![]() ![]() The rise of fly-on-the-wall therapy shows is a curious phenomenon, because what happens in treatment is supposed to stay there. She says that this made filming Tough Talking “less odd” than you might think. In therapy training, you have to do many filmed sessions for assessment. Like Kay, Tyson-Adams was able to “tune out” the cameras. Therapists are constantly working in the moment to “bracket off” their own distractions and remain present. “I just wanted to go in and do my job.” I wondered how the presence of cameras affected her ability to connect with Kay. “I went in and said: ‘Therapy first, TV second,’” she says. ![]() She met with them all individually to assess how Kay would be looked after. Tyson-Adams was similarly concerned about the show’s motivations – both on the producers’ and Kay’s part. Questions of authenticity … Blue Therapy. “The cameras were hidden on shelves there was no one in the room.” After some initial discomfort, he felt able to give in to the process: “After a while, I forgot the cameras were there.” But the production team took my safety seriously,” he says. “I interviewed people on the team about their motivations. According to Kay, this was a prime consideration for the making of Tough Talking. I also have concerns about how participants’ safety is considered. Other shows such as Blue Therapy, an explosive YouTube reality series of two couples in therapy, have amassed millions of views ( despite questions over its authenticity).Īs a therapist myself, I wonder how the presence of cameras and the idea of who is “in the room” (potentially hundreds of thousands of people) affect therapy – which is such a vulnerable process. The show – and Guralnik herself, with her magnetic gaze and generous intellect – gained a cult audience overnight. In 2022, the BBC snapped up the 2019 Showtime series Couples Therapy, which chronicles the New York psychoanalyst Dr Orna Guralnik’s treatment of a diverse range of couples wanting to save their relationships. Other real-life therapy podcasts have launched in its wake, such as Audible’s Sex Therapy, which started in April. ![]() Her feverishly dedicated audience can’t get enough. When it first launched, bearing such close witness to the intimate details of people’s conflicts felt revolutionary. Belgian-born psychotherapist Esther Perel pioneered the genre with her podcast, Where Should We Begin?, in which she counsels real-life couples in distress. Tough Talking joins a range of multimedia programming that invites the public into people’s real-life therapy sessions. Photograph: Ali Hutchinson/BBC/Middlechild Productions ‘I want my work to feel productive and like it’s helping people’ … Kema Kay and Hayley Tyson-Adams in Tough Talking. ![]()
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