Araz Gholami

The Complexities of Therapy and Its Challenges A significant portion of psychological issues can be effectively addressed with the help of an experienced psychologist. However, a brief…

A significant portion of psychological issues can be effectively addressed with the help of an experienced psychologist. However, a brief exploration on the internet reveals that the primary issue isn’t the reluctance of individuals to seek help, but rather the scarcity of skilled, experienced, and dedicated psychologists. Additionally, several systemic issues contribute to the challenges faced by individuals seeking therapy:

  1. Session Duration: The duration of therapy sessions has progressively decreased from 1.5 hours to 1 hour, then 50 minutes, and now often to just 40–45 minutes. In this limited time, clients barely have the opportunity to discuss and repeat their issues, let alone receive adequate treatment.
  2. Session Costs: In a context where the minimum official salary is less than $200, the cost of therapy sessions has risen to over $15, aligning with rates in Western countries. Furthermore, very few practitioners adhere to the official consultation fees, with some charging up to three times the recommended rate.
  3. Personalization of the Therapist-Client Relationship: Unprofessional personalization of the therapist-client relationship has become prevalent. Physical contact, and the transformation of the professional relationship into a personal, friendly, or informal one, whether by male or female therapists, can be detrimental to the client’s well-being.
  4. Breach of Confidentiality: There is a widespread issue of therapists not adhering to confidentiality agreements, with many discussing session contents outside the confines of their offices.
  5. Unscientific Recommendations and Categorization: Therapists sometimes offer unscientific, culturally biased advice, oversimplify issues, and place clients into overly simplistic categories. This includes unnecessary prescription of medications with severe side effects and, in some cases, therapists themselves lacking in mental health.
  6. Access to Qualified Therapists: In Tabriz, a city with a population of over 3 million, finding skilled, dedicated, and professional therapists remains an elusive task, assuming such professionals are available.

These issues highlight the need for a reform in the mental health field to ensure that those seeking help receive quality, professional, and ethical care.

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