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Beth Landman

The New Pseudo-Shrinks

Woman Getting massage Jose Luis Banus-March / Getty Images

With psychiatrists becoming an expendable luxury during tough times, trainers, masseuses, and even dentists are doling out mental-health advice to needy clients. Beth Landman on the perils of mixing dental work and daddy issues.

Equinox trainer Kacy Duke has been whipping CEOs and celebrities like Denzel Washington, Bruce Willis, and Gwen Stefani into shape for years, but on a recent morning, as she was urging one of her high-power executives to do one last situp, he exploded and started screaming at her. “Many of my clients are having relationship problems as a result of their financial situations, and they are under a lot of strain,’’ says a calm and composed Duke. “But I’ve never had anyone use that tone with me, and it was clear he was working through issues during his training session. When people are with me, they are stripped down, wearing very little, which lessens their defenses. I’ve always had close relationships with my clients, but lately, I feel as if something else besides training is going on."

“What they tell me in the dentist’s office stays in the dentist’s office.’’

It is. Trainers, hairdressers, massage therapists, doctors, and even waxers are reporting that now, due to the recession, when clients or patients are closed in a room and receiving their undivided attention, they are using their appointments as de-facto therapy sessions. Many people have been forced to give up their shrinks as a sacrifice to the down economy, and they are seeking other sympathetic, nurturing ears as a result.

“Clients have become much needier; they want more attention," reports Cindy Barshap, owner of the Completely Bare spas in New York City, which specialize in hair-removal. “They are sitting in this intimate situation with their waxers, and then they start talking to them. We used to leave half an hour for each appointment; now we have to leave 45 minutes."

The new pseudo-shrinks are divided in feeling about their evolved role. Some see it as an additional bond, which makes them more indispensable; others see it as a bit of a burden.

“I call myself a hairapist these days,’’ quips Paul Labreque, who has salons on the East and West Side of Manhattan and has just added a third within the prestigious Core Club.

Samuel Shriqui, another Upper East Side hairdresser, feels that some clients take the sounding-board scenario too far. “I have a few who come in, sit in my chair and begin telling me all their problems now, but if I run into them out of the salon, they act as if they hardly know me,’’ he sighs.

Katie, an ophthalmologist who prefers that we not use her last name, dreads asking patients about any problem involving tearing. “I’ve never dealt with anything like this before,’’ she says. “I mention the word tearing, and all of a sudden they want to tell me why they are tearing, and I’m hearing the whole story. I have to keep boxes of tissues around.’’

Tough as it may be to conjure, even dentists report that their patients are confiding when their mouths are unencumbered. “We lower the lights, the chair reclines and they just start to talk,’’ says Steven Butensky, an Upper East Side prosthodontist. “What they tell me in the dentist’s office stays in the dentist’s office.’’

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March 27, 2009 | 8:45am
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camarks

I blame Facebook and Twitter for the needier client syndrome. LOL People have become way more self-centered and egotistical little babies.

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6:45 am, Mar 27, 2009

This comment has been removed by The Daily Beast's editors.

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9:35 am, Mar 27, 2009

StateoftheInitiative

As a Neuromuscular Massage Therapist myself it terrifies and angers me that there are therapist who are that ignorant to their own qualifications, ethics, and scope of practice they would even consider taking their clients phone calls for such a thing.

It's one thing to listen and empathize while with the client in your place of practice, but another entirely to "gladly give your opinion". It's crossing a boundary, and these individuals are ASKING to get sued.

We do not aid and ease their physical and emotional pain through analyzing their thoughts and talking them through hard times, we do it through the body work. And anything you say to them in that regard should ultimately have to do with health benefits with the work they are receiving.

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9:44 am, Mar 27, 2009

nosyparker

Clients who inappropriately expect everyone from their hairstylist to their dentist to play shrink is all too common, in good economic times as well as bad. It may be more pronounced at the moment, but it's nothing new. I quit my job as a hairstylist years ago because I hated being so emotionally drained at the end of the day after dealing with so many relentlessly needy people who think sitting or lying down for a service means it's time to spill their guts to a relative stranger. I would often charge the worst offenders double, in hopes of driving them off. Sadly, it rarely worked.

Dr. Josephson, I'll tell you what is really scary--the fact that there are so many people like this in society today, even the ones in therapy. If people like you were actually helping your patients, they wouldn't be pouring their hearts out to people like me.

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10:52 am, Mar 27, 2009

doctorJ

The problem was mentioned in the first line...
"With psychiatrists becoming an expendable luxury during tough times..."
Where are people to turn? The answer is they turn to other health care practitioners.
As a naturopathic doctor, I see this every day. While traditionally we get trained in rudimentary counseling skills, I have chosen to expand those skills so as to be of more use to my patients.
Frankly, I have lots of people coming to see me because I am NOT a psychiatrist. Lots of people have been down that road and don't like what it has to offer (an anti-depressant usually).
Their is a quote that I love that is relevant here... "Know what you know, know what you don't know and know the difference." Part of being a health care professional is knowing when you need to refer to someone who can help your patient more than you can. But this doesn't mean that you cannot be of service to people in these stressful times.

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11:26 am, Mar 27, 2009

raptor

Stateof, ya feel better after that rant?

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3:44 pm, Mar 27, 2009

workonit

If you need therapy, cut back on the massages, hair treatments, and personal trainer sessions and get some therapy. There are therapists who will lower their fees for people who have financial setbacks, but probably not for people who can still afford to pay full price for some of the above services.

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4:20 pm, Mar 27, 2009

exploora

Of course there has to be boundaries, and basing an opinion on hearsay is also unprofessional, and shows disrespect for professional integrity in general.

Lots of people talk about stuff, often the dentists talk to the dental assistants about stuff, which can be therapeutic because you don't feel alone.

And often people phone the dentist due to a dental emergency, and maybe they have to wait for Daddy to come home and he may be shagging the secretary.

Maybe the patient does give too much information, but that is what people do when they let their guard down and they are in pain, which obviously this day and age is probably a rare luxury/event.

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4:32 pm, Mar 27, 2009

exploora

Often therapists can be scarry too, because they might assume the problem is just emotional, or the person wants attention, and often the physical situation, may actually show up when the person gets a haircut, like a scar on the back of the head, or a bruise on the back when they get massaged, or a chipped front tooth and cut lip or something.

I read a critique about Freud, and I am sure Freud never meant this to happen, but often patients are treats as intellectuals inferiors, or emotional, and these assumptions could be dismissing bigger issues which are situational, such as being bullied or abused emotionally and physically, where the home may not even be safe, and where a therapist may assume the person is making it up without ever entering the real situation, due to being so "professional".

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4:38 pm, Mar 27, 2009

exploora

Society has gotten to the point, where just talking becomes a commodity, no wonder it is breaking down.

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4:40 pm, Mar 27, 2009

exploora

At least in third world countries, people appear to be walking around talking to each other. and acting like a real community.

We of course have insurance, and depend on big businesses like Aig, aren't we better off. We, as a society are probably one of the poorest when it comes to acting human toward each other. It is worse than what George Orwell described in 1984, no wonder these social sites, and sexting are so popular with young people, probably has a generation, they may be the most isolated in history, and the tension builds up you know where, cause they are so alone.

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4:46 pm, Mar 27, 2009

Bachelard

I'm sorry, but this is an absurd story.

First of all, there is absolutely nothing new about people talking about their problems during services like these. In fact, it's so common that it's a cliche among hair stylists.

Second, therapists are not in the business of giving advice. They listen, reflect and may give the client tips about ways of monitoring their thinking, but their role is not advisement. A life coach might do that, but not a psychotherapist. I suspect what is making the interviewed folks uncomfortable is the intensity of feeling they are encountering. But it's just absurd to describe this as a new phenomenon.

Third, there have been many studies that call into question the necessity of seeing a $150-an-hour therapist. In one famous study, cab drivers were given rudimentary training in therapy "language" and they turned out to be just as effective as the actual therapists. As exploora notes, therapists fulfill a role that family and friends often serve in other cultures.

Fourth and disagreeing with StateofInitiative, body work often evokes feelings and thoughts that clients articulate. It can evoke outright catharsis too.

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10:53 pm, Mar 27, 2009

purpleme

Oh, Gee ...We all need to vent at times...lighten up !

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10:35 am, Mar 28, 2009

joymars

"Katie, an ophthalmologist who prefers that we not use her last name..."

Let me see... This blogger happens to call an ophthalmologist who dishes like a hairdresser? Am I hearing a writer padding her story here... a bit?

What's so new about personal service people being pop-shrinks? Everyone knows hairdressers are -- always have been, and if they didn't have those skills they wouldn't be business.

If someone snaps at their personal trainer, maybe they're having a lousy day. It certainly couldn't be about financial problems since THEY STILL CAN AFFORD A PERSONAL TRAINER!

I agree with the previous poster.

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1:38 pm, Mar 28, 2009

pikejenny

I have been a dental hygienist for over 20 years and I have heard some unbelievable stories about people's private lives. I can actually see (on their teeth) the effects of stress in their lives and when I mention this....then the flood gates open! I often feel like a psychotherapist even I try to do more listening and less advise giving.

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9:45 pm, Mar 28, 2009
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The New Pseudo-Shrinks

by Beth Landman

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