Mental Health Therapy and Luxury

Therapy for mental health is and is not a luxury.

On the one hand, such therapy can be expensive and is often not readily available. Some therapists aren’t covered by insurances plans. Some offer sliding scale fees, and some do not (based on their needs for keeping their practices going/themselves fed/etc.). Too many people consider therapy to be something for ‘privileged’ people, something that is frou-frou or extra. Many terrible stereotypes about therapy, therapists, and those of us who avail ourselves of mental health services exist and are perpetuated. These things all work to make therapy a luxury for many people, in the sense that it is not easily affordable/accessible for these people.

Personally, this cost keeps me up at night. I guilt myself for using resources to take care of myself when I’m not financially contributing to our living situation. And yet, taking the steps to take care of my mental health has been life-saving.

On the other hand, therapy is not the same thing as a luxury good such as an expensive car, watch, set of cook ware, mansion, TV, or any other thing. While these things are also not affordable/accessible for many people, they do not provide a healing service.

I’ve heard, far too often for my liking, pairings of “I can’t afford therapy” and “I’m buying an (or more than one) expensive item,” from people who are experiencing mental health issues. People get to choose how they spend their money and manage their mental health–but those two statements don’t logically fit together.

As well, as someone for whom mental health services are a need, such statements sound to me like the speaker does not believe the issues I’m (or any one else dealing with mental illness) working with/through are real. It sounds dangerously close to saying, “Why go to therapy when you could just do XYZ other thing?” or “Oh, you should just get over it.” That may not be the intent, but it is the impact.

I cannot buy my way to mental health. I am not positive that anyone can. Even in my fundamental Christian upbringing, I got that message:

Of course, the Titanic did sink–which makes this song a bit odd once I really stop to think about it–but that repetition of not being able to buy my way to happiness? of not being able to get myself to mental wellness via money? I was gifted that even in my super-Christian, super-fundamental background, courtesy of Amy Grant.

Even though I prick myself about the costs associated with therapy, I am grateful to know that I can’t buy my way to wellness. I wish I had better words to express this, in the moment, to the people in my life who have implied that therapy and luxury goods are of a kind.

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