I think that before therapists came along people probably seeked out social supports in their communities. If you wanted help or advice on child rearing then you probably went to talk to a grandma who had successfully reared many children. If you wanted to talk to someone because you were feeling sad then you might go talk to the spiritual / religious leader. If you wanted to feel better you might play sports etc etc.

Now... We consider people to have 'medical problems' and we consider that they require 'professional help'.

I'm ambivalent about the professionalization of helping. While it might be necessary when people can't get their needs met IRL I think that professionalization of helping can also become the first port of call such that people don't even try and get their needs met IRL. And that... Can be more harmful than helpful, I think. For the person seeking help... And for the grandmother who may be helped by helping - she isn't past her use by date, she is a valued and worthwhile member of the community.

Ambivalent...