Dr. Alok Kanojia

But in clinical trials, like even though we have no idea how biologically it works, in clinical trials, people improve. I don't think it's all about talk therapy. I think talk therapy is great. I think there are a lot of other methodologies that work for people that are not talk therapy. So there are even studies that show that, you know, exercise.

But in clinical trials, like even though we have no idea how biologically it works, in clinical trials, people improve. I don't think it's all about talk therapy. I think talk therapy is great. I think there are a lot of other methodologies that work for people that are not talk therapy. So there are even studies that show that, you know, exercise.

But in clinical trials, like even though we have no idea how biologically it works, in clinical trials, people improve. I don't think it's all about talk therapy. I think talk therapy is great. I think there are a lot of other methodologies that work for people that are not talk therapy. So there are even studies that show that, you know, exercise.

There's a recent big study that came out that showed that exercise is just as effective as talk therapy for improving some aspects of mental health. So I think a big part of it is that talk therapy doesn't work for everyone. And then an even bigger part is that we have a very poor system for improvement as therapists.

There's a recent big study that came out that showed that exercise is just as effective as talk therapy for improving some aspects of mental health. So I think a big part of it is that talk therapy doesn't work for everyone. And then an even bigger part is that we have a very poor system for improvement as therapists.

There's a recent big study that came out that showed that exercise is just as effective as talk therapy for improving some aspects of mental health. So I think a big part of it is that talk therapy doesn't work for everyone. And then an even bigger part is that we have a very poor system for improvement as therapists.

So if you kind of look at it, like, how do you know that the food you're making is good? How do you improve? You can taste it. You can see how many customers are coming in to eat your pizza. If you look at something like Amazon, we have product reviews. We have metrics that show us that we're performing. psychotherapy has very, very few metrics to show a therapist that they're doing bad.

So if you kind of look at it, like, how do you know that the food you're making is good? How do you improve? You can taste it. You can see how many customers are coming in to eat your pizza. If you look at something like Amazon, we have product reviews. We have metrics that show us that we're performing. psychotherapy has very, very few metrics to show a therapist that they're doing bad.

So if you kind of look at it, like, how do you know that the food you're making is good? How do you improve? You can taste it. You can see how many customers are coming in to eat your pizza. If you look at something like Amazon, we have product reviews. We have metrics that show us that we're performing. psychotherapy has very, very few metrics to show a therapist that they're doing bad.

And the crazy thing is as our field, like we actually discourage this stuff. The number of times I've been in supervision and like my business mind is confused by some of the stuff that I hear from my fellow therapists. If a patient comes in for one appointment and never shows up again, And then you're a therapist and you go ask your therapist, hey, I had this patient who didn't show up again.

And the crazy thing is as our field, like we actually discourage this stuff. The number of times I've been in supervision and like my business mind is confused by some of the stuff that I hear from my fellow therapists. If a patient comes in for one appointment and never shows up again, And then you're a therapist and you go ask your therapist, hey, I had this patient who didn't show up again.

And the crazy thing is as our field, like we actually discourage this stuff. The number of times I've been in supervision and like my business mind is confused by some of the stuff that I hear from my fellow therapists. If a patient comes in for one appointment and never shows up again, And then you're a therapist and you go ask your therapist, hey, I had this patient who didn't show up again.

We're going to construct all these like psychoanalytic, oh, they weren't ready for therapy. You didn't do anything wrong. It's like some kind of weird, like emotionally supportive kind of group. No one is ever saying, and it's even like sometimes an ethical violation to track that patient down and say, hey, what did I do wrong?

We're going to construct all these like psychoanalytic, oh, they weren't ready for therapy. You didn't do anything wrong. It's like some kind of weird, like emotionally supportive kind of group. No one is ever saying, and it's even like sometimes an ethical violation to track that patient down and say, hey, what did I do wrong?

We're going to construct all these like psychoanalytic, oh, they weren't ready for therapy. You didn't do anything wrong. It's like some kind of weird, like emotionally supportive kind of group. No one is ever saying, and it's even like sometimes an ethical violation to track that patient down and say, hey, what did I do wrong?

So we have no basic system of like customer feedback in the field of therapy. And so what that results in is a lot of therapists who like don't realize when they're making a mistake. I think what we have is a field of people. Some of them are not very good and some of them are very good. And we don't have a good system for the people to be able to tell the difference.

So we have no basic system of like customer feedback in the field of therapy. And so what that results in is a lot of therapists who like don't realize when they're making a mistake. I think what we have is a field of people. Some of them are not very good and some of them are very good. And we don't have a good system for the people to be able to tell the difference.

So we have no basic system of like customer feedback in the field of therapy. And so what that results in is a lot of therapists who like don't realize when they're making a mistake. I think what we have is a field of people. Some of them are not very good and some of them are very good. And we don't have a good system for the people to be able to tell the difference.

Yes. And I think there's another like really challenging part, which is that sometimes I think that people who judge therapists as bad are doing a bad job as patients. And this is something we never talk about. We never say that the patient is doing something wrong, whereas like absolutely the patient can do wrong things. So I'll give you just one quick case.

Yes. And I think there's another like really challenging part, which is that sometimes I think that people who judge therapists as bad are doing a bad job as patients. And this is something we never talk about. We never say that the patient is doing something wrong, whereas like absolutely the patient can do wrong things. So I'll give you just one quick case.