Things You Learn in Therapy

Ep 140: The Double-Edged Sword of Mental Health Labels in the Age of Social Media with Dr. Tim Hess


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Have you ever watched a TikTok about ADHD symptoms and thought, "That's totally me!" or found yourself wondering if your social discomfort might actually be diagnosable anxiety? You're not alone.

In this thought-provoking conversation with returning guest Dr. Tim Hess, we dive into the increasingly common phenomenon of mental health self-diagnosis. We explore how our success in destigmatizing mental health conversations has led to an unexpected consequence: the transformation of clinical diagnoses into personal identities and social labels.

The easy access of mental health information through social media has created a world where anyone can share "facts" about psychological conditions, leading many to adopt diagnostic labels without professional assessment. We discuss the powerful appeal of having a name for your experiences—how a diagnosis can bring validation, community, and in some contexts, accommodations or relief from expectations. But we also wrestle with the critical question of "clinically significant impairment" and what happens when normative human experiences become pathologized.

Dr. Hess shares insightful observations from his work in college mental health, where he frequently encounters students who arrive with firmly-held self-diagnoses. We examine the paradoxical position mental health professionals now face: historically emphasizing respect for clients' self-knowledge while also maintaining diagnostic expertise. This tension raises profound questions about gatekeeping, accessibility, and how we respond to human distress in institutional settings.

Whether you've found yourself researching symptoms online or you're a professional navigating these waters with clients, this conversation offers nuanced perspectives on finding balance between validation and accuracy, between personal experience and professional assessment. Listen in as we explore one of the most complex challenges facing mental health work today.


This podcast is meant to be a resource for the general public, as well as fellow therapists/psychologists. It is NOT meant to replace the meaningful work of individual or family therapy. Please seek professional help in your area if you are struggling. #breakthestigma #makewordsmatter #thingsyoulearnintherapy #thingsyoulearnintherapypodcast

If you or someone you know is struggling with mental health concerns, please contact 988 or seek a treatment provider in your area.

If you are a therapist or psychologist and want to be a guest on the show, please complete this form to apply: https://forms.gle/ooy8QirpgL2JSLhP6

Feel free to share your thoughts at www.makewordsmatterforgood.com or email me at [email protected]

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Things You Learn in TherapyBy Beth Trammell PhD, HSPP

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