8 Common Misconceptions About Therapy

Many people who could benefit from therapy never try it because of myths about what it is and who it’s for. In Nigeria, stigma around mental health can make it even harder to ask for help. Here are 8 common misconceptions about therapy, the facts behind them, and what to expect when you start.

Myth 1: Therapy is only for people with serious mental illness

Fact: Therapy can help anyone dealing with stress, grief, relationship problems, work pressure, big life changes or low mood. You don’t need a diagnosis or a crisis to benefit from talking to a professional.

Myth 2: Going to therapy means you’re weak

Fact: It takes courage to recognise you need support and to do something about it. Looking after your mental health is as sensible as seeing a doctor for a physical problem.

Myth 3: A therapist will tell you what to do

Fact: Therapists don’t make decisions for you. They help you understand your thoughts and feelings, explore options and build skills, so you can make your own choices.

Myth 4: Therapy works immediately

Fact: Therapy is a process. Some people feel relief after a few sessions, but lasting change usually takes several weeks or months of regular sessions and practising new skills in between.

Myth 5: What you say won’t stay private

Fact: Licensed therapists must keep what you share confidential. The main exceptions are when there is a serious risk of harm to you or someone else, which your therapist should explain at the start.

Myth 6: Therapy is just talking about your childhood

Fact: Some approaches explore the past, but many, such as cognitive behavioural therapy (CBT), focus on current problems and practical ways to cope now.

Myth 7: Talking to friends or family is the same thing

Fact: Support from loved ones matters, but a therapist is trained, objective and not personally involved, so you can speak freely without worrying about judgement or affecting relationships.

Myth 8: Therapy is too expensive or hard to access

Fact: Options are growing, including therapy by phone or video, workplace wellness programmes and health plans that include mental health benefits. See how teletherapy works.

Signs therapy could help you

• You feel anxious, low, irritable or overwhelmed most days
• Your sleep, appetite or energy has changed
• You’re struggling with grief, a breakup or a major change
• Problems at work, at home or in relationships keep repeating
• You’re using alcohol, food or other habits to cope

Learn more about the symptoms of anxiety disorder and treatment for depression.

What to expect in your first session

Your therapist will ask what brings you in, about your background and what you’d like to change. It’s normal to feel nervous. You can ask about their qualifications, approach, confidentiality and how many sessions you might need. If it doesn’t feel like a good fit, it’s fine to try someone else. Read more: let’s talk about therapy sessions.

If you are in crisis or having thoughts of harming yourself, don’t wait for a therapy appointment. Go to the nearest hospital emergency department or call emergency services.

Reliance HMO members can check their plan’s mental health benefits in the Reliance Care app. Download it for iPhone or Android.

Frequently asked questions

How do I know if I need therapy?
If your thoughts or feelings are affecting your daily life, relationships or work, or you simply want support, therapy can help.

How long does therapy take?
It varies. Some people benefit from 6 to 12 sessions, while others continue longer.

Is online therapy as good as face-to-face?
For many people with stress, anxiety and depression, research shows similar results.

This article is for general information and does not replace advice from a qualified health professional.

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