Psychotherapist Josh Fletcher takes us on a tour of the inner mind of a therapist—revealing a hilariously candid point of view on the therapeutic process, a practical guide to therapy, and maybe a few more cobwebs and dark corners than one might expect. It’s everything you ever wanted to know about therapy (and maybe a few things you didn’t).

Trauma, heartbreak, anxiety, and mourning are all parts of the human experience, and Josh Fletcher’s mission in life is to normalize the need to find a trusted professional with whom you can discuss all of life’s scariest aspects. Through the lens of four of his patients—Daphne, a wildly successful actor who still struggles to find contentment; Levi, an intim­idating bouncer with obsessive tendencies who’s trapped in a sex cult; Zahra, an anxious, people-pleasing doctor in the midst of unpacking serious trauma; and Noah, a shy newcomer with some major closet skeletons—you’ll share in their self-discovery and recovery as they untangle themselves from an all-too-familiar web of emotions. In between sessions, Fletcher struggles to balance his own well-being with that of his patients as details from his sometimes messy but always heartfelt personal life reveal that therapists aren’t immune to getting tripped up by the same hurdles as the rest of us.

And How Does That Make You Feel? is a primer on what to expect from therapy, how to find the right therapist, and the most common afflictions treated in therapy (such as depression, OCD, and panic attacks) as well as a darkly hilarious narrative about what’s going on in your thera­pist’s mind before, during, and after your session. Above all, it’s filled with the promise that a better future is always possible . . . if we’re willing to seek help and do the work.

About the author(s)

Joshua Fletcher, perhaps better known as Anxiety Josh, is a leading UK-based psychotherapist, specializing in anxiety, and the host of the podcasts Disordered and The Panic Pod. After being diagnosed with and overcoming severe anxiety himself, Joshua now uses his profession and platform to educate others about mental health. He currently lives in Manchester, UK.


"I couldn't put it down! Raw and honest, Joshua gifts us with an opportunity to more clearly see and more deeply understand ourselves. It will change the way you think about and treat your own mental health." — Dr. Nicole LePera, New York Times bestselling author of How to Do the Work

“An amazing and important book. Practical, profound, entertaining, and enlightening.”  — Cathy Rentzenbrink, Sunday Times bestselling author of The Last Act of Love

“Extraordinary. I laughed, I cried, and I couldn't put it down. The most interesting way I've heard someone talk about what we therapists do. The psychology world has found its own Adam Kay.” — Dr. Sophie Mort, Sunday Times bestselling author of A Manual for Being Human and clinical psychologist

"Hilarious, honest, and helpful. Everything you need from a book like this. Trust me, you won't regret picking it up." — Dr. Alex George, Sunday Times bestselling author of Live Well Every Day and The Mind Manual

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