
Maybe You Should Talk to Someone
9 minA Therapist, HER Therapist, and Our Lives Revealed
Introduction
Narrator: A therapist is lying in bed with her boyfriend of two years. They’re casually planning their weekend, deciding which movie tickets to preorder. It’s a moment of comfortable domesticity, the kind built on shared history and a planned future. But then, he goes quiet. An unsettling silence fills the room before he delivers a statement that shatters her world: "I’ve decided that I can’t live with a kid under my roof for the next ten years." Just like that, the life she had been building collapses. She, a single mother, is suddenly facing the end of her relationship for a reason that feels both incomprehensible and absolute. This therapist, an expert in navigating the emotional crises of others, is now at the center of her own.
This jarring moment is the catalyst for Lori Gottlieb's insightful memoir, Maybe You Should Talk to Someone. The book pulls back the curtain on the therapeutic process, not just from the therapist's chair, but from the patient's couch, revealing that the path to healing is a profoundly human journey shared by everyone, including the professionals we turn to for help.
Therapists Are Human, Too
Key Insight 1
Narrator: At the core of Gottlieb’s narrative is the demystification of the therapist. Far from being infallible guides, they are people with their own histories, vulnerabilities, and blind spots. Gottlieb’s own story serves as the primary example. After her relationship with "Boyfriend" abruptly ends, she finds herself unable to cope. She experiences insomnia, anxiety, and an inability to concentrate. Her friend Jen, also a therapist, gives her blunt advice: "You need to find a place where you’re not being a therapist. You need to go where you can completely fall apart."
This forces Gottlieb to confront a professional paradox. She is surrounded by colleagues, a world of therapists, yet feels she has nowhere to turn. As she puts it, it’s like the line from the old poem: "Water, water, everywhere / Nor any drop to drink." Seeking therapy within her own professional circle is fraught with ethical and social complications. This vulnerability is not a weakness but a fundamental truth of the profession. The book argues that it is this shared humanity that allows for the deepest connections in therapy, where therapists and patients are "mirrors reflecting mirrors reflecting mirrors, showing one another what we can’t yet see."
The Presenting Problem Is Rarely the Real Problem
Key Insight 2
Narrator: Patients arrive in therapy with what is known as a "presenting problem"—the immediate issue that prompted them to seek help. For Gottlieb, it was the breakup. For one of her most memorable patients, a self-important television producer named John, it was his frustration with being surrounded by "idiots." John spends his initial sessions ranting about the incompetence of everyone from his wife to his coworkers, using anger and condescension as a shield.
During one session, John becomes enraged when a lunch he ordered to the office arrives with mayonnaise, which he had specifically asked to be omitted. The incident seems trivial, but it’s a window into his soul. His over-the-top reaction isn't about the sandwich; it's about a lifetime of feeling unheard and a deep-seated fear of vulnerability. Later, the therapist notices a crack in his armor when he talks about his dog, Rosie. He tries to be dismissive, but his face softens, revealing a capacity for love and connection he otherwise keeps hidden. Gottlieb shows that a therapist's job is to look past the initial "idiot" narrative or the mayonnaise-laced sandwich to find the real story—the unaddressed grief, fear, and longing that lie beneath the surface.
Life Is an Unplanned Detour to Holland
Key Insight 3
Narrator: One of the most powerful metaphors in the book is the "Welcome to Holland" essay by Emily Perl Kingsley. The essay compares planning for a child to planning a trip to Italy—you study the language, buy the guidebooks, and dream of the Colosseum. But when the plane lands, the flight attendant announces, "Welcome to Holland." It’s not a horrible place; it’s just not Italy. You must adjust, buy new guidebooks, and learn to appreciate the windmills and tulips. If you spend your life mourning the fact you didn't get to Italy, you'll never be free to enjoy the unique beauty of Holland.
Gottlieb shares this essay with her patient Julie, a newlywed in her thirties who is diagnosed with a terminal form of cancer shortly after her honeymoon. Julie initially rejects the analogy with anger, feeling that her situation is far worse than an unexpected trip. Yet, over time, the concept helps her navigate her grief. She is forced to abandon her "Italy"—a long life with her husband, the children they planned to have—and find a way to live in her "Holland." This journey leads her to find unexpected joy, from taking a job at Trader Joe's to finding a way to help her husband, Matt, imagine a future without her. Julie's story illustrates that while loss is painful, acceptance and a shift in perspective can unlock a different, yet still meaningful, form of vitality.
Pain Is Unavoidable, but Suffering Is a Choice
Key Insight 4
Narrator: As Gottlieb navigates her own therapy with a quirky therapist named Wendell, she finds herself stuck in a loop of obsessive thinking, constantly replaying the breakup and Google-stalking her ex-boyfriend. She is clinging to her misery, analyzing every detail as if it holds a secret key. During one session, Wendell, frustrated with her circular storytelling, gets up and lightly kicks her foot.
The gesture is a shock, but the message is clear. He tells her, "There’s a difference between pain and suffering. You’re going to have to feel pain—everyone feels pain at times—but you don’t have to suffer so much. You’re not choosing the pain, but you’re choosing the suffering." Gottlieb is choosing to marinate in her pain, using the drama of the breakup to avoid confronting other, deeper anxieties. This distinction becomes a turning point. She realizes that her obsessive focus on Boyfriend’s future is a way to avoid her own present. The pain of the loss is real and unavoidable, but the endless cycle of rumination is a form of suffering she has the power to release.
The First Confession Is to Yourself
Key Insight 5
Narrator: Ultimately, the book argues that the most critical part of therapy is honesty—not just with the therapist, but with oneself. For weeks, Gottlieb presents her breakup to Wendell as the sole source of her crisis. But a haunting dream forces her to confront a deeper truth. In the dream, Boyfriend asks her if she ever wrote her book—a book about happiness that she is under contract to write but has been avoiding for months, paralyzed by a sense of fraudulence and a conflict between her professional ambitions and her personal values.
This leads to her "first confession." She admits to Wendell that she was lying; her life was not fine before the breakup. She was using the relationship drama as a distraction from the "real dark night of the soul" caused by her writer's block and professional crisis. This confession is a pivotal moment, mirroring the breakthroughs her own patients have. It demonstrates that freedom doesn't come from finding the right answers, but from having the courage to face the difficult questions and be truthful about our own stories.
Conclusion
Narrator: The single most important takeaway from Maybe You Should Talk to Someone is that therapy is not about a wise, all-knowing expert fixing a broken patient. It is a deeply human process of two people in a room, working together to help one of them rewrite a story that is no longer serving them. Gottlieb masterfully shows that we are all unreliable narrators of our own lives, and that growth comes from the willingness to look at the edits we’ve made, the chapters we’ve ignored, and the endings we’re afraid to write.
The book leaves us with a profound challenge: to become more curious about our own stories. What are the narratives we tell ourselves about our lives, our relationships, and our limitations? And what might happen if we, like Gottlieb and her patients, found the courage to confess our truths and take the terrifying, liberating step of walking around the bars of our self-imposed prisons?