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TLPP: Your Therapist is Crazy w/ Andrew Hartz

Sep 16, 2026 · 1h 1m

Summary

Lou Perez interviews Andrew Hartz of the Open Therapy Institute about the rise of political activism in mental health. Hartz details how APA-accredited training now includes identity politics and drag performances, arguing this undermines evidence-based care. They discuss the origins of this shift, the concept of "secondary gains" in patient treatment, and the incoherent academic language stemming from Lacanian psychoanalysis.

Topics discussed

Introduction and discussion on note-taking habits Managing recurring tasks and the joy of deletion Origin story of Open Therapy Institute Services offered and defining activist therapists Critique of academic calls for papers on identity politics Issues with accredited continuing education credits Satirical take on social justice warrior therapists Anecdotes of bias in clinical diagnoses Patient experiences and the need for national surveys Challenges in regulating therapy content and evidence Timeline of the shift toward activist therapy Outsider perspective on idealizing mental illness The concept of secondary gains in phobias Counter-therapeutic interventions and support Critique of postmodern academic writing styles Discussion on oracular interpretations in psychoanalysis Impact of obscure language on patient outcomes Case study: Success of CBT over Laconian therapy Practical applications of CBT for emotion regulation Understanding the roots of anger and self-talk Personal anecdotes: Soccer coaching and coping skills Emotion regulation and the value of humor Analysis of the film Good Will Hunting Concerns about AI therapy and human connection Promotion of Open Inquiry journal and directory
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