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Two-Tier Psychiatric Care System
- Psychiatric care has diverged into two tiers: one where psychiatrists offer therapy and medication, and another focusing almost entirely on medication management.
- Access to talk therapy and length of appointments often depends on socio-economic factors, not just clinical needs.
Long-Term Antidepressant Use with GPs
- Felice has been on antidepressants for decades, mostly prescribed by her primary care doctors, but did not connect well with psychiatrists.
- Her medication helps her manage depression episodes better but she rarely sees a prescribing doctor regularly.
Insurance Shapes Mental Health Care
- Economic and insurance pressures push mental health care towards cheaper treatments, often prioritizing medication over therapy.
- Therapy’s high cost and time demands limit equitable access, shaping treatment availability based on insurance coverage and ability to pay.