I think that choice is a very empowering idea, and ideally I would want people to have as many choices as possible, but I think the idea that we grow up and suddenly have choices is a bit naive. Choice is limited by the material opportunities we have access to, and the social isms which prevent people from having access to those things.

For example, a person may wish to get help for their mental Illness, but they are poor, and the number of therapists that they can see is limited. Thus, they have a hard time finding someone who is a good fit, this results in the person getting subpar care and they aren't able to really heal as well as someone who can find the "perfect therapist," where money is no object. This person may also have to work multiple jobs, and may be exhausted whenever they go to therapy, and they can only come once in a while because of the cost. There is in this situation much less choice available to this person.

This kind of limitation also extends into other areas like sexism. After I was assaulted I gained some weight. My therapist theorizes that this because I have fears that my body was "too attractive," and caused my assault. She's not wrong, a lot was made of my body and appearance when I was assaulted, and I have felt uncomfortable in my body since then. But I want to lose weight. My weight exacerbates some current health problems that I have, and I generally feel unhappy at my current weight. But losing weight isn't as simple as making a choice. I have to realize that if I lose weight I might be subject to more street harassment, which I never get at my current weight, and general feelings of being hyper-sexualized. Because of this I wonder "is it safe to lose weight." Because I worry about my own safety in my choice to lose weight, I cannot really say that it is a free choice.

One thing that this kind of choice theory does get right is that people's choices are limited by the abuse they suffer while growing up, but what this theory fails to understand is that abuse is not confined to the bounds of the home. There are many kinds of social abuse which degrade a person's feeling of self worth, and which limit a person choices. Trying to find a way to make choices is probably a beneficial part of healing, but it's important to realize that choice is not a free and open concept for most people in the world.