Dear Man Shrink,
I want my boyfriend to go to counseling, but he refuses. We’ve been living together for two years and we intend to get married, but he doesn’t behave like an adult yet. He’s thirty-three, he has a good IT job, and manages his money well, but he has some childish interests that he needs to ditch before I can feel okay about marrying him. For example, he’s a science fiction fanatic, and he doesn’t just watch it on television. He collects memorabilia, including action figures—dolls! He doesn’t take them out of the box; he just lines bookshelves with them. He goes to these big conventions, even flying to San Diego every year for some stupid comic book convention. He also likes playing video games too much for my tastes. He doesn’t do it very much when I’m around, but he’ll sometimes stay up for hours after I’m asleep, playing online with a bunch of other nerds.
I want him to get counseling because I think he’s avoiding growing up. He’s a responsible guy and really nice to me overall, but he refuses to let go of these juvenile hobbies. I think he’s fixated at age twelve or something. I’d love your advice on how to get him to go to therapy.—PL, Winston-Salem, North Carolina
Dear PL,
Let’s talk about getting someone to go to therapy. Then you and I are going to have a little “come to Jesus” talk.
Almost once a week, someone asks me how to persuade a disordered friend, family member, or lover to go to therapy. Here’s the short answer: you can’t. Now, listen very closely to what I’m about to say. If you happen to be a judge or social worker reading along, tattoo the following sentence on your forearm.
Psychotherapy only works for people who want it to work.
You cannot frighten, harangue, or cajole someone into mental health. Psychotherapists are not drill sergeants, psychics, or Jedi Knights. We cannot convince someone that they need to change. Resorting to A Clockwork Orange-type methods are the only way to modify the behavior of someone who doesn’t think they need it. So unless you plan on hooking your boyfriend up to electrodes and zapping him every time he plays with his Boba Fett Pez dispenser, the guy is not going to change.
