Journal of Cyberspace Studies

Journal of Cyberspace Studies

From stigma to status: Psychotherapy in Persian digital publics

Document Type : Original article

Authors
1 Professor Emeritus, Broadcast and Electronic Communication Arts, San Francisco State University, United States.
2 Department of Iranian Studies, Faculty of World Studies, University of Tehran, Tehran, Iran.
3 Department of Communication, Faculty of Social Sciences, University of Tehran, Tehran, Iran.
Abstract
Background: Modernity has resolved some problems while creating new ones. An increasing number of people turn to psychotherapy to cope with their daily struggles, and many have recently begun sharing their experiences with others on social media.
Aims: This study investigates how Persian-speaking users of a major social media platform narrate, evaluate, and emotionally position their relationships with therapists in everyday discourse.
Methodology: Drawing on 1,309 Persian-language posts from X spanning 2023 to 2025, the analysis traces how therapy is woven into vernacular routines, jokes, frustrations, and affective disclosures. Through a combination of sentiment analysis, topic modelling, and multi-label classification, twelve recurring thematic clusters are identified, ranging from long-term companionship and playful therapist–client interactions to economic conflict, cultural doubt, and comparisons with fortune-telling or religious guidance.
Findings: The findings reveal an affective ecology marked by pragmatic positivity, ironic detachment, and substantial ambivalence. While nearly half of all posts are coded as positive, expressions of strong enthusiasm are rare, and critical or confused narratives remain prominent.
Conclusion: The study conceptualises therapy talk as a form of mediated intimacy in which professional authority is continually negotiated through public micro-narratives. We argue that Persian-language social media users are not passive recipients of global therapeutic scripts, but active interpreters who reframe psychotherapy through culturally situated, morally inflected, and socially networked modes of speech; transforming what was once a source of stigma into a marker of status.
Keywords
Subjects

Ahmedani, B.K.; Yeh, H.H.; Penfold, R.B.; Simon, G.E.; Miller-Matero, L.R.; Akinyemi, E., ... & Rossom, R.C. (2024). “Psychotherapy disruption before and after the transition to virtual mental health care induced by the COVID-19 pandemic”. Psychiatric Services. 75(2): 108-114. https://doi.org/10.1176/appi.ps.20230181.
Altaf Dar, M.; Maqbool, M.; Ara, I. & Zehravi, M. (2023). “The intersection of technology and mental health: enhancing access and care”. International Journal of Adolescent Medicine and Health. 35(5): 423-428. https://doi.org/10.1515/ijamh-2023-0113.
Altman, I. & Taylor, D.A. (1973). Social Penetration: The Development of Interpersonal Relationships. Holt, Rinehart and Winston.
Apostolopoulou, A. (2013). “The impact of the economic crisis on the private practice of counselling and psychotherapy: How much are clients and therapists ‘worth’?”. European Journal of Psychotherapy & Counselling. 15(4): 311-329. https://doi.org/10.1080/13642537.2013.849274.
Bourdieu, P. (1984). Distinction: A Social Critique of the Judgement of Taste. Harvard University Press.
Gao, Y.N. & Olfson, M. (2025). “Trends in Adult Outpatient Psychotherapy Use in the United States, 2019-2023”. Psychiatric Services. 77(2): 175-178. https://doi.org/10.1176/appi.ps.20250377.
Hajebi, A.; Hashemian, S.S.; Abolhassani, M.; Hajebi, A.; Alizadeh, K.; Rahnejat, A.M.; Khademi, M. & Taghva, A. (2022). “Assessing the impact of stigma reduction interventions in Iran: A qualitative study from the perspective of mental health stakeholders”. Front. Public Health. December 8. https://doi.org/10.3389/fpubh.2022.1027002.
Illouz, E. (2008). Saving the Modern Soul: Therapy, Emotions, and the Culture of Self-Help. University of California Press.
Kamyabi Azar, S.; Naeim, M. & Arjmand, H. (2025). “Socio-cultural erosion and the mental health crisis in Iranian youth: Root causes, challenges, and culturally aligned interventions”. Asian Journal of Psychiatry. 103. https://doi.org/10.1016/j.ajp.2024.104350.
Lupton, D. (2013). “The digitally engaged patient: Self-monitoring and self-care in the digital health era”. Social Theory & Health. 11(3): 256-270. https://doi.org/10.1057/sth.2013.10.
Masoomi, M.; Hosseinikolbadi, S.; Saeed, F.; Sharifi, V.; Jalali Nadoushan, A.H. & Shoib, S. (2023). “Stigma as a barrier to suicide prevention efforts in Iran”. Front Public Health. https://doi.org/10.3389/fpubh.2022.1026451.
Salehi, K.; Habib Zadeh Khiyaban, S. & Sabbar, S. (2026). “Artificial intelligence and crime detection: A critical review”. Cyberspace Studies. 10(1): 1-17. https://doi.org/10.22059/jcss.2025.402206.1179.
Shabahang, R.; Shim, H.; Aruguete, M.S. & Zsila, Á. (2022). “Oversharing on social media: Anxiety, attention-seeking, and social media addiction predict the breadth and depth of sharing”. Psychological Reports. 126(4): 1558-1573. https://doi.org/10.1177/00332941221122861.
Shahghasemi, E. (2022). “Human sustainable development: Welfare and happiness in Iran”. First International Scientific Research Conference on Sustainable Engineering and Technology. Istanbul, Turkey.
Shahghasemi, E.; Gholami, F. & Alikhani, Z. (2025). “Global patterns of social media use and political sentiment”. Discover Global Society. 3(1): 36. https://doi.org/10.1007/s44282-025-00171-y.
Silver, Z.; Coger, M.; Barr, S. & Drill, R. (2021). “Psychotherapy at a public hospital in the time of COVID-19: Telehealth and implications for practice”. Counselling Psychology Quarterly. 34(3-4): 499-507. https://doi.org/10.1080/09515070.2020.1777390.
Srinivasan, R. (2018). Whose Global Village?: Rethinking How Technology Shapes our World. NYU Press.
Taghva, A.; Farsi, Z.; Javanmard, Y.; Atashi, A.; Hajebi, A. & Khademi, M. (2017). “Stigma barriers of mental health in Iran: A qualitative study by stakeholders of mental health”. Iranian Journal of Psychiatry. 12(3): 163-171. https://ijps.tums.ac.ir/index.php/ijps/article/view/823.
Tahmasebi-Birgani, V. (2017). “Social media as a site of transformative politics: Iranian women's online contestations”. In Vahabzadeh, P. (Eds.). Iran’s Struggles for Social Justice. (pp. 213–232). Springer.
Thase, M.E. (2025). “Understanding U.S. psychotherapy trends”. American Journal of Psychiatry. 182(5): 417-418. https://doi.org/10.1176/appi.ajp.20250209.
Twenge, J.M.; Martin, G.N. & Campbell, W.K. (2018). “Decreases in psychological well-being among American adolescents after 2012 and links to screen time during the rise of smartphone technology”. Emotion. 18(6): 765-780. https://doi.org/10.1037/emo0000403.
Valkenburg, P.M. & Peter, J. (2011). “Online communication among adolescents: An integrated model of its attraction, opportunities, and risks”. Journal of Adolescent Health. 48(2): 121–127. https://doi.org/10.1016/j.jadohealth.2010.08.020.
World Health Organization. (2025). “Over a billion people living with mental health conditions— services require urgent scale-up”. September 2. https://www.who.int/news/item/02-09-2025-over-a-billion-people-living-with-mental-health-conditions-services-require-urgent-scale-up.
Zangani, C.; Ostinelli, E.G.; Smith, K.A.; Hong, J.S.; Macdonald, O.; Reen, G.; ... & Cipriani, A. (2022). “Impact of the COVID-19 pandemic on the global delivery of mental health services and telemental health: systematic review”. JMIR Mental Health. 9(8). https://doi.org/10.2196/38600.
Ziebland, S., & Wyke, S. (2012). Health and illness in a connected world: How might sharing experiences on the internet affect people's health? Milbank Quarterly, 90(2), 219–249. https://doi.org/10.1111/j.1468-0009.2012.00662.x.

Articles in Press, Accepted Manuscript
Available Online from 10 August 2026

  • Receive Date 15 April 2026
  • Revise Date 23 April 2026
  • Accept Date 26 April 2026
  • First Publish Date 10 August 2026
  • Publish Date 10 August 2026