The difference is a friend or family member may listen and support you but is not trained to identify the emotional constructs that keep you locked in unhealthy behavioral patterns, but a mental health therapist is trained to listen, support, identify emotional blocks and teach an improved understanding of self, making use of healthier coping skills. In short, a mental health professional can help you approach your situation in a new way– teach you new skills, gain different perspectives, listen to you without judgment or expectations, and help you listen to yourself. Furthermore, therapy is completely confidential. You won’t have to worry about others “knowing my business.”