I'm referring to the platonic ideal of therapy; if you have a bad therapist, then find a new one. If you can't... then that sucks.

But also, there's a reason I said "therapeutic ideas": I don't go to therapy. I already have really strong muscles for self-improvement. The point of therapy, whether you pay for it or not, is to build them if you don't have them.

In this sense, therapy is 1-to-1 synonymous with becoming a better person. If you're doing the same work outside of a therapist's office, that's a meaningless different to me.

and this tweet immediately went to making fun of them

This tweet is framing the issue intentionally to land a punchline, they're not talking about the actual guy.