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Mental Health
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4 min read

What all those BetterHelp ads say about ourselves

Podcasting and therapy alike scratch our itch to be inquisitive about things, even our own inner worlds.

Jamie is Vicar of St Michael's Chester Square, London.

A podcaster speaks into a mic before a screen.
Soundtrap on Unsplash.

There's one dominion Amazon hasn't conquered. Jeff Bezos famously chose his company's name, in part, because it's the largest river in the world and he wanted to create the world's largest bookstore. And Amazon has flooded the market. But as the world of podcasting is taking over our commutes and leisure time, Amazon isn't taking it over. That top spot belongs to BetterHelp. 

Now that I've mentioned it, you probably know what I'm referring to: the ubiquitous ads offering online therapy, often reassuringly read by the podcast hosts themselves. Although Amazon is the second largest ad buyer on podcasts, BetterHelp spends more. A lot more. In the US, BetterHelp spent $22million in the second quarter of this year, followed by Amazon with $13million. . BetterHelp has pretty much been the top spender on podcasts Clearly, BetterHelp thinks the demand for therapy is right up there with the convenience of getting stuff delivered to your door. 

The message of online therapy, and the medium of podcasts makes for a neat match. It seems our wants and needs are more and more solo endeavours. Our desire for entertainment and help are becoming something we access alone, behind headphones and closed doors.  

Overhearing people talking about their therapist in a metropolitan café is now as as common as the extra-hot flat whites themselves.

I was stunned when I heard recently that Saturday Night Live celebrated fifty years on TV. It was a reminder of an age when families and friends would diarise prime-time weekend entertainment together in front of the glow of the screen. But common experiences are diminishing. Harvard fellow Flynn Coleman highlights that the third spaces  where we have customarily congregated, found community, and ourselves, are vanishing.   

She is, of course, right. We are just beginning to scratch the surface of the damage our atomised online worlds have created. But where the CDC health report last year tragically detailed the harm social media causes teenage girls, the online space is not without hope. Krish Kandiah writes, 'Instead of demonising new technology as the problem, perhaps we need to find ways to turn it into the solution.'The online world isn't going away, so it must be at least part of the solution. Teletherapy is now available on the NHS, and while there are questions over the affordability and availability of online mental health care, and I cannot vouch for BetterHelp, making therapy more accessible by taking it online plays an important part in winning the battle of declining mental health. 

Far from an echo chamber, an online therapist can challenge presumptions at right angles and enable clients to access worlds they previously only dreamed of. And, any good therapist wouldn't encourage you to isolate yourself. We still need community. 

Therapy isn't as much a solo endeavour as we might first think. Of course, the therapeutic relationship itself is between two people, however objective one party might be. And just as the old adage goes, 'a problem shared is a problem halved', overhearing people talking about their therapist in a metropolitan café is now as as common as the extra-hot flat whites themselves.  Therapy is losing its stigma, and the benefits of it are shared just as we want to share a podcast that's stimulated or amused us.

That elusive arrival at contentment, of happiness, of satisfaction is quite the claim for an online service provider to make. 

Some things are sacred, though. James Marriott recently argued in The Times that the burden on those in the public spotlight to overshare isn't always helpful. How, where and with whom we share our inner thoughts matters. The Christian tradition sees that growth happens through relationship, rather than through broadcasting. Spanish mystic St Teresa of Avila wrote almost half a millennia ago about a journey inward, inside of ourselves to a space where only God dwells, if we choose to let him enter. On that journey, she wrote ‘It is a great advantage for us to be able to consult someone who knows us, so that we may learn to know ourselves.’  

On that journey of self-knowledge, the online world can enhance our lives, but not replace it. Just as The Rest is History podcast can give you details about ‘greatest monkeys' that your friend can't, specialist help from an online therapist will help you in ways friends won't. But BetterHelp wants to be your friend. The main heading on their website mimics what we've probably all heard from someone we know: 'You deserve to be happy'. They've learnt from the Steve Jobs school of marketing: don't sell the product or service; sell how it will make them feel. That elusive arrival at contentment, of happiness, of satisfaction is quite the claim for an online service provider to make. 

Podcasting and therapy alike scratch our itch to be inquisitive about things, even our own inner worlds. Where podcasting has challenged the old powers that sought to control the flow of information, we also do well to listen to external expert help. In this age, the online stream can flow information to us which, like the Amazon, might overwhelm us. It’s worth us asking: is there an external source of even better help available? One that will overwhelm us too – but instead overwhelm with the love we crave in our deepest selves? 

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4 min read

Deliverance in the dark: Springsteen’s Nebraska and the scars that shaped it

His starkest album emerged from a season of pain, where family, faith, and music collided

Giles is a writer and creative who hosts the God in Film podcast.

An actor playing Bruce Springsteen walks down a dark street, hands in jacket pocket.
Jeremy Allen White plays Springsteen.
20th Century Studios.

Springsteen: Deliver Me From Nowhere, starring Jeremy Allen-White as the titular rock star, follows Bruce Springsteen's attempt to make possibly his most unconventional album, Nebraska. This also happened to be one of the most difficult times of Springsteen's life, battling with mental health. Before the film's release, let's briefly explore some of the root causes of Bruce's depression, and find out what part family and the church had to do with it.

When it comes to Springsteen's discography, there's something of a disconnect between the casual fans' favourite and the album favoured by critics. Born in the USA is the monster hit album, with its era defining hits and blue-collar Americana. But Nebraska is the one that musicians and writers wax lyrical about. Written and recorded in a small bedroom in Colt's Neck, New Jersey, Nebraska is an album filled with acoustic melancholy folk tracks. With no conceivable singles and no chance of getting radio play, this was not the album that Columbia records wanted him to make, but it's the album Bruce felt he had to make.

"Nebraska was the pulling back of the bow, and Born in the U.S.A. was the arrow's release" writes Warren Zanes in his 2023 book, Deliver Me From Nowhere. In it, Zanes tracks with loving detail not only the technical problems of turning recordings that were only meant to be demos into songs that you could feasibly release, but also the mental health struggles that had driven Bruce to focus on such dark subject matter. It marked a moment of the artist unpacking his issues and answering the question: what do you do when you realise that the things you've loved most have begun to do you harm?

That harm can be traced back to Springsteen's early life in 1950s New Jersey. His father, Douglas 'Dutch' Springsteen, also suffered from mental health problems, at a time when there wasn't even the vernacular to describe such things. Dutch would grow to become jealous of the attention that his young son would get from the women in his family, which would exacerbate his existing paranoia. As well as being neglectful and demeaning, Dutch would also become violent towards his son. Springsteen describes in his autobiography how on one occasion, his father was teaching him how to box when Dutch threw a few open palm punches to his face that landed just a little too hard. "I wasn't hurt" Bruce writes "but a line had been crossed. I knew something was being communicated. […] I was an intruder, a stranger, a competitor in our home and a fearful disappointment". If this was young Bruce's experience at home, little respite was found in the outside world.

Springsteen grew up quite literally in the shadow of the Catholic church, and it permeated every aspect of his community. Bruce attended a Catholic school, where on one occasion he was hit by another student as a punishment from one of his teachers. This was compounded during his time as an altar boy, when the priest he was serving at a six am service gave him a public thrashing for not knowing his Latin. So before Springsteen started high school, he had been physically abused by his father, his school, and his religion. When these pillars of his life (who were meant to represent God to him) treated him this way, is it any wonder that young Bruce's take away from all this is that God is not a safe person to be around?

Years later, when Springsteen finally takes a break from the constant recording and touring cycle, he has no way to escape the damage done to him by the experiences of his early life. In Nebraska he illustrates the lives of down and outs, blue collar workers striving to get by, and even serial killers. The subject matter was so dark that when his manager Martin Landau first heard it, he started to worry about Springsteen's mental health. Thankfully, Springsteen would get the help he needed and forty years later, is a terrific example of someone who has done the work of tackling their own issues.

Where Bruce has landed on his relationship with God some forty years later is still quite hard to pin down. He's reluctantly adopted the adage of 'once a Catholic, always a Catholic' even if he admits he doesn't participate in his religion all too often.

There's no clear delineation point between him going from being a non-believer to a believer or vice versa, but that has not stopped him from creating some truly magnificent art with intense Christian themes. References to Jesus and the gospels pepper much of his musical output. Songs like Devils and Dust show the conflicted faith of a soldier in Iraq, whilst his song, The Rising, written in response to the terrifying events of September 11th, re-imagines the firefighters climbing the stairs of the twin towers as souls rising up to meet their maker. The finished product is a compelling anthem that would give even the most heartfelt worship song a run for its money.

It's quite possible that Bruce is interested in Christianity only in as much as it is woven into the thread of American life. How much the upcoming film will focus on his relationship with God or lack thereof is unknown, but the influence the church has had on him, for better or for worse, is undeniable.

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