A Broken System, Part 2

System Check, Therapy and Counseling
Over the course of this se­ries of blog posts, we’re con­sid­er­ing ways that our system of
care­giv­ing has bro­ken down. In this post, we’ll look at signs of bro­ken­ness in the men­tal health care sys­tem—the net­work of care­givers who care for peo­ple struggling with
psy­cho­log­i­cal pain and suf­fer­ing.

The vast ma­jor­i­ty of hu­man be­ings will, at some point in their lives, face an emotion­al or
psy­cho­log­i­cal strug­gle that’s more than they can bear alone. When fam­i­ly, friends, church, and oth­er sup­ports prove in­suf­fi­cient, hurt­ing peo­ple of­ten turn for help to a coun­selor or ther­a­pist. How won­der­ful it is to be able to talk to trained, skilled pro­fes­sion­als, many of whom
gen­uine­ly care for their clients!

In­creas­ing­ly, how­ev­er, men­tal health care now re­sem­bles the med­ical sys­tem, espe­cial­ly when it comes to how peo­ple get paid. If you have in­sur­ance, usu­al­ly pro­vided by your em­ploy­er, you can af­ford to see some­one. If you don’t, you may be out of luck. Then again, while you’re hop­ing to just be able to talk to some­one, your men­tal health­care provider needs to come up with a di­ag­no­sis. They won’t get paid with­out it. Then, there’s the pa­per­work they have to file, the li­a­bil­i­ty in­sur­ance they have to car­ry, the li­cen­sure re­quire­ments they have to main­tain, and the con­tin­u­ing ed­u­ca­tion credits they have to pur­sue.

For some time now, li­censed coun­selors and ther­a­pists have stopped tak­ing in­surance. It’s too much of a has­sle. As a re­sult, how­ev­er, they may only be see­ing peo­ple who can af­ford to pay their full rate. Most folks, as I’m sure you’re aware, can’t af­ford the cost of ther­a­py. Li­censed pro­fes­sion­al coun­selors typ­i­cal­ly charge over $100 per hourly ses­sion.

That adds up quick­ly! The premise of talk ther­a­py and coun­sel­ing is sound. We tend to get bet­ter emotion­al­ly, psy­cho­log­i­cal­ly when we’ve got some­one we can talk to. How to pay for it is a ma­jor prob­lem—one that’s get­ting worse.

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