Good mental health treatment is becoming increasingly a thing of the past. Many times, it simply isn’t available to those who aren’t wealthy. Most company-sponsored health insurance plans don’t even cover mental health anymore, unless it’s short term or if your problem directly affects your job. Most of the time, they’ll just fire your ass.
Mental health for the poor is even worse. If it’s even available in your community, it could take weeks or months of waiting after an entire day spent filling out forms before you even get your foot in the door for your “intake session.” Once you do get in the system (if you do), you’re sent to a bored psychiatrist who wants to pump you full of drugs instead of send you for long term psychodynamic therapy. Then you have to check in weekly with some condescending nurse-practitioner who asks you a litany of prefabricated questions (one size fits all!), takes your temperature and weighs you (why?), and asks you about your drug use.
That’s right. Drug use. It seems like psychotherapy programs for the poor try to siphon you off into a “drug treatment program” if you admit to even sipping a glass of wine a few times a year or having a few tokes of weed on occasion. Where I live, the only free “mental health” program is a drug-treatment program in disguise. Having little money, I went there not too long ago to get therapy for my depression and anxiety and had to fill out about 10 pages asking me about my “drug abuse history.” I walked out.
That’s why I’m currently paying out of pocket for a real psychodynamic therapist who focuses on digging into your childhood and stuff (eg, the kind of therapist rich people pay for) even though I’m poor as fuck.