By Eros Preston
America is in a mental health crisis. Although there is no one thing to point at as the direct cause, there are two polarized viewpoints on mental illness that have exacerbated the issue into the ongoing crisis it is today. On one side of the divide are those who ignore mental illness and see it as a shameful weakness; on the other side are those obsessed with pop psychology and the pathologization of all aspects of human existence. In his song “Marsha, Thankk You for the Dialectics, but I Need You to Leave” from The Normal Album, Will Wood confronts both viewpoints in a parody of dialectical behavioral therapy.
The title of the song refers to psychologist Marsha Linehan, the creator of dialectical behavioral therapy (DBT). She hoped to treat patients struggling with therapy that focused on changing their thoughts and behaviors by instead teaching them to recognize how their different systems of thought influence each other and how to balance these reactions. At its core, DBT aims to synthesize contrasting views (Swales, 2009). Additionally, the American Psychological Association’s (APA) dictionary of psychology defines “dialectic[s]” as “any investigation of the truth of ideas through juxtaposition of opposing or contradictory opinions” (APA, 2018a). These concepts serve as the framework for “Marsha, Thankk You for the Dialectics, but I Need You to Leave.”
In an interview with New Jersey Stage, Wood explains why he based his song around dialectic theory: “I think the major directions people come from in the mental health discourse are both deeply flawed but mostly well-intended.” The two directions he focuses on in “Marsha, Thankk You” are of those who dismiss mental illness and those who define themselves by it. He also says, “The level of vitriol with which people identify with their often-extreme perspectives on the subject prevent the conversation from making serious progress.” In this song, he expresses his frustrations with the current conversations surrounding mental health, but he also hopes that the song will bring comfort to those struggling with their own uncertainty about mental illness, as well as push them to examine the ways they feel and speak about the topic (“Will Wood Releases,” 2020). He does so by contrasting the two above perspectives in a way that satirizes them both, highlighting how absurd he thinks both extreme sides of the conversation around mental illness are.
Throughout most of “Marsha, Thankk You,” Wood speaks to the listener as if they are someone who defines themself by their mental illness, whether or not that diagnosis is true or self-assigned. In doing so, he addresses issues that plague modern psychology and society, such as over-medicating and the increasing prevalence of pop psychology which pathologizes all aspects of being alive.
One problem with how mental illness is currently treated is the over-prescription of psychiatric drugs. In an interview with psychologist Lawrence Rubin, psychiatrist Allen Frances explains that the expanded diagnosis criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), has led to over-diagnosis and over-prescribing. “Drug companies have become experts in selling the ill to peddle the pill,” he tells Rubin, meaning that these companies take advantage of the too-broad definitions in the DSM-5 to profit off of people who do not actually need medication but believe they do, based on an unnecessary diagnosis. (Rubin & Frances, 2018) “How many milligrams of you are still left in there?” Wood asks the listener in the song’s chorus (Wood, 2020), implying that their true self is being replaced by who they are when taking drugs that they rely on but don’t need.
He expands on his implied criticism of this attitude in an interview with Kill the Music. This perspective, he says, is pushing the belief that mental illness is inherently unfixable and is telling those who are mentally ill that, “[their] only hope is spending the rest of your inherently sick existence worshiping the chemical technology the heavens sent down to us through AstraZeneca,” a global pharmaceutical company. Wood finds this hopeless, over-reliant perspective to be unproductive. (Mohler, 2020)
He adds that these people also find it necessary to “fanatically identify with pop psychology platitudes,” (Mohler, 2020), which is the main issue he speaks against in “Marsha, Thankk You.” The APA dictionary of psychology defines “popular psychology” as “psychological knowledge as understood by members of the general public, which may be oversimplified, misinterpreted, and out of date” (APA, 2018b). Pop psychology has always existed, but it gained traction in modern times through self-help books and magazines. Recent years have seen the rise of mental health influencers–people who spread mental health knowledge and advice on social media platforms–which has led to even more pop psychology “facts” becoming general knowledge. As Wood pointed out in the interview above, people begin to rely on or obsess over the tips and tricks in pop psychology videos and self-help books. This leads to them defining their lives by a mental illness or psychological condition they may not even have.
Throughout the song, Wood’s lyrics point out how absurd this way of living is; he criticizes the lifestyle in the hope that people will realize the ridiculousness of what they’re doing and reassess how they think about themselves. “You could sing a pretty malady like a black canary, but a crow don’t know the smell of carbon monoxide,” he tells the listener in the first verse (Wood, 2020). “A canary in a coal mine” is an expression that indicates an early warning of danger, based on how coal miners used canaries to detect carbon monoxide. Wood likens the listener to a crow mimicking the real thing: it can make the noise, but it cannot actually do the job, and the listener can fake the symptoms of a mental illness but that doesn’t mean they actually have it.
The bridge of “Marsha, Thankk You” especially draws attention to pop psychology’s tendency to pathologize normal aspects of life. In this part of the song, Wood takes the stance he has been criticizing, singing as if he is the one obsessing over a perceived symptom or unnecessary diagnosis. “Doctor, what’s my prognosis if the studies show that / Disease is in the eye of the beholder?” he asks in the first two lines of the bridge (Wood, 2020). “Disease is in the eye of the beholder” is a play on the saying “beauty is in the eye of the beholder,” which means that everyone has their own standard of what is beautiful; in these lines, Wood says that pop psychologists redefine mental illness to be whatever they think fits them best, whether that is true or not.
Throughout the rest of the bridge, he satirizes this attitude, ending the section by saying, “We’ll all sing when the bell curve rings in lyrics symptomatic of the way we think / If our harmonies don’t sync, we can change our voices / A chorus on condition of our diagnosis” (Wood, 2020). The bell curve refers to the visualization of statistical average, also known as “normal distribution” in statistics; this line ties the song into the themes of normality and conformity that Wood explores in The Normal Album. He is saying that all these people who buy into pop psychology beliefs do so because they want to feel “normal,” and pop psychology gives them ways to treat symptoms or actions that they see as “abnormal” (whether they are or not). When he adds, “If our harmonies don’t sync, we can change our voices / A chorus on condition of our diagnosis” (Wood, 2020), he means that these people change how they act or see themselves based on what the most recent pop psychologist (a self-help blogger, a mental health influencer, etc.) says their “symptoms” (pathologized human behavior) mean. They will do anything to fit into an acceptable box, even if that label doesn’t truly apply to them or doesn’t actually mean what they’ve been told it means.
All of “Marsha, Thankk You,” but especially the bridge, forces the listeners to examine how they think about their own mental health and whether or not they are susceptible to over-relying on pop psychology. However, the song is meant to be a critical comparison between two perspectives, so over-pathologizing is not the only attitude Wood discusses; he also comments on the opposite side of the spectrum, in which people dismiss mental illness entirely.
Attitudes towards mental health have changed drastically over time. The pop psychology trend is mainly prevalent in younger generations; in contrast, older generations are more likely to ignore or deride mental illness. According to Arielle Kanitz, director of dialectical behavioral therapy at FHE Health, the Silent Generation, Baby Boomer generation, and Generation X all carry a heavy stigma against mental health. For the former two generations, it was assumed that anyone being treated for mental illness was insane, and treatment for those outside that label was unheard of; for the latter generation, they “suck[ed] it up and deal[t] with it” (Robb-Dover, 2023). Even today, when conversations regarding mental health are much more normalized and acceptable, those attitudes and beliefs remain.
Wood uses the choruses of “Marsha, Thankk You” to mock that perspective of mental illness. In the first chorus, he puts himself in the older generations’ shoes and sings, “Back in my day we didn’t need no feel-good pills and no psychiatrists / No, we just drank ourselves to death / And god damn it, we liked it” (Wood, 2020). The phrase “back in my day” is associated with reminiscing on the past, especially in a fond way, but oftentimes the past was not as good as it is remembered. Wood, speaking as the older generation, derides therapy and pharmaceutical drugs and in the same phrase lauds self-medication through alcohol. This contrast emphasizes the absurdity of dismissing valid treatments for mental illness in favor of ignorance and harmful coping mechanisms.
In the next two choruses of the song, Wood reiterates this criticism by increasing the disparity between the speaker’s judgement of modern mental health treatment and their acceptance of harmful ways to deal with the issue. In the second chorus, he replaces the second line of the quoted lyrics above with “No, we just bled out in our baths.” By following that statement with “And god damn it, we liked it,” (Wood, 2020), he points out how foolish it is to dismiss mental health treatment, because back in the “good old days” when that treatment wasn’t normalized, people killed themselves when they were unable to receive help.
Finally, in the third and last chorus, he sings, “I said, back in the days of lobotomies and shock therapy and mad scientists,” (Wood, 2020) in reference to some of the common ways to treat mental illness that were prevalent in the late 1800s and early-mid 1900s. Not only were these methods later decided to be harmful and unethical, they were also mainly used on patients with more stigmatized mental illnesses like schizophrenia or bipolar disorder; if a patient was receiving these treatments, it was because they needed to be “fixed.” As a result, people who grew up when these treatments were more common still hold the attitude that mental illness is something bad or shameful, even when modern treatments (the “feel-good pills” and therapy that Wood mentions) are proven to be beneficial. This attitude means that these people refuse to reassess their own mental wellbeing, even when they are hurting because of it. Wood finds this attitude equally as unproductive and harmful as over-relying on pop psychology.
“Marsha, Thankk You” is meant to parody a dialectical behavioral therapy session in how it seeks to juxtapose two contrasting perspectives on mental illness. This becomes especially evident in the song’s outro, where Wood speaks as the listener’s therapist, forcing them to face harsh truths about themself. Regarding their identity, in relation to mental illness, he tells them, “It’s not the way that you were raised, or what the advertisements say / Not what you pay for, what you pray for, what you want, or what you say” (Wood, 2020). These statements address both perspectives that he has criticized throughout the song: the listener’s beliefs about mental illness should not solely be formed by the stigma they grew up with, nor by the self-help “guides” trying to sell them something. Their personal mental state, and any diagnoses they may need, are not reliant on what they buy into, what they hope for, or what they tell others (or themself) that they have. These lyrics summarize Wood’s goal with this song, which was–as he told New Jersey Stage–to get people to examine their attitudes towards mental illness and, hopefully, get them to become more comfortable with themselves.
He continues with the lyrics, “And I see your tendency to redefine disease by what you need / And I’m afraid I can’t prescribe the diagnosis that you seek” (Wood, 2020). This once again frames the listener as someone on the pop psychology side of the conversation, over-reliant on a diagnosis to tell them who they are. Wood, in the position of the listener’s therapist, calls out this behavior and refuses to enable it. He tells the listener, “and something tells me / You prefer to be sitting there flipping through those old issues of People,” (Wood, 2020), implying that the listener cares more about the pop psychology anecdotes in the magazine than the real help their therapist is trying to give them. This final observation drives home Wood’s criticism of this type of person.
The last line of the song is spoken; Wood states, “Well that’s our time, see you next week” (Wood, 2020), effectively ending the dialectical behavioral therapy session and the conversation between the two perspectives he contrasted in the song.
Actual DBT aims to find a balance between conflicting thought processes or ideas. However, in this case, Wood thinks it would be more beneficial to get rid of these attitudes entirely. The conversation between pop psychologists and mental illness deniers is “getting us nowhere,” he says in an interview with Kill the Music. “It’s a game of tug of war with the teams a mile apart and no objective judge. We don’t need to meet in the middle, we need to give up the game” (Mohler, 2020). Although he used dialectic theory as the framework for “Marsha, Thankk You,” he does not actually believe that there is any way for these perspectives to reconcile. Neither are helping America’s mental health crisis, and in fact it may be more beneficial to society if both sides did not exist at all in the extremes that they do.
Works Cited
American Psychological Association. (2018a). Dialectic. APA Dictionary of Psychology. Retrieved March 22, 2025, from https://dictionary.apa.org/dialectic.
American Psychological Association. (2018b). Popular psychology. APA Dictionary of Psychology. Retrieved March 25, 2025, from https://dictionary.apa.org/popular-psychology.
Mohler, J. (2020, September 4). Premiere: Will Wood – Marsha, Thankk You for the Dialectics, but I Need You to Leave. Kill the Music. https://killthemusic.net/blog/premiere-will-wood-marsha-thankk-you-for-the-dialectics-but-i-need-you-to-leave
Robb-Dover, K. (2023, May 24). Generational Differences in Approaching Mental Health. FHE Health. https://fherehab.com/learning/generational-differences-mental-health
Rubin, L., & Frances, A. (2018). Allen Frances on the DSM-5, Mental Illness and Humane Treatment. Psychotherapy.net. other. Retrieved March 22, 2025,.
Swales, M. A. (2009). Dialectical Behaviour Therapy: Description, Research and Future Directions. International Journal of Behavioral Consultation and Therapy, 5(2), 164–177. https://doi.org/10.1037/h0100878
Will Wood Releases Lyric Video For “Marsha, Thankk You for the Dialectics, but I Need You to Leave.” New Jersey Stage. (2020, August 18). https://www.newjerseystage.com/articles/getarticle.php?titlelink=will-wood-releases-lyric-video-for-marsha-thankk-you-for-the-dialectics-but-i-need-you-to-leave
Wood, W. (2020, July 10). Marsha, Thankk You for the Dialectics, but I Need You to Leave. Genius Lyrics. https://genius.com/Will-wood-marsha-thankk-you-for-the-dialectics-but-i-need-you-to-leave-lyrics