I’m a Therapist and I Suffer From Mental Illness


Image by RICCARDO MION / Unsplash

I sat and stared at the screen, my trembling pointer finger poised above the touchpad. This was about the fifth time this year that I’d gotten this far, but each time I had been too afraid to click “post.” I had always been worried what other people might say or think when they learned more about me. Would they say I was crazy? Would they think I wasn’t professional or competent enough to do my job anymore? 

The risk had felt greater than the potential reward up until now. But here I was, two months into a downward spiral of panic attacks, depression, and insomnia. I was back in regular therapy and I was starting to accept that part of my healing would need to include more vulnerability. I came to that conclusion after sobbing in my therapist’s office for the better part of an hour. I kept telling her how I was so tired. “So tired” meant many things, but it definitely included how I was tired of pretending I was fine when everything was falling apart.

So, just over three weeks ago, I “came out” online. I clicked “post” on Facebook and Instagram, putting it out there publicly:

I’m a therapist, and I suffer from mental illness.” 

I half expected something dramatic to happen, like my keyboard would burst into flames. At the very least, I expected that panic would start to creep in and I might hastily hit “delete” or retreat to my bed to hide and cry.

Instead, I felt a slight flutter of nervousness in my stomach, then I stood up from the computer and let out an audible sigh of relief.

There was freedom in that moment when I finally clicked “submit.”

As a therapist, I’ve spent years telling clients that there’s no shame in struggling with mental health issues. When it’s been helpful or appropriate, I’ve disclosed to my clients that I‘ve experienced panic attacks; that I’ve been in therapy off and on since I was 16; that I take medication to help with managing my depression and anxiety. I’ve had clients tell me over the years that they appreciate knowing that I’m a “real person” with problems, too. Clients have shared that it helps them feel more comfortable opening up to me knowing that I’ve been in therapy myself. I’ve seen firsthand how more authenticity about my issues has had a positive impact in some of these clients’ lives.

Then why had I been so hesitant to share my story on a larger scale? I had been vocal online for years about the ways that mental illness is stigmatized (and how that needs to change). I had posted plenty of articles on my business Facebook page about mental illness and how to support/help others or resources available to seek professional help.

But I had always held back on going deeper and telling my truth, because I was afraid of what might happen. As a mental health professional, I felt there was an image I needed to uphold. I can be empathic, educate and advocate. But, I can’t let people know that I had horrific postpartum depression and couldn’t work for a year. During that time, I saw a psychiatrist regularly for therapy and to adjust my medication. Yet until now, I was afraid to be more transparent because I feared being judged by my peers or potential clients as “incapable” if I told the truth. 

As it turns out, the truth is helping to set me free.  

Like so many other therapists, my main objective is to support and help others. While my degree, training and experience is part of what makes me an effective therapist, I also hear people talk about how important it is to feel comfortable with a therapist. Therapy can be scary and intimidating, especially if you’ve had a bad experience or don’t know what to expect. Once someone is in the room with me, I find that the building the relationship is the first (and most critical) part. If you don’t get to the point where you feel comfortable with your therapist, how can you be expected to trust this person enough to fully open up about your feelings and life struggles?

In order to be vulnerable with more people, I had to keep reminding myself what an impact it’s had when I show up as my true self with my therapy clients. My internal dialogue right before I clicked and “came out” online was something like this:

“So what if more people know? Your family and friends know. So many of your past and current clients know. You’ve constantly been told that people appreciate that you’re ‘real.’ If you want to help more people, you need to put it out there more. Maybe if someone reads that a therapist goes to therapy, and isn’t afraid to talk openly about it, that will help break down the stigma even further.”

As for “that post,” the one I agonized over: when I returned to my computer a couple hours later, I was surprised to see so many “likes” coming in. Then came the comments:

“Thank you for shining your light, being whole and real.”

“It takes great strength to be vulnerable. <3 <3”

“Fight on, never quit. Walk in beauty and balance.”

I was genuinely surprised that the worst wasn’t happening: no trolls. No haters. No one telling me how I wasn’t qualified or good enough as a therapist anymore (I told you, that was my greatest fear- my credibility being thrown out the window)!

Then, several hours later, I received an email that read (in part):

“I know that you are not currently taking new clients. I’ve been looking for just the right mental health counselor and I was really moved by your post about your own mental health struggles. If you do ever start accepting new clients, please let me know!”

Not going to lie: the email made me (happy) cry.

I went to bed that night, feeling a sense of relief and sending that I did the right thing. You know, the thing that’s hard/you don’t want to do, but you do it anyway and it turns out it was worth the risk?

So far, being vulnerable and telling my story more openly has been worth it. I’m not sure what the next chapter will bring, but for now I’m happy I wrote the beginning of this one by saying:

I’m a therapist. I have a therapist. I suffer from anxiety and depression. I had severe postpartum depression. I have issues just like everyone else.

I hope knowing this helps you feel less alone.


About Emily Rein, LMHC

Emily Rein is a licensed mental health counselor in Rochester, New York. She and her husband have an 8 year old son and 3 cats that were unhappy when an infant was brought home. Emily’s M.S. in Mental Health Counseling is from the University of Massachusetts. She lived in Boston after college, and this is where she met her now husband (native to that region with a wicked accent to prove it). Her first professional jobs included working with adults & children with developmental disabilities and in fundraising/events planning for the United Way. She had no idea what she wanted to be when she grew up. As a therapist, Emily worked at a college, urban mental health clinic and then opened her own practice in 2011. She has experience providing individual counseling to adults and adolescents; leading therapy groups; speaking with students about various mental health topics and community advocacy for ending the stigma surrounding mental illness.

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