[jrickert]

That all makes a lot of sense. I wonder if those issues could be alleviated by contracting a sufficiently large outside firm to manage therapy services, thus at least creating some separation and objectivity for individual therapists.

[dr_dshiv]

My wife has been using an approach called "Design Therapy" (www.designtherapy.org) that uses design thinking methods for self/couples development. This allows mental health challenges to be approached outside of a "disease treatment" frame. I appreciate the approach.