Therapy & Wellbeing 6 min read

How to Know If You Need Therapy (And How to Start)

By Jared Dubbs, MoC

You Don’t Need to Be in Crisis

One of the most common misconceptions about therapy is that it’s only for people in crisis. That you need to be at rock bottom before you “deserve” to see a therapist. This couldn’t be further from the truth.

In my practice, I work with people across the entire spectrum — from those in acute distress to those who simply want to understand themselves better. There’s no minimum level of suffering required.

Signs That Therapy Could Help

Consider reaching out if you recognise any of these:

  • Persistent feelings that something isn’t right, even if you can’t name it
  • The same patterns keep repeating in your relationships, work, or inner life
  • You’re coping, but barely — functioning on the outside while struggling on the inside
  • Emotions feel too intense or too numb — either extreme can signal something worth exploring
  • Life transitions feel overwhelming — a move, a breakup, a career change, parenthood
  • You’ve been told to “just get over it” but can’t — and you’re starting to believe something’s wrong with you
  • Your relationships are suffering and you’re not sure why
  • You’re curious about yourself — you want to understand your patterns, your reactions, your history

What Therapy Is Actually Like

Therapy in reality looks nothing like therapy in movies. There’s no lying on a couch while someone silently takes notes. Modern therapy — particularly approaches like DBT, CBT, and ACT — is collaborative, practical, and conversational.

A typical session with me involves:

  • Checking in on how your week went
  • Working on specific challenges or patterns you’ve identified
  • Learning and practising skills relevant to your situation
  • Setting intentions for the week ahead

It’s your space. You direct the conversation. I bring expertise and tools, but you bring the knowledge of your own life.

Common Barriers (And Why They’re Surmountable)

“I should be able to handle this myself”

You probably can handle many things yourself. But “handling” often means coping, masking, or pushing through — not thriving. Therapy isn’t about needing someone to fix you; it’s about having a skilled partner in your corner.

”What will people think?”

In Hong Kong, mental health stigma is real but decreasing. More people are accessing therapy than ever before. And you’re not obligated to tell anyone. Therapy is confidential.

”I can’t afford it”

Therapy is an investment, and session packages can make it more affordable. Many of my clients find that the improvements in their work performance, relationships, and wellbeing more than justify the cost.

”I don’t know how to start”

That’s the easiest barrier to overcome. Book a free discovery call. We’ll have a brief, no-pressure conversation about what’s going on, and you’ll know within 15 minutes whether this feels right.

Taking the First Step

The hardest part is reaching out. Everything after that gets easier. You don’t need to have your thoughts organised. You don’t need to know what kind of therapy you want. You just need to say “I think I’d like to talk to someone.”

Start here. No referral needed.

Jared Dubbs

Jared Dubbs, MoC

Jared is a counsellor in Central Hong Kong specialising in ADHD, autism, and LGBTQ+ affirming therapy. He holds a Master's in Counselling from Monash University and brings personal lived experience of ADHD to his practice.

Learn more about Jared →

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