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Apr 18, 202620:31Evening edition

"I'll start therapy when things settle... | Georgia Telehealth Therapy

In this episode

"I'll start therapy when things settle down."

Gently: when has life ever settled down?

There's always going to be something. Work deadlines. Kids' schedules. Family stuff. The holidays. Back-to-school. The holidays again.

Transcript

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I'll start when things settle down. I mean, I want you to really think about that phrase for a second. I'll start when things settle down. We say it about, you know, going to the gym or organizing the garage. And as we're exploring in our deep dive today, we say it constantly about taking care of our mental health. Oh, constantly. Yeah. But I have a very direct question for you, the person listening right now. When in your adult life has everything actually just, you know, settled down? Well, it's a great question to lead with because honestly, the uncomfortable reality is that it doesn't, right? There's literally always something in the pipeline. You have a massive project

at work, then that finally wraps up, but oh, look, it's back to school season and the kids schedules take over. Exactly. Then you're navigating that chaos, then it's the holidays, then it's, I don't know, an unexpected family crisis, then it's tax season. It just, it never stops. It's a perpetual motion machine. It really is. And that perpetual motion machine is exactly what we are digging into today. We have this really fascinating stack of research and notes centered around a specific teleaalth therapy practice. They're called coping and healing counseling or CHC and they're based out of Georgia. And you know our mission for this deep dive isn't just to list off the services a clinic like

CHC provides. I mean looking at their model is definitely crucial for understanding where modern healthcare is heading for sure. But the real goal here is to unpack a very compelling core argument running through all these sources. And that's why waiting for the quote unquote perfect time to prioritize your mental health is actually a fundamental psychological trap. Yeah, it's a huge trap. Right. So, we're going to break down the mechanics of avoidance and then look at how the actual logistics of modern mental health care are evolving to completely dismantle our favorite excuses. Let's jump right into the psychology side of this because there's this concept in the material called the soft delay and honestly completely reframed

how I look at my own procrastination. It's a powerful concept. Yeah, it really is. It's the idea that telling yourself you're waiting for an ideal moment to begin therapy is structurally a highly effective form of avoidance. Like you aren't explicitly saying no to doing the work. You're just saying uh not right now, not this week. Maybe next month. Exactly. But that soft delay almost always morphs into years of postponement. Well, and what's incredibly sneaky about the soft delay is the neurobiology behind it because you know it sounds entirely reasonable to our conscious brains. You think we're just being smart about our time. Exactly. We convince ourselves that we are just being pragmatic. We look at

our calendars and think, "Okay, life is completely chaotic right now. I cannot possibly add one more emotional commitment to my plate." Right. It feels like a logical boundary. But here's what's actually happening in your brain. When you tell yourself, "I'll deal with my anxiety next month." Your brain registers a tiny hit of relief. Your amydala, that's the threat detection center, right? Right. The threat detection center. It temporarily powers down because it believes you've formulated a solid plan. So, you get the neurological reward of solving the problem without actually having to do the hard uncomfortable work of facing your emotions. Oh, wow. Oh, so you get the dopamine of the decision without any of the actual

effort. You're just kicking the can down the road, but your brain pats you on the back for it. That is wild. But see, I have to play devil's advocate here for a second because if I'm say working an 80hour week or I'm in the middle of a brutal divorce, isn't it objectively logical to wait for a quiet period? It feels like it should be, right? Like don't you actually need to have the cognitive surplus, the quiet mental space to do deep emotional work? It just feels counterintuitive to dig into like childhood trauma when you're just trying to keep the lights on and survive the week. It feels counterintuitive. Absolutely. But that brings us to the

central paradox of mental health care in these notes. The support is actually exponentially more effective when it's introduced right in the middle of the mess. Wait, really? In the middle of the mess? Yes. The person who says, "I don't have time for therapy right now because I'm too overwhelmed." is almost always the exact person who most desperately needs the real time emotional regulation skills that a professional can provide. Okay, I want to test a mental model on you because when I was reading through these concepts, I immediately thought of computer RAM. You know, random access memory. Oo, I like where this is going. Right. So, when you're suppressing chronic anxiety or you're white knuckling your

way through a toxic work environment, it's like having a massive corrupted background application running on your brain's computer, just draining your battery. Exactly. It's eating up like 80% of your RAM just to keep you from snapping at your kids or crying in a meeting. And people think, "I can't go to therapy. My RAM is full. I don't have the processing power." Right. But the actual mechanism of therapy is going into the task manager and closing those background apps. So you finally have the memory left to process your actual day. That is an excellent analogy. That is exactly how cognitive behavioral techniques function in practice. Therapy isn't about adding another heavy application to a crashing computer.

It's about optimizing the system itself. Right. Freeing up the memory. Exactly. When you're in the storm, therapy provides the immediate functional tools to interrupt that fight orflight amydala response we talked about. You learn how to widen your window of tolerance. Window of tolerance. I saw that phrase. What does that mean exactly in this context? It's the psychological term for how much stress you can handle before you either explode in anger or completely shut down and dissociate. If you wait until the storm passes to try and build those tools, you've already spent months operating with zero RAM and causing immense collateral damage to your health and relationships along the way. Precisely. Which perfectly transitions into a

specific demographic these sources zero in on. And it's a group that is notoriously bad at recognizing their crashing ram. The high functioning busy professional. Oh yes, the high achievers. This is one of the most critical psychological distinctions we have to make today. High functioning people are frequently the absolute worst at prioritizing their mental well-being because their dysfunction is socially rewarded. You hit the nail on the head. Society looks at them and says, "Look at you. You're holding it all together." right? They're getting the promotions. They're managing the household. Their kids are at soccer practice. They volunteer on the PTA. On paper, their resume is flawless. And so, if I'm that person, I'm looking around saying,

"Well, I'm not broken. Why would I need therapy? Look at my life." Exactly. But what the text points out is that they have weaponized their own success as a defense mechanism against vulnerability. They equate the ability to merely manage the logistics of life with actually thriving. But keeping 50 plates spinning in the air isn't thriving. No, it's a highwire act of sheer terror. And the data shows a really hard reality for this demographic. They are successfully managing right up until the exact moment they aren't. And then the drop happens. They hit a wall and the burnout is catastrophic. This is why we have to radically reframe how we collectively view therapy. We have been conditioned

culturally to view it strictly as a crisis response. you know, you wait until the bone is visibly broken and then you go to the emergency room to get a cast. But the shift here is moving from crisis response to preventive maintenance. And again, to use another mechanical analogy, it's not just about getting an oil change so your car doesn't explode on the highway, right? It's about upgrading the engine. When you engage with a therapist, while you are still relatively high functioning, you aren't just putting a bandage on a wound. You are actively building out an emotional toolkit. Yes, you're learning advanced communication frameworks, distress tolerance strategies, setting boundaries, you were intentionally building out those neural

pathways now so that when the inevitable future crisis hits, like a layoff or a health scare or a loss. Exactly. When those things hit, you aren't constantly operating at the absolute razor's edge of your emotional capacity. You have a built-in buffer. So, you have the vocabulary to tell your partner exactly what you need without it turning into a screaming match in the kitchen. Exactly. You weren't just reacting blindly to the chaos. You have the psychological architecture in place to process the chaos in real time. Okay, I love the paradigm shift. Moving from crisis response to preventive maintenance makes total intellectual sense, but we have to address the elephant in the room here. The logistics. The

logistics. Because mindset shifts are wonderful, but a mindset shift does not magically create a 25th hour in the day. No, it does not. And it doesn't instantly put discretionary income into a single parent's bank account. If I am listening to this and I'm working two jobs, realizing I'm using a soft delay doesn't actually solve the brutal physical realities of my life. Right. You still have to get the kids to school and pay rent. Exactly. So, how is the modern mental health care landscape actually adapting to solve these very real physical hurdles? And that is the exact pivot we need to make because telling someone to just prioritize their mental health without addressing the systemic barriers

of time and cost is frankly just toxic positivity. Wow. Yeah. Toxic positivity. That's a great way to put it. The reality of the traditional therapy model was deeply flawed. It was geographically restrictive, incredibly timeconuming, and often financially prohibitive. And that is where tellaalth ceases to be just a convenient tech feature and becomes a massive structural equalizer. Let's look really closely at how coping and healing counseling, the CHC model in Georgia we mentioned, operates because it's a perfect case study for how these systemic barriers are being dismantled. It really is. The old model of therapy was an entire exhaustive event. You had to leave work early. You had to sit in traffic for 40 minutes. You

had to hunt for parking. You sat in a sterile waiting room reading old magazines. Right. And if you had kids, you had to hire a babysitter. The sheer friction of just getting to the chair was enough to deter anyone whose RAM was already maxed out. The barrier to entry was artificially high. But a practice like CHC operates on a 100% teaalth IPA compliant model. And let's quickly clarify what that means for anyone unfamiliar because IP compliance isn't just about using a FaceTime screen. No, no. It means the platform utilizes medical grade encryption. your conversations are legally and technologically locked down, ensuring total privacy. Okay? And by utilizing this model, CHC is able to serve all

159 counties across the state of Georgia, which is huge, by the way, because if we look at the historical context, mental health care was largely walled off by geography. If you lived in Atlanta, you had options, but if you lived in a rural county, you might be a 2-hour drive from the nearest licensed specialist. Tellahalth completely democratizes that access, right? And CHC has a team of over 15 culturally competent licensed therapists. And the alphabet soup of their credentials actually tells a really important story about comprehensive care here. We're talking LCSWS, LPC's, and LMFTs. It's worth breaking those down actually because it highlights how targeted modern care can be. So, an LPC, a licensed professional counselor,

is highly trained in working with individuals on specific psychological pathways like managing depression or navigating trauma. Exactly. Or rewiring anxious thought patterns. Then you have an LMFT, a licensed marriage and family therapist. They approach problems differently. They don't just look at you in a vacuum. They look at the systems around you, right? They look at the entire ecosystem of your relationships and family dynamics. And then an LCSW, a licensed clinical social worker, brings an incredibly grounded perspective. They often look at how external systems, environments, and social pressures are impacting your mental health. Okay, so you aren't just getting a generic board. You are getting a highly specialized expert who fits your specific dynamic. Oh, and

the source also mentions they do teen therapy for ages 13 and up, couples, family, life coaching. It's really a full spectrum. It is. And because it's 100% remote, the I don't have time excuse completely vaporized. A 50inut session suddenly fits into a standard lunch break. You can do it sitting in your parked car between picking the kids up from school and heading to soccer practice or sitting on your back porch after the toddler finally goes to sleep. There's no commute, no waiting room, no babysitter to coordinate. It fundamentally changes the logistical landscape. But um we still have to address the second massive barrier which is often the most anxietyinducing for people. The financial cost. Yes.

The money. Because historically seeing a highly qualified specialist out of pocket could run hundreds of dollars a session. It was a luxury service for a very long time. Yes. But this is where the CHC data genuinely surprised me. They accept Georgia Medicaid at a 0 co-pay. literally zero out-of-pocket cost for the patient, which is a profound shift in public health accessibility. Removing the financial barrier for Medicaid recipients means intervention can happen long before a mental health crisis spirals into a situation that impacts housing or physical health. Absolutely. And for commercial insurance plans, their providers list includes Etna, Sigma, Blue Cross Blue Shield, United Healthcare, Humanana. The co-ay typically lands somewhere between $10 to $40 a

session. That's incredible compared to out-of- pocket rates. It really is. Plus, they generally have same week availability for new clients, which is unheard of compared to the old model where you'd wait 6 months on a list. There is a specific comparison in the notes that hit me hard. It pointed out that a patient might pay less for a 50-minute session with a licensed trauma specialist than they do for a single midweek grocery run. It's a striking economic reality check, isn't it? It really is. So, this brings me to a somewhat confrontational question. Let's hear it. If Tellah Health is this remarkably seamless, literally clicking a link on your phone in your parked car, and it's

this affordable, costing less than a few bags of groceries, why the lingering resistance? Are people still clinging to the logistical excuses of time and money simply because they are terrified of doing the emotional work? Well, that is the exact psychological mirror this modern landscape forces us to look into. When you synthesize these facts, when you entirely remove the friction of the commute, the waiting room, the outrageous out-of pocket costs, the only variable left in the equation is you. Right. The excuses are gone. Exactly. You can no longer hide behind the socially acceptable shields of I can't afford the time or I can't afford the cost. You are forced to confront the soft delay headon. You

have to admit to yourself, okay, the logistics are handled. I am simply avoiding the discomfort of examining my own emotional patterns. Ouch. I mean, that is confronting. It strips away all the armor. It does. But let's follow that thought to its logical conclusion. If all the practical excuses are stripped away and you still choose to hit the snooze button on getting help, what is the actual tangible penalty for that delay? To understand the penalty, we have to look at a concept known in biological psychology as allistic load. This is the compounding effect of waiting. Okay, break down all load for us. How does that differ from just regular everyday stress? So, everyday stress is acute,

like a car swerves into your lane, your cortisol spikes, you hit the brakes, then your heart rate jumps up, right? But then the threat passes and your nervous system returns to baseline. Aostatic load is what happens when the threat never passes and your nervous system never resets. Oh wow. It's the physiological wear and tear on your body from chronic unmanaged stress. When you employ the soft delay and put off dealing with your trauma or your failing marriage for another year, you aren't just hitting pause. Your body is marinating in stress hormones. That sounds physically dangerous. It is. It damages your immune system, disrupts your sleep architecture, and actually accelerates cellular aging. It is quite literally

compounding physiological debt, which perfectly aligns with the financial debt model we were talking about. Ignoring a credit card bill doesn't freeze the balance. The interest is quietly, aggressively compounding in the background. Exactly. Every single month you refuse to open the envelope, the hole gets deeper. And when we apply that to mental health, the contrast between acting now versus acting later is staggering. It is a stark timeline. Every week you delay is another week of accumulating alastic load. It's another week of unprocessed grief calcifying into depression. This is another week of untreated anxiety dictating your life choices. And the text points out how quickly things can change, right? Yes. The data suggests that starting therapy now

means you could have actionable nervous system regulating tools by next month. Tools by next month. That feels so immediate and empowering. It is. But if you tell yourself, well, I'll start next year when things calm down. You are going to arrive at next year a full 12 months deeper into the exact same destructive loops. Wow. The invisible devastating cost of waiting is the prolonged suffering you absolutely did not have to endure. It's the 50 arguments with your spouse that could have been completely diffused if you had better communication frameworks. Right? It's the hundreds of sleepless nights that could have been managed with somatic regulation techniques. The cost isn't just the time you lost. It is

the degraded quality of your existence during that time. a year deeper into the exact same destructive loops. That is a heavy heavy realization, but it is necessary. It really is. So, to pull all of these threads together and summarize our journey today, we started by confronting the illusion of the soft delay. We recognize that waiting for life to miraculously settle down isn't pragmatism. It's a neurobiological trick our brains play to get short-term relief while avoiding long-term growth. Right? We then dismantled the myth of the high functioning professional. Realizing that merely surviving a chaotic schedule isn't thriving, we reframed therapy from a desperate crisis response to essential preventive maintenance. Not just closing the background apps that

are draining your RAM, but actively upgrading your mental operating system for whatever challenges lie ahead. Exactly. And finally, we looked at how modern teleaalth ecosystems, perfectly illustrated by the CHC model in Georgia, have systematically destroyed the physical barriers to entry. With comprehensive coverage across 159 counties, high compliant digital access, Medicaid accepted at $0, and commercial plans driving costs below the price of a grocery run, the logistics are solved, which leaves us staring squarely at the compounding physiological cost of waiting. The interest on your emotional debt is always accumulating. And the only way to stop the compounding interest is to make the payment. Exactly. So, I want to address you, the listener, directly as we wrap

up. I want you to mentally scan your own life right now. Where are you deploying a soft delay? It's a tough question to ask yourself. It is. But where are you telling yourself that you will finally deal with your chronic stress, your boundary issues, or your fading relationship just as soon as things calm down? Because the data, the psychology, and the logistics all point to one undeniable truth. The perfectly serene moment you are waiting for is a ghost. It is never going to arrive. And if I can leave you with a final provocative thought to mull over, we've spent this time discussing therapy as a way to build tools for your individual future. But what

if we scaled that up? Oh, I like this. If therapy is fundamentally about learning emotional regulation, how might our entire society shift if we viewed understanding our nervous systems as a basic mandatory life skill? Like brushing your teeth, right? Imagine if we treated learning how to process fear, anger, and grief the exact same way we treat learning how to read a book or drive a car. What if it wasn't viewed as a specialized hushedup treatment reserved only for those who are visibly breaking down, but rather as an essential everyday competency everyone was required to master before they were allowed out on the road of life? That is an incredible vision for the future. We all

need to learn how to drive before we get behind the wheel. Stop sitting in the driveway burning out your engine, hoping every single obstacle in your path magically disappears. It's time to put the car in drive. Upgrade your systems while you're still moving. And finally, take back your mental bandwidth.

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