Opinion Today: How to navigate therapy-speak without getting triggered and traumatized
Step 1: Take it seriously, not literally.
Opinion Today
August 22, 2026
An illustration of a young woman choosing from a makeup palette on which different colors are labeled “anxiety,” “denial,” PTSD,” “toxic” and other terms.
Tess Havas

By Suzanne Garfinkle-Crowell

Dr. Garfinkle-Crowell, a psychiatrist, is the author of the forthcoming “Girlhood, Translated: Understanding Young Women in the Age of Therapy Speak and Self-Diagnosis.”

Do girls today need to be sick to be heard?

A few years ago, I noticed many of the girls in my psychiatry practice were coming to me having diagnosed themselves with conditions like attention deficit hyperactivity disorder, obsessive-compulsive disorder and post-traumatic stress disorder. They had researched their symptoms and taken quizzes about them on social media, conferring with friends about their results.

As I began to tune into this language, known as “therapy-speak,” I noticed something else: Many, especially older, people were responding with an impatience and irritation that seemed unfair to the girls.

The objections to therapy-speak appeared to stem from the same belittling cultural impulse that causes many girls to experience distress and psychiatric symptoms in the first place. While therapy-speak sometimes made it hard for me to understand what my patients were experiencing — a phenomenon I wrote about in a Times Opinion guest essay this week — it always seemed worth listening to. It was a sign of a greater internal struggle, and an indicator of something to take seriously, if not always literally.

In my essay, I lay out a formula for getting past the therapy-speak to what’s really on your daughter’s (or student’s or friend’s) mind — a simple gesture that can have a big impact.

READ THE FULL ESSAY

An illustration of a young woman choosing from a makeup palette on which different colors are labeled “anxiety,” “denial,” PTSD,” “toxic” and other terms.

Guest Essay

I’m a Psychiatrist. I’m Hearing Something New From Young Women.

Step 1: Take it seriously, not literally.

By Suzanne Garfinkle-Crowell

THE WEEK IN BIG IDEAS

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