to be a brand in a way I know that I'm exhausted by my brand
00:11:23.300 building right now I say that every time I say that though listeners write to me and they're
00:11:27.620 like you need sleep you don't sound well and I'm like oh I mean I'm okay I'm okay I uh the
00:11:34.920 Sicilian inheritance is the book of the summer because I won't shut up about it but I I do
00:11:43.360 believe that there are some spaces that should be closed spaces and conversations that should just
00:11:51.720 be intimate and not available for content. For people that don't know about this, I want to get
00:12:00.360 into a little bit more about the world of therapy talk. But really quick, let's take a very quick
00:12:08.000 break. And when we get back, you're going to explain the big, crazy world of therapy on social
00:12:14.820 media. I didn't like what you said, Odin pauses, about the future. This is the love story of real
00:12:29.380 hinge couple Odin and Edward, written and read by me, Curtis Garner. Listen to the free audiobook now.
00:12:38.000 okay we're back for people who don't know about this world talk to me about therapy talk what
00:12:57.020 what is this yeah so i think um sort of from the conversations i've had and just what i've observed
00:13:03.380 I think therapy talk was really like so many other things.
00:13:07.240 I think you could make the same, you could draw the same line, I think was really a product
00:13:10.760 of the pandemic, which was that everything moved online.
00:13:16.540 Like, you know, if we just isolated the therapist, I mean, they, you know, you could do Zoom
00:13:20.160 therapy as normal, but they, I just think how they did therapy was really drastically
00:13:25.060 altered.
00:13:26.240 And I think posting online, well, first off, mental health content has always been very
00:13:31.540 popular online.
00:13:32.360 But I think Therapy Talk in particular, I think, came about in the pandemic when therapists sort of realized that they could bring, especially with sessions also being digital, that they could bring that same type of guidance to instead of an individual person to a wider audience.
00:13:50.540 I think it was a way to find community with other therapists during that time, but also I think just a way to talking to the world in a time when we were all shut up at home.
00:14:00.760 And so what these videos are, I mean, they range so much, and every therapist has a different style.
00:14:06.960 It'll be, you know, signs you have anxious attachment or something.
00:14:12.880 It'll basically be a BuzzFeed listicle, but in short form, video form.
00:14:18.600 And so it'll talk you through that.
00:14:19.840 Or, you know, they'll answer questions from people about, I don't know, like how certain like not like, you know, not to be diagnosed or anything like that, but like questions about like how being a therapist works.
00:14:32.820 And they really sort of through this became personalities and and would just that that's what their content was.
00:14:41.380 It was a little bit more broad, public facing, digestible little tidbits of advice.
00:14:47.540 And, you know, sometimes, you know, one therapist I spoke to in the piece named Meg, who joined TikTok, she joined.
00:14:54.780 And I think this is the case for a lot of other people, because as TikTok therapy became so popular, TikTok therapist, you would see people who maybe you just you disagreed with or were talking about things in a way you didn't like or maybe a subject that you think is really important.
00:15:09.660 you just don't see in the conversation and then you're like okay well I have to come in and either
00:15:14.080 correct this or fill this void or I want to make sure you know that there's there can be so much
00:15:18.640 bad information out there so I want to be a source of good information but it becomes like just this
00:15:23.960 exponential growth because everyone kind of has their their own motives and like crucially the
00:15:28.620 reason this is happening is because the content is popular I mean TikTok is very well known for
00:15:33.100 people self-diagnosing themselves now that's not anything new I feel like when I was on Tumblr
00:15:39.380 That's what everyone was doing was just self-diagnosing themselves with anxiety, which like I do have, but I definitely learned from Tumblr.
00:15:45.880 And so this is a similar thing here. People, I think, love to be seen, love to have their questions answered. And I also think in a more cynical sense, love to contort things about themselves or the hardships they face maybe into the language of maybe actually being a mental health issue.
00:16:11.200 That's like very cynical, but I think that's why that's, but in that sense, it speaks to
00:16:15.980 so many different people, whether they're earnestly coming for help or they take comfort
00:16:22.460 from the content in some way.
00:16:24.420 And it's still like still strong.
00:16:27.580 I mean, it has not waned.
00:16:29.160 I don't really get this on my for you page because I have a therapist who I go to for
00:16:33.960 these things.
00:16:34.520 And I also, I think when probably you probably feel this way too, when you cover this stuff,
00:16:38.300 you just have like an innate exhaustion with it.
00:16:41.200 um and skepticism yeah and skepticism because you know the the the key difference between a
00:16:48.020 tiktok therapist and a therapist in session is a therapist in session is talking to you
00:16:52.080 and they know everything about you that you've told them you probably have an established
00:16:56.900 relationship but on tiktok they're talking to everyone and um yes and so like they can't give
00:17:03.820 you specified content they don't know your situation they and they also like can't be
00:17:08.620 accountable to little caveats you may have and I think something that the professor at NYU who I
00:17:15.520 spoke to mentioned was that like just since TikTok therapist became a thing there has been a rise
00:17:20.400 just that he's noticed of clients coming in and sort of saying they already know what it is they're
00:17:25.680 suffering from and then you ask like well how do you know that and it is from TikTok and I don't
00:17:31.480 want to write off how social media can be a tool of learning these things about yourself but I think
00:17:35.260 it just goes back to that like tendency to self-diagnose from content that is really general
00:17:40.920 not actually a therapist who is talking to you and knows you totally and and you don't have to
00:17:45.700 write it off I can write it off I'm I'm just intensely skeptical and you said something that
00:17:51.800 that really you know sparked my interest before that people have been doing this forever not just
00:17:59.580 when the internet's been around people have been getting self-help books and being like this is
00:18:03.660 definitely me yeah since the beginning of media i genuinely believe that social media makes it
00:18:10.540 more dangerous because it is just available constantly and there's so much more of it and
00:18:15.400 it's a thing that lives in our hand and that feels a lot more intimate and a lot more real
00:18:20.920 than buying some self-help book that you went out to a bookstore to buy or reading an article in a
00:18:28.700 magazine there's just more of it it's closer to us and it's more intimate and that makes it seep
00:18:35.740 into our brains yeah a different way and it it's like infiltrating culture beyond just you know
00:18:44.160 someone's own quest for self-improvement i think you know i would say tiktok therapists and not
00:18:50.760 even them themselves with the culture that they kind of really um exploded or popularized is
00:18:56.360 responsible for things like therapy speak which is um basically when you're talking to a friend
00:19:02.140 or a loved one who if who you should be able to sort of talk i mean and like to put it bluntly
00:19:08.340 normally with but instead you're using these this like language of therapy in the many cases
00:19:12.720 or at least i feel weaponizing the language of therapy to like avoid for talk to your husband
00:19:18.820 or your yes yeah like avoid yeah or your dog walker yes yeah where it's just like you made
00:19:25.680 me feel very unsafe right and it's something about therapy speak in general i think because
00:19:31.500 you're using words about mental health and we all like understandably want to respect mental health
00:19:36.700 it does it can be weaponized in a way that like shields you from being interrogated on the thing
00:19:43.980 you're asking because you're like you've already kind of put up the the trump card of therapy speak
00:19:49.260 where it's like okay well if i feel like if i disagree with this person i'm like being a bad
00:19:53.220 person um and and then but then it like you know it's the it it's a trickle down into like when
00:19:59.080 you see conversations about you know I would never drive a friend to the airport or um or like you
00:20:06.140 know I'd be sitting on the phone comforting a friend is like too much emotional labor for me
00:20:10.280 like terms like that where it's like what is this because like what you're describing is just like
00:20:16.120 what caring about another person is and now you're and and somehow like it sounds like if
00:20:22.940 If you don't want to be on the phone with a person and help them through an issue, then I just think that's not your friend.
00:20:28.200 They're not actually you're not just you're not doing emotional labor.
00:20:31.500 You're not being subjected to some injustice.
00:20:33.500 They are leaning on you for like what it is you should if you are a person who feels friendship for them.
00:20:41.240 It's something that you would like jump to do without thinking.
00:20:43.260 It's just this weird boiling down to transactions, what being a human and having relationships with other humans is.
00:20:51.780 And I don't think that's supposed to be the point of therapy. But I think it's, you know, when it when these terms that are meant for like specific situations get put in the hands of the masses, they can be used, I would say, like for worse. And as a way to like it, I think it can feed into selfishness, I guess I like I'm really trying to be diplomatic about certain things because I'm not actually like a hater.
00:21:18.360 but um i do think if you follow the effects of this to like the worst corners of it that is a
00:21:25.760 little bit what it's um what it shows up as no i think you're right i do i do you're much more
00:21:31.340 diplomatic than i am my lack of a filter has just grown and in the past i mean i just i think that 0.96
00:21:41.360 when you become a woman of a certain age you just stop giving all of the fuck oh yeah
00:21:45.060 I think I think it's because I am so aware of, you know, I mentioned like I grew up on Tumblr and I do think or even OK, even like a recent example is like my therapist and I recently came to the conclusion that what I was dealing with was not just broad anxiety, but obsessional thoughts. 0.96
00:22:07.280 And so we started looking at things through an OCD lens. But the only reason we came to that is like because I forget what specifically, but like I think I saw I saw myself in something online that framed the thought patterns that this person was experiencing as OCD.
00:22:22.580 And then I was like, wait, let me that's interesting. Let me look into this because I always thought OCD was what this thing was. And so in that sense, it's like, OK, well, having that person speak up and be, you know, representation was helpful for me because once my therapist and I switched to that framework, like we made so much more progress.
00:22:40.540 So I'm like, well, I know, like, I don't want to be like, oh, it worked for me. It is bad for everyone else. But I think that's like a good example. But I think there's no good examples, too, as there are with like everything in life.
00:22:51.880 As there are with everything in life.
00:22:53.520 Yes.
00:22:54.120 Absolutely. Absolutely.
00:22:55.640 I mean, after I read your article, I started just digging through a lot of these accounts.
00:23:03.660 And one of the things that I think we have to be aware of when we're looking at this content, and that's what I want people to take away from these episodes the most, it's just think critically about everything that you're looking at.
00:23:17.880 And I think the biggest thing is why is someone why is someone posting? Right. So you have you mentioned Bay Area psychotherapist Meg Josephson. And, you know, she says that she started posting just to correct misinformation about mental health.
00:23:40.200 But then things went viral and she got 250,000 followers and it became what she calls a vital
00:23:48.740 way to promote her practice. She says most of her clients come to her from social media
00:23:54.000 and that she recently landed a book deal. So what is the why there? I mean, you're like,
00:24:00.380 yeah, this is not I don't think this is any longer to help people. This is very self-promotional.
00:24:07.860 And when you're in a role like therapist, that's where it starts to get dangerous for me.
00:24:15.880 I think about this a lot.
00:24:16.880 Like, why am I posting even?
00:24:18.480 And I think in so many cases, sometimes I think you can overthink it, but I can be aware that if I'm like, oh, I'm posting, I'm trying to think of a concrete example, but I'll always be like, what is the actual thing I'm trying to say?
00:24:35.520 because i'll be posting like oh here's a little like a little fun picture and it's like but what
00:24:39.560 am i actually trying to show on the picture like okay i actually remember an example but it was
00:24:43.840 like it's so um it's so in the weeds that like i feel insane but i remember i wanted to film a
00:24:50.320 tiktok in this little part of my um of my apartment where i at one on the wall in a certain area i
00:24:58.440 have framed an article i wrote for the new york times and i was like setting up the the camera
00:25:05.920 and it was like i realized what i was trying to show with that angle was not what i wanted to say
00:25:13.140 in the video i wanted to have the new york times thing in shot and i i got two in my head and i
00:25:19.740 moved to a totally different place because i was like i i can feel myself that would be a
00:25:26.320 disingenuous post not in the sense that like what I was saying in it isn't true but that there was
00:25:31.280 like this weird ulterior motive in there that was that felt honestly like kind of embarrassing and
00:25:35.600 almost like animalistic but feels very real and also like I think because I'm like very I've spent
00:25:44.980 a lot of time thinking about this stuff I went through the thought exercise of being like wait
00:25:49.800 why am I actually doing this but I think it's understandable if you're just a regular person
00:25:54.960 going about your day they would like not do that interrogation in fact it's like exhausting to do
00:25:59.120 that interrogation every time you post but so I think then that sort of the secret motive can come
00:26:06.100 up and in so many cases if like the the secret motive for putting something on social media
00:26:11.560 is attention I mean like when you really it's you can't really pretend it's anything else and I think
00:26:18.860 sometimes especially as adults or professionals we want to be like oh no we're above that but like
00:26:23.260 no it's not like you're not i i posted a tiktok the other day that was like weighing in with my
00:26:28.880 own experience on like what like a sort of controversial tiktok and like i could pretend
00:26:33.560 that it was for some other reason but like i was drawn to do it because i knew it was a buzzy topic
00:26:38.300 and the tiktok would do well and it did well and it's like my motive for that was attention if you
00:26:42.580 really just like boil it down and um and i think that's when social media can be really difficult
00:26:48.100 and like when i say i like really overthink this i'm like why am i posting this is it just for
00:26:52.000 attention and if the answer is like really yes I'm like okay I don't really want to do that because
00:26:57.260 it makes me feel bad but I think you know when you mix that with something like mental health
00:27:02.140 or like you know in the case of like Meg when you were getting like these incredible opportunities
00:27:06.760 like a book deal you're even if you're you know a therapist who is uh evolved and like an expert in
00:27:13.700 these things that doesn't mean you're not immune to that same like little you know monkey part of
00:27:19.580 your brain it's like more attention good okay um but then that's when you can post problematic
00:27:25.580 stuff like not this isn't meg but um some of some examples of there was a really like prominent
00:27:32.040 instance that happened i think two years ago um it's in it's in the piece but it's with a
00:27:37.760 therapist who was using a sound the sound was someone chanting um holy spirit activate and
00:27:44.000 it's always so by the way insane to explain a tiktok trend it like always just comes out
00:27:49.880 it's so crazy yeah in words it's like what um but basically the sound was used when
00:27:55.640 to to sort of soundtrack any skit that was about needing help from like a higher power um and so
00:28:02.900 people were using it during times when they were like exasperated and this therapist made a video
00:28:08.180 with the sound and she kind of used text to say like when your client wants to trauma dump on the
00:28:14.640 first session so number one trauma dump is therapy speak it's not even real like I don't even think
00:28:19.980 like in session a therapist would ever use that um but also so but also what that wasn't I mean
00:28:25.060 some there's like so many things wrong with that um the big one being is like she was like maybe
00:28:30.440 still is she did lose clients from this but she was a trauma counselor and so it's like if if
00:28:35.600 anywhere it should be permissible to quote unquote trauma dump it should be in session with your
00:28:41.440 trauma counselor um and but like and so people got really upset by it and rightly so being like wait
00:28:48.280 now I'm worried I'm like saying too much to my therapist and really that therapist doesn't think
00:28:53.520 at all about trauma dumping what she thought about was okay here's a trend that's trending
00:28:58.520 this is a buzzy word and I think in her assumption she thought this would be funny and but like that
00:29:04.560 was the motivator and what it actually did was harm uh harm potential current patients and
00:29:10.360 potential patients she lost I know a buzzfeed reported this like two clients from it um
00:29:14.200 and then I mean even like a recent one um that I saw when just scrolling was a therapist talking
00:29:21.000 about like when she's wondering how a client is affording this session and then she overhears the
00:29:27.800 parents in the waiting room and then it's like oh and so like the joke is like oh the parents are
00:29:32.480 paying for it but it's like wait why is my therapist is my therapist thinking about my
00:29:36.040 finances like or like judging me for my parents paying for therapy like all this stuff where it's
00:29:42.100 just like you're trying to be funny you're trying to be relatable and you're like relatable too close
00:29:47.040 to the sun and then you're like actually making a client feel judged or unsafe and that is like
00:29:52.680 no therapist wants to do that but that is I think when you get the little animalistic draw of like
00:29:58.720 attention on social media and that's the lens through which you're thinking about what you post
00:30:02.740 there's a lot more potential to make those missteps yeah absolutely absolutely all right
00:30:10.980 we're going to take one more quick break uh and when we get back i i want to figure out if this
00:30:16.060 is something the patient should be screening for should we ask our therapist if they're on social
00:30:21.580 media? You want to impress them on a first date, but also play it cool. So what do you do? I'm
00:30:34.200 Rufy Thorpe, and I wrote and read a real love story about a hinge couple that navigated exactly
00:30:39.240 that. Listen to the free audiobook now. Okay, we're back. Now, we were just, we've been talking
00:30:52.940 about your own personal therapy. Is your therapist on social media? She is not, but I did when I was
00:31:00.560 first started looking at this piece before I even interviewed anybody, I just was like
00:31:04.000 asking her about it i was just like i want to know like not like obviously not for quote like
00:31:09.980 quotation or anything but i was just like what is the vibe on this um and she is not but she said
00:31:16.000 she has thought about it not necessarily putting her face out there but you know going the
00:31:22.140 infographic route or something um and i do think like my my assumption is maybe that when that's
00:31:28.580 what people in your community are doing when it's becoming a trend you do get like pulled towards it
00:31:32.160 But but so no, my mine is is not. But she. I would like will be the way she's social media curious, like social media curious, social media curious.
00:31:44.640 Yeah. Yeah. Yeah. And you pulled a couple of quotes from from people on on the socials, you know, saying, you know, what they would feel like if they found out if their therapist was on social media.
00:31:58.260 one says if i saw my therapist on tiktok i would simply pass away if i another another if i saw
00:32:05.940 my therapist giving advice on tiktok i would kill her yeah um okay okay the internet's a bad place 0.92
00:32:12.800 but uh wow wow but i don't i mean i do not advocate killing anyone i don't i don't but 0.97
00:32:22.260 not that cynical not that cynical uh but i do think it is a fair question i wouldn't go to a
00:32:28.060 therapist who's a social media therapist i was actually just listening to uh an episode of modern
00:32:35.960 love with esther perel who i like a lot whose books i read uh would never go to her as a marriage
00:32:44.160 therapist because i'm like i don't want my life my life is already public enough with what i choose
00:32:50.860 to put out there. But that I don't want my therapist to be a public figure. And I do think
00:32:58.520 that an Esther Perel is a very, you know, I think she used to be a very specific example, right?
00:33:05.720 There used to be like three high profile therapists out there. And now with many, many therapists on
00:33:12.900 TikTok, I think it's a question worth asking when you're when you're shopping. And reminder to
00:33:18.640 everyone that finding a therapist is so hard anyway getting it paid for by health insurance
00:33:24.240 is so hard anyway so like it just feels like we're adding another hurdle to find someone to
00:33:30.120 care for our mental health to be like hey are you on social media and if so where do you get your
00:33:37.360 content and do you talk about your clients that feels so uncomfortable but also now necessary to
00:33:41.900 me right yeah so this was something that i spoke to some of the therapists about and jeff gunther
00:33:48.020 who's therapy jeff he's like probably one of the better known like when you say tiktok therapist
00:33:51.920 i think his face pops up for a lot of people and his name is therapy therapy jeff therapy jeff
00:33:57.820 some of these names though i mean just like yeah okay um but so what was interesting for him because
00:34:04.360 i asked about this um he has not taken on any new clients since he started posting on tiktok for
00:34:10.860 that reason which is that um he doesn't want anyone coming in with like a preconceived notion
00:34:19.140 of him um from what they see online and it was very interesting because he was like you know my
00:34:24.600 because he sort of tells this anecdote when he first started posting he hadn't told his um
00:34:29.880 existing clients yet and then they came across it organically and he was saying the weirdest part
00:34:34.760 for both of them was that like when he's online he's doing a persona and uh that it doesn't
00:34:39.600 necessarily mesh with how the patients know him in the room. So, so he won't take any on. I am
00:34:45.500 curious about like, he's been a therapist for a very long time. So he has, I think, just a lot
00:34:50.620 of preexisting clients because I'm curious if that's sustainable to not take any, like, what
00:34:55.900 is he going to, I don't know. And I guess I'm not his business manager, so that's for him to figure
00:34:59.420 out. But, but, but for Meg, she was brand new. She didn't have any clients. We just started
00:35:03.820 posting and now it has been a really helpful way for her to get clients and i i can see a case like
00:35:10.760 when i was looking for my therapist i didn't want them on social media in that way but i would i
00:35:14.660 wanted i needed them to understand social media because so many of my i mean you heard me talking
00:35:18.960 about the new york times thing being in frame like i i have a lot of neuroses that's very like
00:35:24.120 social media based and i was like i need a therapist who understands like why it matters
00:35:29.140 and why like it's like valid to be anxious about this and what meg was saying was that you know
00:35:34.740 people can you can get it you can see how they talk and move and all this stuff and maybe it
00:35:39.060 helps you feel more connected to them before you go to them but the really blanket thing to what
00:35:43.820 you were saying is that like i think the thing that can be agreed even though the guidelines
00:35:48.840 haven't been updated is that if a therapist has like a public facing social media presence they
00:35:54.240 need to disclose that in something called an informed consent form when you join them and so
00:35:59.400 it like says up front like it's all this stuff about like if i see you in person i won't go up
00:36:04.360 to you all this stuff and then you know i just signed one for my therapist a few years in when
00:36:08.040 she updated hers just to say that like she would never seek me out on social media if i messaged
00:36:12.540 her like she's like i think i literally don't know i haven't looked for it but i probably imagine a
00:36:16.660 personal instagram account like if i dm that she will not answer um so that's like a for my sign
00:36:21.860 And so when you make public facing content, the sort of suggestion is in there.
00:36:26.760 It needs to say, I am public facing on social media and, you know, say, like, I don't talk about our sessions or like if you comment, I won't respond like all this stuff.
00:36:34.780 But, yeah, I think it needs to be something up front, because I think the the thing that everyone described of the clients who I spoke to now, none of the clients like left their therapist, I think because like, you know, you read those tweets and everyone's very like aggressive about if they see their therapist.
00:36:46.840 But if you like them and you have a longstanding relationship and then you come across them on social media, it's not as much of a deal breaker, at least for the people I spoke to.
00:36:55.660 It was kind of like surprising and they had to like sit with it for a second, but they kept going.
00:37:01.000 But they didn't bring it up with their therapist, which is I just think it needs to not be a secret.
00:37:05.920 It needs to not be that unspoken thing because it goes back to what we were talking about at the beginning, whereas if there's a level of discomfort in that relationship at all, it's not going to be effective.
00:37:13.400 So, yeah, I think it needs to be very upfront. It needs to not be a surprise at all.
00:37:21.280 Yeah, no, absolutely. Absolutely. I don't think it can be a surprise. And I, yeah, I have such
00:37:31.320 mixed feelings about it. I do. Because even if you're not openly talking about specific clients
00:37:39.660 and people said to you in this piece that i'm not talking about our sessions but these sessions
00:37:45.420 influence me and they might subconsciously influence the content i'm creating that's not
00:37:52.120 a line that's a very very blurry confusing area and i think it's interesting because and it's like
00:37:59.340 a it's like a question for some like a higher power because i think it's like and i can
00:38:03.300 you know like i think about it from like my culture writer brain where it's like oh if you
00:38:08.600 see something popping up in a bunch of different places it's like oh this is a larger conversation
00:38:12.240 and like that's how I write an article and so it's interesting that like for them like if they're
00:38:17.320 talking to clients and they're seeing like a lot of issues pop up like I like in I like I asked
00:38:24.540 this question of Meg when I like interviewed I actually interviewed her for my newsletter way
00:38:28.420 earlier um and I had asked like what's something you're seeing and so she's able to identify like
00:38:34.220 a lot of people really have the fear that they're in trouble um that's like what it distills down
00:38:38.580 to but so like that comes from like she knows that from sessions uh and so yeah it's like what
00:38:43.980 are you are you comfortable with being inspiration and I think even if it's not you know about your
00:38:48.820 you specifically like it can't like it's totally against the rules if they did that because of
00:38:52.600 confidentiality but you know are you comfortable with being inspiration is like a question you
00:38:56.080 have to ask yourself and I think for a lot of people really for valid reasons the answer would
00:39:00.880 be no um and yeah I'm like I guess I wouldn't care but you know it's really really to each
00:39:08.340 their own and so it does it just is like what we were saying like it needs to be really clear if
00:39:12.880 the therapist wants to be on social media like their client needs to know because i think the
00:39:17.100 biggest betrayal the biggest like gray area that i think would absolutely be seen as a betrayal is
00:39:22.460 finding out that even if they aren't naming you even if you don't hear your exact situation if
00:39:27.760 you have a if you can see that like clearly your therapist is talking about something online that
00:39:32.600 you guys also spoke about um and you didn't know that that that can I totally understand why that
00:39:39.440 feels like a huge betrayal of trust um and I think I think it all it kind of comes back to
00:39:46.460 something that is like plaguing me about social media since I was like a tween which is when you
00:39:52.040 post online I think it's sometimes easy to forget you think you're not talking to real people like
00:39:59.020 it just kind of goes out into a void and then you get given numbers um and and i think therapists
00:40:06.120 or like teachers like what we're talking about um that's an example of where like it you would get
00:40:13.120 the like the i can get away for the most part when i as a journalist when i talk about my articles on
00:40:19.620 like tiktok it doesn't i don't really ever get like it i hardly get people in real life who i
00:40:26.600 talk to who read my stuff. And when I do, it's very weird and I don't know how to interact with
00:40:30.340 it. But with a therapist or a teacher, that's way more likely that you're going to get in front of
00:40:35.500 someone you have an actual relationship with or awareness of. But I think it's easy to forget
00:40:44.920 when you're just posting to an algorithm and then just getting lots of numbers. Yeah, it's really
00:40:50.540 thorny. And I think the big thing is they've got to update those ethics guidelines. They do. They
00:40:55.700 do i i my last therapist was so strict about not talking about his personal life i was obsessed
00:41:03.500 with his wonderful mid-century modern furniture and i would constantly be like where'd you get
00:41:09.900 that lamp christian and he'd be like we don't talk about me that's so funny just tell me where 0.90
00:41:16.820 you got the fucking lamp because i can't think about anything else until you tell me but that 0.89
00:41:21.980 felt like a like a serious code like a lion he'd drawn and i do think he was a certain age he was 0.99
00:41:29.220 probably 50 and i think that the new generation of therapists uh it's it's just a little different
00:41:37.120 everything seems a little blurrier to me yeah yeah it yeah i think it has to be i mean the
00:41:43.420 answer to so many of these questions i think it just it has to be transparent and open in in lieu
00:41:50.180 have like any answers to the gray area, the best thing that like the people can do is just like you
00:41:55.360 have to be upfront and honest and allow for uncomfortable conversations like your patient
00:42:00.580 being like, I feel betrayed by this. Exactly. Exactly. And I think transparency is going to
00:42:05.100 be the key going forward. None of this is going away. Right. We're not we're not getting off of
00:42:10.020 our phones. Social media isn't disappearing. We know that the government is unlikely to regulate
00:42:14.620 anything. So yes, as creators, we need to be more transparent. I try to be as transparent as
00:42:20.860 possible. I was like, you know, I desperately want to sell you books. I want you to listen
00:42:25.000 to my podcasts. And I also share things about my life because I think it's important to share
00:42:30.120 women's stories. That's my whole my whole thing. I've got nothing else, people. But we don't see
00:42:37.140 transparency in most of these accounts. And we have to view them also as media brands. Now,
00:42:42.600 everyone is their own little media brand and so you have to judge it as thus and not necessarily
00:42:48.000 as this is a therapist just trying to help people because i'm sure they are i'm sure many of them
00:42:52.100 are trying to help people but they also want attention yeah agreed that's how you said you
00:42:58.040 summed it up really nicely there uh well i loved this piece this was so good i you know bustle is 0.98
00:43:03.640 doing such great work in an age where media is a shit fuck of dumpster fiery yes bustle is doing 0.94
00:43:12.380 doing great reporting so tell everyone where they can find you and the things that you write 0.98
00:43:16.660 yeah so um i am you know largely just a internet culture writer i have my own newsletter called
00:43:24.720 embedded um and then i write for a few places pretty regularly so yeah bustle's a big one
00:43:30.600 um yeah they have some great stuff then i'm also uh over i i will sometimes write for the atlantic
00:43:36.740 uh gq and vulture and then i'll just like pop up where you least expect it sometimes but i would
00:43:44.040 say embedded is the place to go for like regular i'm there a couple times every week with um new
00:43:49.840 and sometimes bizarre things on the internet great actually you know i wasn't subscribing
00:43:54.540 to embedded and now yeah yeah well welcome well can you just can you just add me can you just
00:44:00.180 add my email address oh yeah okay yeah absolutely yeah embedded guys i love it when i love it when
00:44:05.020 I discover new things. Well, this has been wonderful. Everybody ask your therapist if
00:44:09.200 they're on the TikToks and then make up your own mind. Make up your own mind. We all deserve all
00:44:15.580 the information. And that is all we have for today. I don't know about you, but I don't want
00:44:22.700 my therapist to be on the TikTok and the Instagram. I mean, it just, I feel like it's very difficult
00:44:31.080 to make the call about what you share and what you don't share on social media. And there will
00:44:37.980 inevitably be some bleed between what you do in your therapy sessions and what you're producing
00:44:44.780 as content. And for me, that does seem dangerous. Thankfully, my therapists do not seem to be on the
00:44:54.280 social media. But you never know. You never know. Thank you for being here with us today.
00:45:00.340 If you love the show, leave us a rating in all of the ratings places.
00:45:05.560 And as always, you can pick up a copy or many, many copies of the Book of the Summer,
00:45:11.320 The Sicilian Inheritance, wherever you get your books.
00:45:14.320 We're back in stock, people.
00:45:15.540 We did our reprinting.
00:45:17.280 Now go do something nice for yourself.
00:45:20.020 You deserve it.
00:45:30.340 Transcription by CastingWords 0.99
00:46:00.340 I want to date with Roars, Carti says.
00:46:12.260 Roars? Raka asks.
00:46:14.420 This is the love story of real hinge couple Carti and Raka.
00:46:18.500 Written and read by me, Nicola Dinan.
00:46:21.260 Listen to the free audiobook now.