A Journey Through Therapy: Summary of Lori Gottlieb’s ‘Maybe You Should Talk to Someone’

American psychotherapist Lori Gottlieb’s memoir/self-help book Maybe You Should Talk to Someone (2019) offers an engaging exploration of therapy from both sides of the couch.

Gottlieb’s narrative intertwines the stories of her patients with her own journey as a therapist-turned-patient, delivering a candid and relatable account of human vulnerability and resilience. This unique perspective highlights the shared struggles that unite us all and reveals the transformative power of therapy—not through methods or techniques, but through the profound act of truly being heard. In that simple connection, we uncover and heal parts of ourselves we’ve long ignored.

A Therapist’s Turn to Heal … And Learn

The book begins with Gottlieb facing a personal crisis following a painful breakup. Feeling lost and uncertain, she seeks therapy herself, breaking the misconception that therapists don’t have their own problems. Her choice to become a patient underscores an important truth: seeking help is not a sign of weakness but an act of courage. Experiencing therapy from the other side helps therapists cultivate deeper empathy and a better understanding of their clients’ struggles, enriching their ability to guide others.

Gottlieb’s narrative revolves around five core stories: her own and those of four diverse patients. Each patient—a self-absorbed Hollywood producer, a newlywed in her thirties with a terminal illness, a senior citizen planning to end her life on her birthday, and a young woman grappling with alcoholism and destructive relationships—brings unique challenges and insights. Their journeys reveal the complexities of human emotions and the universal longing for connection, love, and understanding.

In Our Own Eyes, We’re Never the Foe

One of the book’s central insights is the concept of “unreliable narrators.” Gottlieb reminds us that people’s self-perceptions often obscure deeper truths. No one’s the villain in their own story. Our narratives are selective storytelling rather than the full, messy truth—shaped by bias and perspective, which significantly influence how we interpret and respond to life’s events. Therapy, Gottlieb argues, helps us identify and challenge unhelpful narratives. By bringing these stories to light, we can start to question their validity and reframe them to create a healthier, more honest version of ourselves.

Gottlieb’s approach to therapy is both practical and creative. She likens it to merging two snapshots—the current reality and the envisioned ideal—into a new, authentic picture. This metaphor underscores the collaborative and dynamic nature of therapy. Alongside her patients, she confronts issues like heartbreak, self-sabotage, and denial, demonstrating that the only way to heal is to face pain directly. “The only way out is through,” she writes, emphasizing the value of perseverance and self-reflection.

In today’s hyper-connected yet often isolating digital age, the book’s focus on connection feels especially relevant. Technology often fails to provide the depth and authenticity required for emotional fulfillment, leaving many craving meaningful human interaction—a fundamental human need often unmet by the fleeting interactions of social media. Therapy, Gottlieb shows, becomes a vital outlet—a space for genuine dialogue, empathy, and healing. Her poignant reminder, “You won’t get today back,” encourages readers to embrace the present and seek fulfillment without delay.

The Stories We Tell Ourselves

Gottlieb’s writing is engaging, infused with humor and vulnerability that make complex topics accessible. She dismantles the stigma surrounding therapy, portraying it not as a last resort but as a proactive step toward growth and self-awareness. There is a brief mention of the risks of over-reliance on therapy, which can hinder the development of self-reliance and internal coping mechanisms. Her candid reflections on her own therapy experience inspire readers to view vulnerability as a strength and a necessary part of the human experience.

Themes of self-compassion and forgiveness are woven throughout the narrative. Gottlieb’s patients learn to confront their fears and embrace their imperfections, mirroring her own journey toward acceptance. These lessons highlight the transformative power of self-awareness, which deepens connections with others and fosters personal growth.

In an Age of Solitude, Connection Calls

A recurring takeaway is that struggles are universal, regardless of outward appearances. Gottlieb’s diverse patients share a common humanity, emphasizing that vulnerability and the need for connection are fundamental to everyone. This understanding breaks down barriers and fosters empathy, reminding readers that they are never truly alone in their challenges.

Recommendation: Read Maybe You Should Talk to Someone—a well-structured memoir that offers profound insights into the human condition. Gottlieb’s dual perspective as both therapist and patient creates a compelling narrative that invites readers to explore their own emotional landscapes.