4.7 • 1.2K Ratings
🗓️ 20 June 2025
⏱️ 25 minutes
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Therapy-misspeak – overusing the terms used by psychologists and doctors and therapists – has blown up in recent years. Words that are used in the mental health world to diagnose or describe certain mental illnesses or traits of mental illnesses have become part of everyday language. But not in a good or accurate way.
The trend seems to be leading… not to better mental health – but to a dilution of the actual pain or hardship that is mental illness as well as to hinder you learning how to talk more plainly about your emotions or experiences.
Today’s listener question isn’t a question. I was very touched by the words this listener wanted me to hear – and told her so.
HuffPost piece: “Dealing with a narcissist” - all jerks aren't narcissists.
Early SelfWork Episode on narcissism
Research article on therapy-misspeak
The Instagram account of Raquel the capacity expert
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0:00.0 | This is self-work, and I'm Dr. Margaret Rutherford. |
0:10.3 | At self-work, we discuss psychological and emotional issues and what you can do about them, |
0:15.7 | whether that's learning self-acceptance, taking action, or seeking therapy or treatment. |
0:21.3 | Eight years ago, I extended the walls of my practice to reach those of you who might already be |
0:26.1 | knowledgeable about middle health treatment, but also to those of you who might say you'd never |
0:31.3 | darken the door of a therapist. And yet, you are here. I'll answer your questions while I invite |
0:37.1 | you to take a few minutes for your |
0:39.1 | own self-work. But we all need to learn to regulate emotions. That's not shutting them off |
0:46.9 | or down, and it's certainly not aggravating them. It's managing them so they're not overwhelming, |
0:56.6 | but are informational and even helpful. |
1:04.3 | Even if they're unpleasant to feel, you can gain a huge sense of competence when you're able to feel and manage and work through your emotions. |
1:08.5 | Welcome to this week's edition of self-work. |
1:13.4 | It seems that therapy speak, the words used by psychologists and doctors and therapists, it's kind of blown up in recent years. Some people are calling it therapy misspeak. |
1:18.9 | What is it? It's words that are either used in the mental health world to diagnose or describe |
1:24.6 | certain mental illnesses or traits of mental illnesses. But somehow these words have |
1:29.4 | become part of everyday language to describe things, or frankly, to justify or even defend actions |
1:36.4 | or attitudes, or to label. They're way overused and are often doing more harm than good. |
1:43.8 | Today, I want to talk about what I've seen |
1:45.8 | over the years. I also want to explain what some of these terms actually mean and how they're being |
1:50.5 | bastardized by a movement that I think started out great because it was all about, we've got to talk |
1:55.3 | about mental health more, but there's been a bit of an overcorrection, as movements often do. |
2:01.8 | And now some people are shrouding or labeling their experience of themselves or others |
... |
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