agree. This cant do as much as genuine therapy (which requires another person, no way around it). But it is helpful in some ways. It helped me talk through something last week and it genuinely enriched my life in that way.
It's basically a replacement for having cultural and social guard rails, lots of community, lots of straightforward expectations of roles etc. Today, people are atomized and lost, so they need a friend-and-priest-replacement who has authority but also patience to hear you out and has experience with judgement calls about people's lives.
But all this talk about "healthy" ways of coping etc is basically just there for medicine-envy and insurance reasons.
I think having one's mind/spirit sorted out is quite important, but the specific textbook strategies of today may be indeed mostly hogwash through a strict healthcare lens.
Is a person with a crutch healed? No. But they can walk, when before they could not. Therapy can't erase the past, but it can give people tools to live more capable and rich lives. A crutch doesn't regrow an amputated leg, but it does help that person handle the injury, so in that sense, it 'works'.
I've noticed that the human tolerance for extreme suffering leads sometimes to binary thinking. "Well they're still going to work even though they're made to piss in bottles, they must be fine with it!" Human experience is a wide array of emotions and states, I don't think we should try to separate into "cured/healthy" and "unhealthy/requiring adjustment by a mental health professional." Improving quality of life is also good.
You aren't sincere, though, since you followed it up with a clearly uninformed assumption: "Not by the numbers. tons enrolled, none cured." That you're uninformed is obvious: there's myriad papers demonstrating the efficacy of psychotherapy in treating all manner of diseases, furthermore, to say "cured" means you have a fundamentally uninformed understanding of medicine. Nobody that's spent any reasonable amount of time learning about medicine would so flippantly say something vague like "cured." How do you "cure" a limb with peripheral arterial disease? Well, you treat the patient by amputating the limb. Boom, they've been "cured" of PAD! You see, it's absurd.
Based on your site, you seem like a pretty smart guy, in engineering. Maybe when it comes to confidently dismissing entire swaths of knowledge, you should stick to your own field, rather than "sincerely" doubting an entire branch of medicine without even a single paper linked to support your position.
We all get you have this strongman opinion about mental health, what I'm telling you is that your objection is roughly as convincing as a flat earther pointing at great circle lines and saying "see, makes no sense!"
You're also simply wrong about psychotherapy being unique in that it's the only ongoing treatment. Not only does it for many people reduce to yearly check-ins or less once they have the tools to manage whatever they're managing, there's other diseases that are treated with various therapies (physical, for example) until death: ALS, for example.
They very word, "therapy," just means "treatment."
The mental illness model is just a book of definitions, made up by a board. there are no objective diagnostics in the book. Even claims about endocrine disfunction have no practical clinical measurement. It's not based on any empirical research , it's based entirely on subjective judgements. Every new version of the book has new "disorders" that are entirely made up .
Don't play dumb with words. words have connotations. It's obvious we are talking about talk therapy, psychotherapy more broadly, psychotropics and the popular trends around that connotation of "therapy".
The entire psychiatric / psychotherapy industry believes in that book like a bible. No amount of opposing evidence will change their mind , because they've fabricated a supernatural domain. There's no way to disprove a religion.
You're ignoring mountains of studies with empirical evidence for the efficacy of various psychiatric treatments.
You think you're being empirical because you can't find a chain between a molecular chemical reaction and a given psychiatric disorder and its treatment, like the link between what a bacterial infection does to the body and then what the antibiotics do to the bacteria. I encounter this a lot in engineers, who are used to working in relatively simple, deterministic systems. If you want to blow your mind, go look up the data storage capacity of the DNA in a skin cell. Have trouble parsing a vibe coded PR, try parsing the human genome.
You're mistaken that what you perceive as subjective is related only to the field of psychiatry. The human body is too complicated to model accurately, so for example nutrition is also a highly "subjective" field leaning heavily on empirical data gleaned through studies, rather than a deterministic perfect link between the mechanisms of a tummy ache and the chemical composition of the food that might be causing it (actually it might be the food triggering a reaction in the gut bacteria which is... OR it could be psychosomatic OR it could be unrelated to nutrition at all and be ...)
If you need determinism and full system explanations to understand things, that's great, you chose the right field: computer science is easy to map. Down to the last bit, down to the logic gates in the CPU, you can describe everything, you can determine the exact cause of a bug or behavior. Biology and medicine aren't like that, especially not psychiatry. The human brain is widely considered the most complicated thing in the universe (that we're aware of). It can't be modeled or simulated with the degree of accuracy of a CPU. It's nondeterministic and unpredictable. The best we can do is do large aggregate studies and start picking apart the patterns and labeling them. It's definitely still an early science but that doesn't invalidate the treatments which studies show do work.
It's definitely weird the "power" of the human brain on human biology, but the evidence is overwhelming. Studies on psychosomatic symptoms, studies on placebo, studies on therapy treatments, if the effects weren't real, they wouldn't show up so consistently in populations across the world.
So again, I get it, you don't fully comprehend the field so you dismiss it. However I again remind you: your dismissals aren't convincing, they just expose your ignorance of this topic. Go on believing whatever you want, but I guess I'd recommend keeping this confident ignorance to yourself.
What I suspect is you specifically believe some subset of psychological disorders are "fake," am I right? If I had to guess, for people with your opinion, it's usually, depression, ADHD, maybe autism, and maybe gender dysphoria? Lots of other disorders listed. Surely you don't think schizophrenia is fake? Tourettes? PTSD? If you're gonna say the whole book is fake you have a lot of studies you need to dismantle.