this post was submitted on 09 Sep 2025
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chapotraphouse
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"Mental health support" is largely a way for people who are damaged by capitalism and fascism to simply cope with capitalism and fascism. I have personally benefitted greatly from therapy and anti-depressants, it's saved my life. But it's only brought me to the stage where I recognize I have to fight capitalism to be happy, rather than living under capitalism.
The goal of these institutions is to get workers back to work instead of killing themselves and others or more seriously questioning their environment. Beyond that, it alienates people from communities. Instead of talking with your friends and family and neighbors and strangers about your mental health, you pay someone to listen to you. These institutions break down communities by making mental health a commodity, sold by therapists and bought by people struggling under capitalism.
Ngl talking to my friends, family, etc about my mental health is far more alienating then talking with a therapist. They do not want to hear as much shit as I have
What about when you feel so bad that venting constantly to your loved ones will eventually tire them out and alienate them? Everyone has their limits, especially when the one who is constantly offloading their suffering onto you is a loved one. Therapists are good for that purpose imo, they don't love you and are trained to converse with you effectively about these matters, especially if you are mentally ill (most people who go to therapists are how you describe probably, but there is a chance I would have OCD + BPD even outside capitalism if another trigger like the death of a loved one came to pass)
i recall one of the specific differences between the sanders/warren m4a plans was the snake's exclusion of mental health coverage.
obviously, the first reason for this was the profession made up a substantial portion of her donor base, but the deeper reason was that the american service economy cannot function if low-wage workers (or unemployed people) are accidentally provided with the same psycho-babble tools to cope with their workplace tensions than the bougies enjoy.
it's one thing for the pmc class to rely on therapists to reconcile their alienation and get back to "the grind," but these tools and strategies ring pretty hollow when dealing with the physical destruction of one's body on a daily basis to just barely get by. such circumstances would be radicalizing for many people. and i say this as a person who has actually seen some benefits from talky-talks, meds, etc.
Maybe it's just that I've gotten lucky, but every single decent therapist I've ever had has very, very strongly encouraged me to talk to my friends about my problems and form a strong social safety net and work together with others.