There is no black and white indicator to whether or not someone should seek therapy. However, there are several signs that show that someone is under emotional distress that can be addressed in therapy. These include but are not limited to: Feeling nervous or on edge several days per week A general sense of dread or impending doom Difficulty focusing on anything other than your worries Trouble eating or sleeping due to worry or depressed mood Avoiding things that worry you Panic attacks An overall sense of unhappiness or dissatisfaction with your life Regularly calling yourself names like “stupid,” “lazy,” or “worthless” Believing that there is nothing good about yourself Difficulty asking for help or speaking up for yourself Excessive guilt for things you shouldn’t feel badly about Preoccupation with your weaknesses or shortcomings Feeling ashamed of yourself or your body Avoiding looking in the mirror Obsessing over the way you look because you fear looking ugly or fat Avoiding social situations because you are self-conscious about the way you look Feeling that you must change to be worthy and have difficulty accepting yourself as you are