I think the US has a stronger therapy culture. It reminds me of how in the US pain relief medicine is much more common, while in Germany a lot of people won’t even take paracetamol

Oh yeah definitely. In online US circles it often seems like almost every other person utilized therapy at some point, in Germany it’s pretty taboo, i.e. therapy is for the mentally ill. There are various euphemisms for totally-not-therapy therapy (e.g. coaching or supervision) in German because if you say you did or do therapy you instantly go in the loony bin.