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Why Therapy Must Include Conversations on Power and Privilege

Writer: Saniya Saniya

Therapy is often seen as a space to explore emotions, relationships, and personal challenges. But what about the societal structures shaping our lives? Conversations about power and privilege are often left out of therapy—but they shouldn’t be. These dynamics deeply influence mental health and well-being.


The Impact of Systemic Inequalities on Mental Health


Ignoring systemic inequalities in therapy is like treating symptoms without addressing the root cause. Many personal struggles are shaped by societal structures, such as:


  • Microaggressions and discrimination – A person facing self-doubt due to biases related to caste, religion, or ethnicity.


  • Gender roles and expectations – A woman feeling overwhelmed by balancing career and household responsibilities.


  • Workplace stress and burnout – The impact of societal glorification of overwork and economic disparities.


Recognizing these systemic factors helps clients understand that their struggles aren’t purely personal.


Why Therapists Should Address Power and Privilege


For therapy to be truly effective, it must acknowledge the broader cultural and systemic context. When therapists bring up power and privilege, they:


  • Validate that struggles are often societal, not just individual.


  • Help clients see how their challenges are part of larger patterns, not personal failings.


  • Foster both accountability and self-compassion.


Creating a Safe and Inclusive Therapeutic Space


Therapists also bring their own identities—caste, religion, gender, socio-economic background—into the space. A therapist who acknowledges their privilege and says:

“I haven’t experienced this firsthand, but I’m here to listen and learn.”

...creates a safer, more balanced dynamic. This honesty fosters trust and encourages open dialogue.

How These Conversations Empower Clients


Talking about power and privilege in therapy can feel uncomfortable but is ultimately empowering. It shifts therapy from merely “fixing” individuals to understanding their full stories.


  • Helps clients connect personal struggles to societal patterns.


  • Encourages a more compassionate, less self-blaming perspective.


  • Supports clients in imagining new ways to navigate their realities.


Beyond Individual Healing: Therapy as a Tool for Collective Change


When therapy includes systemic awareness, it evolves into a powerful tool for both personal growth and collective liberation. It helps individuals recognize and challenge oppressive structures, fostering a more just and empathetic world.




 
 

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