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13 min 58 sec
Available in:Englishไทย

Bad Therapy: Why the Kids Aren't Growing Up

Shrier argues that therapy culture, trauma talk in schools and gentle parenting can teach children that they are fragile. She shows how firm limits, real consequences and room to fail help children become capable.

Table of Content

Many parents who rush a struggling child to a professional believe they are choosing the safest path. In Bad Therapy, former attorney and journalist Abigail Shrier argues that this reflex can backfire: treating every rough patch as a clinical problem may teach young people that they are fragile. Therapy culture, now spread through homes and classrooms, risks creating the very anxiety it sets out to cure.

Her throughline is uncomfortable but easy to state. Protection offered with love, from diagnoses to trauma language to gentle parenting, can strip children of the struggle that makes them strong, and resilience returns when adults step back. Shrier makes the case through everyday scenes: a teenager panicking before an exam, a classroom quarrel that explodes online, a boy who never hears the word no. By the end, you will be able to tell support that steadies a child from support that shrinks one, and know what to try the next time a child you care about hits a wall.

Medicine has an old word for injuries caused by the cure itself. Shrier takes that word out of the hospital and points it at something most parents consider completely safe.

A lonely first-year student gets kind, validating advice from a counselor. It sounds like exactly the right response, yet it points the student away from the very things that would have helped.

Trauma-informed teaching and restorative justice arrived in schools with the kindest intentions. Shrier looks at what students actually learn from them, and the lesson is not the one teachers meant to give.

One vague social media post, one classmate who feels targeted, one screenshot. Within days a whole school is involved, and the adults make it worse while trying to be supportive.

A tantrum in the grocery store, a calm explanation, and then the parents give in. Shrier follows that small surrender years forward into a classroom where nobody will hold the child to account.

A forgotten lunch, a missed spot on the soccer team, a math problem nobody solves for you. Two siblings show what children gain when their parents deliberately decide not to rescue them.

Bad Therapy is, at bottom, an argument about side effects. Shrier borrows medicine’s oldest warning, first do no harm, and turns it on the helpers: therapists who diagnose too quickly, schools that teach the language of trauma, communities that let hurt feelings act as proof, and parents who give in at the grocery store. Each acts out of love. Together, she argues, they teach a generation that it is too fragile to cope, and the children come to believe it.

Her remedy asks less of experts and more of ordinary adults. Before reaching for a label, think about what it will teach the child about who they are. When a young person feels hurt, find out what happened before anyone is punished. Hold the limits you set, kindly and without apology. And leave the forgotten lunch where it is, so the child gets to solve the problem.

None of this means withholding love. It means trusting that a girl who is cut from the soccer team this year can try out again next year, and that the trying is what makes her strong.

About this book

What is this book about?

Parents and teachers today are quick to send a struggling child for professional help. Abigail Shrier argues that this habit may be adding to the mental health crisis it is meant to solve. She borrows a medical idea, iatrogenesis, meaning harm caused by the treatment itself, and applies it to therapy, schools and parenting. Her case moves from the clinic outward. A diagnosis can turn exam nerves into an identity. Trauma-informed classrooms and restorative justice can teach students to see themselves as victims. Empathy culture can let hurt feelings stand as proof of wrongdoing. Gentle parenting can leave children like the boy who never hears no unready for school and for life, and Shrier believes boys pay a particular price. Against all this she sets a different model: parents who set clear rules, enforce consequences and then let children walk to school alone, forget their lunch, get cut from a team and solve their own problems. Readers get a sharp, openly argued challenge to current parenting wisdom and a practical sense of when to step in and when to step back.

Book Information

Rating:

Genre:

Mental Health & Wellbeing, Parenting & Families

Topics:

Anxiety, Education Systems, Resilience

Publisher:

Penguin Random House

Language:

English, ไทย

Narrator:

Cole

First published:

February 27, 2024

Pages:

320

Length:

13 min 58 sec

Get the book:

Amazon

Who it's for

  • Parents wary of overhelping

    Parents who worry they rescue their children too quickly or rely on experts for every struggle.

  • Educators with doubts

    Teachers and school staff uneasy about trauma-informed practice, restorative justice or social media conflicts among students.

  • Guiding young adults

    Mentors and managers of young adults who want to support them without making them fragile.

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About the Author

Abigail Shrier

Abigail Shrier, born in 1978, trained in law at Columbia College, the University of Oxford and Yale Law School and worked as an attorney before turning to journalism. She has written for the Wall Street Journal, Newsweek and Quillette, holds a senior fellowship at the Manhattan Institute and writes a column for The Free Press. Bad Therapy became a New York Times bestseller and an NPR Books We Love pick. Her earlier book, Irreversible Damage, came out in 2020, and her work has been translated into 25 languages.

Ratings & Reviews

Ratings at a glance

4.2

Overall score based on 258 ratings.

What people think

Listeners find this work captivating and accessible, commending the deeply researched material and stimulating perspectives. The prose is excellent, and listeners view it as essential for parents, with one noting it is required reading for counselors and therapists. Listeners value its courageous take on mental health topics and its lucid analysis of young adults, noting that it is both revelatory and fairly balanced.

Top reviews

Pat

Finally got around to reading Shrier’s latest, and it’s a total gut punch to the modern parenting industry. We have become so obsessed with 'lawnmower parenting'—clearing every single obstacle out of our children’s paths—that we’ve forgotten how to let them build any actual resilience. Shrier is incredibly brave for pointing out that by pathologizing every normal childhood emotion, we might actually be making our kids sicker. The anecdote about the ER nurse asking a child with a stomach ache about suicide was particularly eye-opening and frankly, terrifying. While her tone can be sharp, the core message is a necessary wake-up call for a generation of parents who have traded common sense for clinical labels. It’s easily the most thought-provoking book I’ve read this year. We need to stop treating our children like they are made of glass. Hard times create strong people, and we are currently doing the opposite.

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Mind

Wow. Shrier has written a masterpiece that challenges the very foundation of modern 'gentle' parenting. The truth is, we are over-diagnosing kids who are just being kids. I loved the emphasis on how meaningful work and recreation are often better 'therapy' than sitting in a room talking about your feelings for an hour every week. The book is engaging, easy to read, and remarkably objective when it comes to the data on how Gen Z is struggling despite—or perhaps because of—record levels of therapeutic intervention. She brings a fresh perspective to a problem that anyone with teenagers can see: a generation that isn't launching. I appreciated the stories about her own family and the focus on building emotional strength rather than just validating every passing whim. It’s a bold, necessary critique of a system that has clearly lost its way. Every parent in America needs a copy of this.

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Ubolwan

Stop what you're doing and buy this for every parent you know. Shrier is one of the few voices with the guts to say that the 'empathy at all costs' approach is actually hurting our children. We’ve traded discipline and structure for a culture of constant emotional check-ins that just lead to more anxiety. The book is a quick read, but the insights stay with you long after you finish the last page. I particularly enjoyed the sections on how 'old-school' parenting focused on behavior rather than internal rumination. It turns out that focusing on yourself all day is a great way to become miserable! Shrier provides a clear-eyed understanding of why young adults are struggling to find their footing in the real world. This isn't just a book; it's a manual for course-correction. It’s reasonably objective, deeply researched, and incredibly timely. Five stars.

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Luckana

There’s a certain bravery in calling out the 'therapy-first' culture that has permeated our schools and homes, and Abigail Shrier does it with incredible clarity. She isn't just complaining; she’s providing a well-researched look at how we’ve accidentally created a crisis of confidence in our children. The writing style is engaging and the arguments are easy to follow, making it a must-read for any parent feeling overwhelmed by the pressure to constantly monitor their child's 'mental health.' I appreciated her defense of common sense and parental intuition over the latest clinical fads. The body of the book is filled with cautionary tales about what happens when we let 'affirmation' replace boundaries. This is an essential book for understanding the challenges facing Gen Alpha and Gen Z. It’s refreshing to read someone who isn't afraid to go against the grain of the 'far-left agenda' in education.

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Yanin

As a school counselor, I found myself nodding along and cringing in equal measure while reading this. Shrier’s exploration of 'iatrogenesis'—the idea that the treatment itself can cause harm—is a perspective that is desperately needed in our field. She correctly identifies how therapeutic language has been misused by non-professionals to create a culture of permanent victimhood. However, I do think she paints with an unnecessarily broad brush at times. Her dismissal of almost all school-based mental health screenings felt a bit extreme, and I worry she overlooks the reality of kids in lower-income areas who don't have the luxury of her 'upper-middle-class' perspective. Still, the writing is wonderful and the research into how we've traded resilience for rumination is compelling. It’s a must-read for anyone working with young adults today, even if you don't agree with every single one of her conclusions.

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Emma

The concept of iatrogenesis is something we don't talk about nearly enough in the context of mental health, and Shrier explains it brilliantly. I’ve noticed the shift toward 'therapy culture' in my own social circles, where kids are encouraged to adopt a diagnosis as a substitute for a personality. Shrier’s critique of the 'fetishization of victimhood' resonated deeply with me. Look, I don't agree with her obsession with Jordan Peterson, and I think she goes overboard when she suggests that asking a kid 'how are you feeling?' is inherently destabilizing. That feels like a leap toward emotional repression. But the core argument—that we are over-treating healthy children and making them fragile—is hard to ignore. The book is well-researched and incredibly engaging, even when the tone gets a bit biting. It’s a sharp, analytical look at why the kids aren't alright despite our best efforts.

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Pete

Picked this up after seeing the controversy on social media, and honestly, it’s much more nuanced than the critics claim. Shrier explicitly states she isn't talking about kids with severe clinical needs, yet people still attack her for 'ignoring trauma.' Her focus is on the 'worried well'—the kids being pushed into therapy for normal developmental growing pains. To be fair, her tone can be quite contemptuous of the profession, which might turn some people off. But her analysis of how schools have overstepped their bounds with mental health screenings is genuinely eye-opening. I loved the emphasis on 'the only solution is for parents to step in.' We’ve handed over too much authority to 'experts' who don't know our kids as well as we do. It’s a wonderful, provocative read that makes you question everything about modern child-rearing. It’s not perfect, but it’s definitely required reading.

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Suda

I’m torn because Shrier makes some brilliant points about resilience while simultaneously being incredibly dismissive of actual mental health struggles. The first half of the book is a fantastic 4-star critique of how 'WEIRD' nations have outsourced parenting to a predatory therapy industry. Her points on the misuse of therapeutic language and the decline of grit are spot on. However, the second half devolves into a bit of a paranoid rant against school administrators and surveys. She seems to think that just seeing the word 'suicide' on a paper will make a kid want to try it, which contradicts her own point that kids aren't actually that fragile. The writing is wonderful and the stories are compelling, but I had to take it with a massive grain of salt. It’s a thought-starter, but Shrier’s lack of interest in any milieu outside of private schools makes the book feel a bit narrow.

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Kaen

Is the therapy industry overreaching? Probably. Is this book the definitive answer? Not quite. Shrier is a gifted writer, and her stories about her maternal grandmother and the value of resilience are moving and effective. I agree that we are over-medicating children and that the 'victim' narrative is a dead end. However, the lack of actual citations for some of her biggest claims is frustrating. She relies heavily on a few select interviews to represent the entire state of American education, which felt a bit disingenuous to me. Personally, I found her constant references to Jordan Peterson and specific political talking points to be a distraction from her stronger arguments about iatrogenesis. It’s a 3-star read for me—great ideas, but the execution feels a bit too 'culture war' and not enough 'scientific inquiry.' Worth reading for the conversation it starts, but don't take it as gospel.

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Yuwadee

This book screams of confirmation bias and elitist anecdotes. Shrier seems to live in a world where the only kids getting therapy are wealthy teens with 'first-world problems,' completely ignoring the millions of children facing actual trauma, abuse, and neglect. Her reliance on anecdotes that often sound made-up or extreme makes it hard to take her broader arguments seriously. Where are the actual citations? Most of her 'research' feels cherry-picked to support a far-right narrative that blames teachers and 'woke' doctors for making kids soft. I found her advice on 'minor cutting' to be particularly dangerous and irresponsible; telling parents to just ignore self-harm is not a valid clinical strategy. It’s a lazy, disingenuous look at a complex issue that deserves much more nuance than this contemptuous tone provides. If you’re looking for a rigorous scientific study of modern psychology, look elsewhere.

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Questions about this book

Shrier argues that therapy culture, spread through clinics, schools and homes, may be making young people less resilient. By treating normal struggles as psychological problems, emphasizing trauma and emotional safety, and avoiding discipline, adults can teach children that they are fragile. Her remedy is a balance of love and support with clear limits, real consequences and room for children to struggle and fail on their own.

Iatrogenesis is a medical term from the eighteenth century for harm caused by treatment itself, such as a bad drug reaction or a surgical complication. Shrier applies it to therapy for young people. Her example is a student whose exam panic attack is diagnosed as an anxiety disorder, after which the student starts watching every nervous feeling as a sign of the next attack.

Shrier sees gentle parenting as part of a move away from firm, authoritative discipline. She illustrates it with a boy named Liam whose parents never say no and give in after tantrums, and who later lashes out at school while teachers excuse him. She argues this produces fragile, entitled children and is especially hard on boys, and she calls for warmth combined with firm boundaries.

Shrier’s examples suggest letting children face natural consequences, such as not delivering a forgotten lunch, and letting them work through hard problems instead of solving them. Set clear rules and enforce them kindly. Help a child plan a new challenge, like walking to school alone, then trust them with it. She also notes that each child differs, so the right amount of freedom varies.

It suits parents who suspect they are overprotecting their children, and teachers dealing with trauma-informed practices, restorative justice or social media conflicts among students. Anyone who mentors young people will find a pointed argument about when support helps and when it weakens. Readers should expect a strongly argued challenge to common parenting and school practices, presented as Shrier’s own view.

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Bad Therapy

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