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Dr. Andrew Rosen and Dr. David Gross talk through why choosing a type of therapy can feel so confusing and why so much of the work comes down to the beliefs people carry with them from earlier in life. They reflect on how psychotherapy evolved from rigid models into approaches that focus more directly on how people think, interpret events, and act on those interpretations.

The conversation spends time on irrational beliefs and expectations that quietly shape mood, motivation, and self worth. They use everyday examples, clinical stories, and a few familiar metaphors to show how people can get stuck believing that one failure defines a lifetime or that happiness is something external that will eventually arrive.

They also explore how depression can grow out of mismatched expectations, negative self talk, and faulty assumptions about the future, and why noticing what is already present in life can be surprisingly difficult. Throughout, they return to the idea of therapy as a safe space to question long held beliefs and experiment with thinking and behaving differently without judgment.

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Dr. Andrew Rosen and Dr. David Gross start with a simple question they hear all the time. What actually is psychotherapy, and why does it feel so hard to understand?

The conversation moves from the early days of talk therapy and Freud’s influence to why so many people still expect a couch and silence when they walk into an office. They talk honestly about why long, insight focused approaches work for some people and not for others, especially when someone is in real emotional pain and needs relief sooner rather than later.

They explore how different styles developed, why thinking patterns matter so much, and why therapy is not one size fits all no matter how tempting that is for clinicians or patients. Along the way, they share real world examples, analogies that actually make sense, and a few dry observations about training, turf wars, and how people end up confused in the first place.

The thread that runs through it all is the importance of fit, careful evaluation, and asking clear questions before committing to any approach.

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Dr. Andrew Rosen and Dr. David Gross explore one of the biggest obstacles in mental health care: the shame and stigma that still surround asking for help. Even as conversations about mental health have become more open, many people continue to equate needing support with weakness or personal failure.

They unpack how centuries old views of mental illness shaped modern misunderstandings, and why everyday struggles like anxiety, depression, and difficulty adjusting to life are often wrongly associated with severe psychiatric illness. The conversation also looks at how cultural values around independence, self reliance, and perfection make it harder for people to admit vulnerability.

The discussion reflects on what happens when suffering stays private, how self criticism and embarrassment grow in silence, and why simply talking out loud can bring immediate relief. There is also a focus on the role families and loved ones play, especially when well intentioned comments like “just snap out of it” unintentionally deepen the struggle.

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Email: twoshrinksandamic@gmail.com