In a mental health professional network, an article was posted about how Jews faced discrimination in the profession.

There were over 250 comments in less than 8 hours, mostly attacking Jews and/or Zionists.

In an announcement for a training session being led by one of us, there were over 500 explicitly antisemitic comments in an hour on Reddit.

An article published about the impact of antisemitism on the mental health of Jews in America received hundreds of political comments about the Israel-Hamas war, rather than any discussion of clinical implications

An Orthodox Jewish psychologist organized a series of speakers, and one invited professional demanded that all attendees sign a declaration condemning the current Israeli government.

And, at the annual meeting of the American Psychological Association (APA), professional listserv postings urged attendees to wear keffiyehs and read a “land and genocide statement” before their presentations. Some presentations included Hamas propaganda.

These examples are not indicative of legitimate academic rhetoric — they are evidence of the field’s growing animus towards Jews.

Two factors help explain how mental health professionals feel comfortable discriminating against Jewish colleagues.

The first is the rapid embrace of a widely endorsed but empirically unsupported treatment model, decolonial therapy (DT). DT emphasizes the role of historical oppression on the development and perpetuation of intergenerational trauma. It explicitly blends clinical work with activism, urging clinicians and clients to engage politically in and out of therapy.

The activism in DT frames Zionism as oppression and psychopathology. For example, one of the leading proponents of DT has tied Zionism to genocidal intent, misogynoir, and fascism. Another prominent figure has referred to Zionism as psychosis and defended the murder of two Israeli Embassy employees in May.

Instead of condemnation from members of the profession, these practitioners have been celebrated by the leaders of the DT movement, hold leadership positions, and receive speaking invitations.

Left-wing identitarianism has also led to the explosion of antisemitism in the mental health professions. Unlike the purity demands of white European identity that are the basis of right-wing identitarianism, left-wing identitarianism demands strict ideological purity. This includes framing Jews as oppressors and Zionism as a form of mental illness and oppression.

This framework justifies aggression against Jews while also valorizing violence and terrorism committed by Hamas. These patterns within the mental health field prompted a sitting Democratic congressman to condemn the APA. It was also the impetus for a complaint filed with the Department of Education’s Office of Civil Rights during the Biden administration against an anti-Zionist DT leader who characterized Zionism as psychosis.

Mental health professionals who are anti-Zionist, including Jewish members of the profession, are embraced as ethical scholars and professionals, damaging collegiality and harming the profession. But when a professional defends the right for Israel to exist, regardless of their view of the current Israeli government, they are met with condemnation and scorn.

Left-wing identitarianism in the mental health professions extends to the demand that practitioners accept DT. While DT lacks empirical support, it is presented as if it were settled psychological science, to be applied to all individuals from historically marginalized backgrounds, while identifying specific other groups deemed responsible for these intergenerational woes.

This guiding philosophy commits rhetorical, interpersonal, political, and in some cases physical violence against Jewish members of the profession. It contributes to traumatic invalidation, wherein a Jewish client’s grief or fear is mocked, minimized, or made contingent on denouncing aspects of their identity. It is associated with avoidance, hypervigilance, shame, and ruptured help-seeking. As clinicians, we would never tell a survivor, “You’re safe here — as long as you recant a core part of who you are.”

We must not say it to Jews either. Whatever one’s politics, professional codes are clear: avoid discrimination and harm, be accurate in teaching, and avoid false or deceptive statements

The new identitarianism poses a serious public health risk. Clients have been rejected by professionals simply for being Jewish or expressing distress over the war between Israel and Hamas.

This risk extends beyond Jewish clinicians and clients. Fusing treatment with politics creates a profound public health crisis, as more clients will receive care that is based on activism and invalid conceptualizations of mental illness. Given the influence mental health professionals have on the public, this movement actively contributes to the rise of left-wing antisemitism

This is not a plea to shield Israeli policy from critique, nor erase Palestinian trauma. Patients and trainees deserve freedom from ideological coercion and discrimination because of their Jewish and/or Zionist identity. Good care is rigorous and grounded: validate distress, explore meaning, and apply tested tools. Keep the hour centered on patient goals, not clinician activism. We can hold multiple truths: Palestinian suffering, Israeli suffering, diaspora Jewish fear — without coercing political statements from patients, trainees, or colleagues.

We recommend professional reforms at every level. Mental health associations must require continuing education (CE) providers to disclose when the content is advocacy versus evidence-based clinical training. Safeguards must be instituted for reporting discrimination based on Jewish/Zionist identity, with clear remedies.

Antisemitism literacy must be adopted at every level of professional education. Assessment of traumatic invalidation needs to be incorporated into intake procedures when identity-related stressors are evident. When teaching emerging and untested methods (such as DT), clear disclaimers about the available evidence must be made explicit. And regulatory bodies need reform to swiftly and transparently address claims of retaliation against trainees and colleagues for Jewish/Zionist identity, and enforce anti-discrimination policies.

Our field knows how to hold complexity. We can grieve for Palestinians and Israelis, critique policies, and still protect patients, trainees, and colleagues from ideological coercion. Jewish clinicians and clients deserve the same ethical care we promise everyone else. Let’s replace purity tests with professional standards, and return the therapy room to what it’s for: healing.

Dean McKay is a Professor of Psychology at Fordham University and Miri Bar-Halpern is a Lecturer at Harvard Medical School.