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Jessica J.'s Reviews > Maybe You Should Talk to Someone: A Therapist, Her Therapist, and Our Lives Revealed

Maybe You Should Talk to Someone by Lori Gottlieb
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it was amazing
bookshelves: biography-memoir, arc-digital, favorites

If you've followed me here on ŷ for any length of time, you probably know that I am incredibly passionate about mental health advocacy. It's something that we need to talk about more, so we can break down the stigma surrounding it and more people can pursue help. So it should not be a surprise that I was excited to read a memoir about a therapist pursuing therapy to help her deal with her own issues—or that I absolutely loved the book.

These days, I'm pretty open about the fact that I see a therapist and I love it. I have (only semi) jokingly said many times that I think everyone should give it a try at least twice—go to the initial intake appointment then go at least once more to get a feel for it. Even if you don't think you have a diagnosable condition such as anxiety or depression, just talking out your challenges and breaking down your less-than-great behavioral patterns with an unbiased third party can be an eye-opening experience. It's taken me a long while to get to the point where I feel comfortable talking about it with others, and I appreciate anything, like this book, that will help more people talk about the process.

Lori Gottlieb pursued a career as a therapist relatively late in life. She started out as a TV writer, but her time on ER spurred her to more seriously think about a medical career. She worked as a freelance writer while attending medical school and gradually began to feel pulled in too many different directions. It was the "helping people" part of medicine that most strongly interested her, so an advisor suggested that she switch from and MD to a PhD in psychotherapy.

And yet, she hadn't really been in therapy herself, outside of the practice sessions she was required to do as part of her training. So when her fiancee ends their relationship out of the blue and she finds that she has trouble processing her emotions about the situation, Gottlieb decides to seek out some professional help. Using some clandestine methods, she asks a friend for a recommendation and begins seeing Wendell, a therapist to whom she has no professional or personal connections (a surprising challenge!)

Gottlieb starts out thinking that she just needs a couple of sessions to get over this hump, as it were, but her conversations with Wendell make her see that she could actually use more help than she realized. It's a jarring realization, but it's also one that seems to make her a better therapist as it makes more clear the struggle some of her patients have in connecting the dots between their pasts and their presents, their problematic behaviors and the painful consequences, and being honest about things that don't put themselves in the best light.

The memoir is divided between recounting Gottlieb's sessions with Wendell, her sessions with her own patients (specific details of which I have to believe have been heavily obscured), and a little bit about her path toward becoming a therapist and single mother. The result is an incredibly open and honest look at the therapy process that lays it out better than any other depiction of therapy I've ever read—Gottlieb makes it clear that your therapist is not there to tell you what to do but to help you recognize how your own patterns might be causing you unnecessary pain, but she's also honest in showing how hard it is to recognize not-so-flattering sides of ourselves and how deeply ingrained our those patterns can be. She's deeply empathetic, even when her patients frustrate her. She seems deeply committed to learning how to be better as a therapist and a patient.

I even spent a good chunk of a session talking about this book with my own therapist, partly because I knew it was something she'd enjoy reading and I can never not recommend a book to anyone when I think they'd enjoy it, but also because reflecting on Gottlieb's experiences genuinely helped me have a breakthrough about some of the work that I've been doing for the last couple of years. This is a great memoir and I highly recommend it to all readers.
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Reading Progress

November 14, 2018 – Shelved
January 13, 2019 – Started Reading
January 15, 2019 – Finished Reading

Comments Showing 1-42 of 42 (42 new)

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Ashley Jacobs I really want to read this one! Hoping that NetGalley accepts my request :)


Jessica J. Ashley wrote: "I really want to read this one! Hoping that NetGalley accepts my request :)"

I hope so, too. It was a great read :)


message 3: by Brittany (new) - added it

Brittany Lee Added to my TBR, this just sounds too good.


Ashley Jacobs Jessica wrote: "Ashley wrote: "I really want to read this one! Hoping that NetGalley accepts my request :)"

I hope so, too. It was a great read :)"


Is that where you got your copy? NetGalley didn't accept my request but it's possible that they didn't cause my profile doesn't have enough info. I may add more and try again.

Worst case I'll wait till the release date but I'm hoping that I won't have to :)


Jessica J. Ashley wrote: "Jessica wrote: "Ashley wrote: "I really want to read this one! Hoping that NetGalley accepts my request :)"

I hope so, too. It was a great read :)"

Is that where you got your copy? NetGalley didn..."


I got it from Edelweiss. Good luck!


Ashley Jacobs Oh, I haven't heard of Edelweiss. I will have to look into that. Thank you!


Jessica J. Ashley wrote: "Oh, I haven't heard of Edelweiss. I will have to look into that. Thank you!"

Most of its features are for booksellers and librarians, but I think anyone can sign up for an account. I got this copy through my bookstore job :)


message 8: by Laura (new)

Laura I think you should also discuss the cost of therapy, or rather Gottlieb should. In Cyprus the standard charge is 60� for a 50 minute session. Most people in the low income bracket would not be able to afford this type of mental help. Low income here would be 500 - 700� per month.


Jessica J. Laura wrote: "I think you should also discuss the cost of therapy, or rather Gottlieb should. In Cyprus the standard charge is 60� for a 50 minute session. Most people in the low income bracket would not be able..."

That's fair. It should definitely be easier for more people to afford therapy. I am incredibly lucky in that I currently have insurance that pays for 100% of my therapy, save for a $10 co-pay. But I've also had to pay out of pocket in the past -- I was able to talk to my therapist about a sliding scale and went less frequently when that was the case.

But in my opinion, all people should have health insurance and that insurance should cover all forms of mental health care.


message 10: by Laura (new)

Laura A large majority of the working population in this country don't have insurance, and I very much doubt that the standard government health insurance covers any form of psycotherapy. But thank you for your honest response. As an ex-pat living in Cyprus I am often aware of differences between "Western" standards of living, and what is available here.


message 11: by Chasity (new)

Chasity I am also super drawn to anything about mental health. I have been in therapy a long time and I agree with you that everyone could find it useful at some point in their life. I think I would like this book but I am so put off by the idea of her talking about her patients even with details obscured. Therapists writing about their experiences with their patients always feels so skeezy to me. Those aren't their stories. Also the privacy of a therapy office has always felt so sacred to me. And even if they asked the permission of the patients, I would still find it weird due to the unbalanced relationship in therapy. So I just don't know if I can get past that to truly enjoy the book. But I guess anything raising awareness is a positive thing in a way.


message 12: by Chasity (new)

Chasity Laura The author appears to be US based and is writing based on her experience. I doubt she knows a ton about how mental health systems work in foreign countries. While access to mental health services is always a concern, in the United States, therapy and psychiatric services ARE covered by government insurance for everything but inpatient. At least where I live, inpatient can be covered by a state supplemental program for those with low income. So yes the author is writing from a place of privilege and lives in a privileged country but that's kind of to be expected in a personal memoir type book. In the U.S., it's not so much an issue of access for the poor as an issue of the quality of that access and the clinicians in that system being overburdened. It is going to vary so much from country to country and state to state and even county to county. It's so complicated. The author really can't be faulted here.


message 13: by Laura (last edited Feb 03, 2019 01:00AM) (new)

Laura I still think Gottlieb should discuss the cost. It's mostly a privilege whichever country you come from.

And the title - "I think you should talk to someone" - what happens when you don't have the money to talk to someone?

Correct - Gottlieb is not to know about income and health insurance in other countries - but therapy has always been seen as a privilege reserved for the wealthy. No doubt she is aware of this fact.


message 14: by Margaret (new) - added it

Margaret In NYC area an established therapist is $250-$300 per 45 minute session. Of course, the one’s with great reputations do not take insurance. Nor is the cost applicable to an FSA or HSA. Insanely expensive, even for those with high incomes.


Jennifer Lane I enjoyed your thorough review, especially this quote: "Gottlieb makes it clear that your therapist is not there to tell you what to do but to help you recognize how your own patterns might be causing you unnecessary pain, but she's also honest in showing how hard it is to recognize not-so-flattering sides of ourselves and how deeply ingrained our those patterns can be."


Jerri H I wholeheartedly agree with your review! I have been nothing but impressed with the openness of talking with a third party (therapist). I have listened to 2 of my favorite podcasts with the author. Although I liked hearing her talk, I didn't like that she gave too much away about the book! I guess that's what I get for filling up with Lori Gottlieb !


message 17: by Khulud (new) - added it

Khulud Khamis Thanks for this comprehensive review. I am wondering if she notes anywhere (introduction, note from the author) whether she has obtained permission from the patients she writes about to include details from their sessions in her book. I'd love to read this book, but only if it was written in an ethical way.


Marianne McKiernan I really liked this book. She is kind and thoughtful and surprisingly honest about her own issues. Commenting about the cost of therapy are certainly valid, but There are often free, low-cost and/or sliding scale mental health resources available in most communities. (I have used these services as well as an EAP program through my employer when that was available). You can find help through the National Alliance on Mental Illness (NAMI) at 1-800-950-NAMI and also through . Mental Health America can help if you are looking for a support group with a particular focus at
. I hope this book can demystify therapy and take away the stigma that often comes with it. The very idea that therapists see their own therapists should help!


Omnia Salman Great review I enjoyed the book more than I expected


message 20: by Vicki (new) - added it

Vicki I'm glad I saw a friend posing that she's currently reading this. This does sound like a good read and I agree that there are many that should see someone for many reasons. It truly had nice to have that outlet. I've seen someone until we moved from our home state and have different insurance. Our insurance covers MH/BH visits at 50% plus $35-50 copay. However, if we could find someone within the healthcare system my husband works for it would be covered at 80% with $35 copay. Finding someone in that area is atleast a 1-hr drive one way or longer - depending on traffic & location. I have a family member that sees one about 10 miles away but that person only goes 2x a month because of the cost. It really is a shame that insurance doesn't cover more and that we have to go through many hoops to find one. I did call someone for a consult when we moved here and it's a fairly large practice, this was in January mind you..the appt that was given to me was for Aug 7th!! 8 months of wait time just about! That's insane! Later I did learn that the coverage was very little. I have enough health issues that already affect my family financially & I hate it. There has been appts that I just haven't scheduled because of it. This month for example I have 4 appts & another diagnostic test. Normally I have 2-3 visits per month but have been needing to see a certain specialist due to certain test results & have been bounced back & forth from one practice telling me they treat patients & do other test I need only to see them and get charged $500 for them not doing anything not even checking vitals.
I wrote more than I should have. Healthcare here really is terrible in the state I'm in right now and it wasn't when I lived in this state for about a year in 1996-97. I live northeast of a major city no


message 21: by Sara Griffin (new) - added it

Sara Griffin I would love to read this book!


Katie Vantassell Loved it too! Now looking for something similar. Any recs??


message 23: by AllAboutBooks! (new)

AllAboutBooks! This book seems to be freaking awesome...I have actually never read anything like this so...maybe it would be worth a try ^··^
By the way...just wanted to ask……what kind of readers would you recommend it to? As in.…What is the genre of this book?


Michelle Mahony I tried to commit to this book after reading all the positive reviews but after weeks of persisting ive given up! It's like having a petulant new friend obessesed with their own shortcomings and unwilling to move forward. Profound in places and completely numbing in others.


Julia Zebronsky Khulud (not sure how to respond to you directly as I’m new to goodreads), she does address patient confidentiality in her author’s note:
“The relationships I write about here, between therapists and patients, require a sacred trust for any change to occur. In addition to attaining written permission, I have gone to great lengths to disguise identities and any recognizable details, and in some instances, material and scenarios from a few patients have been attributed to one. All changes were carefully considered and painstakingly chosen to remain true to the spirit of each story while also serving the greater goal: to reveal our shared humanity so that we can see ourselves more clearly. Which is to say, if you see yourself in these pages, it’s both coincidental and intentional.�


message 26: by Gail (new) - rated it 5 stars

Gail WONDERFUL review. I loved this book SO much. That "Legoland" chapter..my God, the way she revealed the news about Gabe! I couldn't hold back the tears!


message 27: by G.G. (new) - rated it 4 stars

G.G. I’m so glad that I found your reviews. I too am a mental health advocate (as a mental health provider and as a writer) so I look forward to following and reading your reviews and book list.


Pamela  Pearson I’m a big fan of therapy, I’d probably go more except it’s expensive and time-consuming - agree completely that insurance should provide better coverage. People who need someone to talk to, but don’t want to share with a friend or family member should have this option. A good therapist keeps you honest, without being mean about it, encouraging you to answer the question, “why do you think you reacted that way� or “what would you tell a friend who told you your story?� It took me a little while to get into it, but once I did, I couldn’t put the book down. Highly recommended!


message 29: by Radhika (new) - added it

Radhika This review is fabulous and I love that you're an advocate for mental health and related literature I think it is so insanely important and there need to be more people who think like you do!! This book is on my list as last year I came across her name and interviews with my hero & mentor Jay Shetty and I have been following her on insta since... Once I finish my current reading quota she's my next buy for sure!!! ❤️ ❤️ ❤️


message 30: by Kate (new) - rated it 5 stars

Kate McNally Try How's Timothy, second edition. Also about mental illness and advocacy.


Cindy MacLeod Loved this book and it opened my eyes about therapy. I’ve never felt a need for therapy but after reading this book I can see why probably everyone could benefit.


Karen Brown I guess I don’t get it because I found this insufferably long and I don’t even really know what she’s trying to say. It was not about mental health or advocacy to me in the least. I feel like I read a different book from you folks.


The Bookworm Siblings [|] thanks for the review


Stephannie Are there any other mental health advocacy books you would recommend? This was an absolute favorite read of mine and I'd like to be exposed to more. Any recommendations would be greatly appreciated!


Chaitanya Thank you for writing this review down. I agree with a lot of points you discussed above.


message 36: by Kara (new) - rated it 5 stars

Kara Beem Great review. I loved this book. I enjoyed learning more about why therapist do what they do. Plus it was a refresher on various aspects of mental health, such as grieving.


Deborah This is one of the best reviews I’ve ever read. Thank you. I just finished the book and loved it. I found it very informative. I have always wondered what’s going on in the mind of the therapist.


message 38: by Susan (new)

Susan Farmer J


Mariana I loved your review so much I want to be your friend


Margaret Help


Margaret The first time we saw him in person,


message 42: by Anna (new) - rated it 5 stars

Anna Jessica, I loved your review of this wonderful book. It made me laugh and cry and want to be a more generous person.


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