I think therapy not being embraced is a carryover of the, “must keep appearances up at all costs,” mindset and shaming nature of the Silent Generation. At least that is what I have seen in dh’s family. Seeking therapy is for the weak or crazy. If someone in the family is seeking it, it might make us look bad to the community. Insert eye roll.
When my niece lied for a year to the entire family about being enrolled in college for what would have been her senior year when she had, in fact, flunked out at the end of her junior year neither one of dh’s parents were concerned about anything other than how that made THEM look. I am not a proponent of concealment/lying at all. To me, that whole situation screamed of a need to talk to someone as this had not historically been her M.O. at all. When I suggested to my mil that perhaps she might benefit from talking to a counselor, her immediate and emphatic response was, “Oh, yes! She needs to go talk to someone at the school and figure out what she can do to re-enroll and finish her degree!” My response? “That’s not the kind of counselor I am talking about.