A growing number of people worldwide are opening up about their struggles not just with mental health, but with the very professionals meant to help them. Recent viral discussions, including a BuzzFeed article compiling stories of “terrible therapists,” are shining a harsh spotlight on problematic practices within the mental health industry (BuzzFeed). These personal accounts — ranging from therapists giving unsolicited advice to crossing ethical boundaries — are prompting experts and individuals alike to ask: how can we make sure mental health care is genuinely helpful, not harmful?
The issue resonates deeply in Thailand, where mental health support is expanding but still faces stigma and shortages of well-trained professionals. Over the past decade, the Ministry of Public Health has reported a steady rise in Thais seeking counseling services, especially among youth and urban residents (Bangkok Post). Yet the quality of care varies widely, and as the global conversation grows, Thai patients are reflecting on their own experiences. The stories compiled by BuzzFeed and echoed on Thai social media suggest that even as mental health awareness increases, standards for therapeutic relationships remain inconsistent. Dozens of individuals shared instances where their therapists appeared disengaged, judgmental, or even dismissive of their problems. Some recounted being pressured to make life decisions or feeling that their personal information was not kept confidential, both serious violations of professional ethics.
Internationally, studies show that the therapeutic alliance — the trust and rapport between therapist and client — is one of the most significant predictors of successful mental health outcomes (American Psychological Association). Broken trust, on the other hand, can set patients back or, worse, cause further emotional harm. “A good therapist empowers the client, respects their autonomy, and maintains strict confidentiality,” explains Dr. Linda Hill, clinical psychologist and author on therapy ethics. “Red flags include the therapist talking more than listening, imposing personal beliefs, or making you uncomfortable in any way.” Inadequate therapists can sometimes misdiagnose or give generic advice rather than tailored support, undermining the reason many sought help in the first place (PubMed). In severe cases, unethical behavior can cross the line into outright malpractice — a problem faced in both Western and Asian healthcare systems.
In the Thai context, these risks may be compounded by social norms and the high regard for authority figures. Many clients, especially younger ones, may feel uncomfortable voicing complaints or switching therapists out of respect or fear of confrontation. The Thai Psychiatric Association has urged patients to look for professional credentials, and the Mental Health Department provides guidelines for what to expect from ethical counseling (Thai Mental Health Department). Yet, as the BuzzFeed article illustrates, even credentialed professionals may lack empathy or turn sessions into judgmental exchanges. One Thai university student recounted on Twitter her experience of being shamed for her lifestyle choices, echoing global stories of stigmatization rather than support.
Culturally, Thais have adapted to discussing sensitive topics through indirect means, favoring community support and the concept of “jai yen” (cool heart). Yet, as mental health becomes a more openly discussed topic, demand grows for spaces where listening and nonjudgmental acceptance are central. Social acceptance of therapy is at a tipping point, and negative viral stories have the potential to push people away from crucial support unless safeguards and accountability increase.
Looking forward, experts suggest several safeguards. The most important is client education: knowing your rights, setting expectations, and recognizing “red flag” behaviors such as excessive talking by the therapist, lack of confidentiality, pushing personal values, or any inappropriate remarks. Practically, Thais can check the credentials of their counselors through the Ministry of Public Health, insist on initial trial sessions, and seek out peer-reviewed platforms when searching for mental health support. “If you feel dismissed or judged, it’s not only your right but your responsibility to seek a better fit,” says Dr. Somchai Udomsiri, a psychiatrist with Bangkok Hospital. “Therapy should always feel like a safe space (พื้นที่ปลอดภัย).”
Universities and NGOs are also stepping up, providing training for frontline counselors and online resources such as anonymous hotlines and self-screening tools. Thailand’s push to increase mental health awareness during Covid-19 — including via the “Mental Health Check-In” app (Bangkok Post)—is a step in the right direction, but experts acknowledge that culture shift takes time.
Ultimately, the viral stories from BuzzFeed and beyond, while disturbing, have a positive side: they empower clients to recognize their agency within therapeutic relationships. As more Thai people seek help, it is vital to remember that therapy is a collaborative process, and “mai pen rai” (don’t worry) should not apply to misconduct. If you or someone you know is looking for therapy, insist on compassion, professionalism, และความเข้าใจ (understanding).
For more information or to report unprofessional conduct, Thais can consult the Department of Mental Health’s official channels or the Thai Medical Council. If you feel you’re not being heard, don’t hesitate to seek a second opinion — your well-being must come first.