Therapy with Your Best Friend: Benefits and Considerations

Could Therapy with Your Best Friend Be Your Best Decision?

Throughout life, we encounter many individuals with distinct personalities. Over time, these encounters evolve from strangers to acquaintances, from acquaintances to friends, and sometimes, friends to best friends. The concept of a “best friend” may hold different meanings for each person. However, this relationship typically involves closeness, care, and mutual benefit.

Given this level of intimacy, many people find themselves considering therapy with their best friend. However, entering a therapeutic relationship with someone you’ve previously had a purely social connection with can present challenges, and you may wonder if pursuing therapy with your best friend is a beneficial choice or if you should seek professional help elsewhere.

Deciding to pursue therapy with a friend

The decision to enter therapy with your best friend is personal. While weighing your options, consider the following questions to evaluate how your relationship might evolve.

Do you have common goals for therapy?

If you’ve known your best friend for some time, you likely understand their personal struggles better than most. You may have discussed mental health challenges, family history, traumatic experiences, relationship patterns, and other intimate topics.

These conversations might give you insight into what your best friend hopes to achieve through therapy that you wouldn’t have with someone you’ve just met. While this familiarity can be helpful, consider whether your therapeutic goals, values, and healing journeys align with theirs. Managing different mental health objectives is possible, but pursuing therapy together could require additional communication and compromise.

Are you prepared for your friendship to change?

Progressing from friendship to a therapeutic relationship will inevitably alter your connection and require significant effort to navigate these new dynamics. You may need to establish new boundaries for communication and emotional vulnerability, and it might initially feel uncomfortable to share your deepest struggles in a more structured environment. While you might already know your friend profoundly, therapy often involves revealing yourself in new and sometimes challenging ways.

As you engage in this therapeutic journey with your best friend, certain aspects of your prior friendship may shift or transform. Effective therapy is built on a foundation of vulnerability and openness, allowing both individuals to truly see and process their inner experiences. When you begin therapy with your best friend, you may start this deeper work with the comfort of established trust, but the relationship will necessarily evolve.

Are you considering joint therapy out of convenience?

Your best friend might always be available for support, ready to listen to your struggles, offer advice, or provide comfort when needed. This convenience factor could motivate some people to pursue therapy together. However, ask yourself if this decision is based on genuine therapeutic potential rather than mere accessibility.

While it may feel natural to process difficult emotions with your best friend, misaligned therapeutic approaches, goals, or boundaries could become problematic over time. Effective therapy may feel supportive, but it’s not always comfortable or convenient. Even with a foundation of friendship, engaging in meaningful therapeutic work requires commitment and professional guidance. If your best friend is interested in joint therapy and you’re not, agreeing out of convenience might create conflict in both your friendship and your healing journey.

Are you ready to discuss therapeutic expectations?

You likely have certain expectations of your best friend that maintain the relationship’s equilibrium. Perhaps you commit to regular check-ins, provide emotional support during difficult times, or show up for each other during crises.

While these expectations might be implicit in a friendship, therapy requires more explicit discussion of boundaries and goals. In a therapeutic context, you’ll need to address topics like confidentiality, emotional triggers, comfort levels with different therapeutic techniques, and commitment to the process.

Establishing realistic and appropriate expectations is crucial in any therapeutic relationship. As you consider entering therapy with your best friend, discussing and aligning your expectations becomes essential. Effective therapeutic work requires expectations that are reasonable and mutually understood by both participants.

Do you both demonstrate readiness for therapeutic vulnerability?

You might be excited about the prospect of therapy with your best friend, expecting the experience to enhance your existing connection. You could envision an ideal scenario where you both achieve breakthroughs and strengthen your bond. While these positive outcomes are possible, it’s also beneficial to consider potential challenges.

Your best friend might not be comfortable with the level of vulnerability therapy requires, or you might discover that your therapeutic needs are incompatible. These and other outcomes are possible. However, embracing this uncertainty can lead to a more authentic experience, potentially deepening your understanding of yourself and each other.

Proceed thoughtfully, consider your motivations carefully, and discuss them openly while respecting boundaries. If your friend expresses hesitation about joint therapy, accept their position. Continuing to pressure someone into therapeutic work when they’re reluctant may violate their autonomy and damage trust. Some individuals experience rejection sensitivity when their suggestions are declined, which can be painful and confusing. If you’re experiencing this reaction, consider speaking with a licensed therapist individually for guidance.

Potential benefits of therapy with your best friend

Suggesting therapy to your best friend may feel intimidating. However, if both parties are willing, the benefits of pursuing therapy together may include the following:

An established foundation of trust

As you and this individual are already best friends, you may already understand each other’s vulnerabilities and strengths beyond what others perceive. You likely have insight into each other’s emotional patterns, communication styles, and personal histories. You might also share awareness of specific triggers and coping mechanisms that inform your mental health journeys. As you begin therapy together, this knowledge can create a foundation of safety that facilitates deeper therapeutic work.

Reduced therapeutic anxiety

Initial therapy sessions can be both enlightening and anxiety-provoking. The vulnerability required to share personal struggles with a professional can feel overwhelming and intimidating. If you pursue therapy with your best friend, you might bypass some of this initial discomfort, as you already have emotional trust with this person. However, if the idea of revealing your deepest struggles in front of your friend creates additional anxiety, this benefit might not apply to your situation.

Shared healing language and goals

Often, we gravitate toward friends who share common beliefs, values, and aspirations with our own. When entering therapy together, you may find that these shared perspectives make it easier to develop a common therapeutic language and framework. Additionally, as a best friend, you might already challenge each other’s limiting beliefs and gently encourage growth. In this therapeutic partnership, you can learn and evolve together, building on existing patterns of mutual support.

Integrated support system

Your best friend, one of the most important people in your life, likely already knows your support network, including family members, other friends, and significant others. This shared social context can enhance the therapeutic process, as your friend understands the interpersonal dynamics that influence your mental health. A common support network can be particularly beneficial if your loved ones encourage and respect your therapeutic journey together.

Finding professional support for your decision

If you’re uncertain about beginning therapy with your best friend, a licensed mental health professional can help you evaluate these considerations and determine the healthiest choice for your situation. Some individuals prefer traditional in-person therapy for these discussions. However, many people now choose telehealth options to prioritize their mental health while managing other responsibilities.

Digital platforms like ReachLink make connecting with qualified therapists simple and convenient. Within 48 hours of completing a brief assessment, ReachLink can match you with a licensed mental health professional based on your specific needs and therapeutic goals.

Current research indicates that telehealth therapy can be as effective as in-person treatment for various mental health concerns. A 2021 study found that during the COVID-19 pandemic, therapists experienced a positive transition from traditional to online therapy, according to survey responses from 58 practitioners. Most therapists found virtual therapy to be an effective platform for maintaining therapeutic relationships and fostering client progress. This evidence supports the idea that pursuing therapy—whether individually, jointly with a friend, or virtually—is both feasible and valuable in today’s mental health landscape.

Ultimately, the choice to engage in therapy with your best friend should be guided by honest reflection, clear communication, and mutual respect for each other’s needs and boundaries. Therapy has the potential to deepen your connection, promote healing, and enhance self-awareness, but it also requires careful navigation of the unique challenges this dual relationship presents.

Before embarking on this path, consider discussing your intentions with a licensed professional who can help you assess readiness and develop strategies for a successful therapeutic journey together. Therapy with your best friend is not a decision to be taken lightly, but when approached thoughtfully, it could indeed become one of the most transformative and rewarding decisions you make.

Choosing the right path for your mental health is a profound act of self-care. Whether you pursue therapy alone, alongside your best friend, or through other supportive means, prioritizing your well-being remains the most important step forward.