You Need Therapy

Kathryn DeFatta holds a Master's of Education from Vanderbilt University in Human Development Counseling, and she created You Need Therapy as a space to talk about living authentically in a world that constantly encourages people to suppress parts of themselves. The show mixes solo episodes, guest interviews, and bonus "Couch Talks" Q&A segments where DeFatta responds directly to listener questions. That variety keeps the format from ever feeling stale across 461 episodes. Listeners consistently describe DeFatta's style as having therapist expertise delivered through the lens of a best friend. She's comfortable sitting with discomfort and asking tough questions, but she does it in a way that feels inviting rather than confrontational. Topics range from people-pleasing and boundary setting to joy, grief, and how to actually enjoy your own life without constant self-optimization pressure. The 4.9 star rating from 591 reviews is one of the highest in the therapy podcast space. The show releases new episodes twice a week on iHeartPodcasts, though its most active production period was 2019 through 2024. DeFatta brings a grounded, practical sensibility that avoids both toxic positivity and doom-scrolling levels of heaviness. She's direct without being preachy, and she regularly admits her own struggles, which makes the advice land differently than it would from someone performing perfection. If you want mental health content that feels like a real conversation rather than a TED talk, this one fits.