[fsloth]

Fully agree SSRI:s probably saved my life. SSRI:s are supposed to be used as part of therapeutic regimen with therapy and regular checkups with doctor, not as over-the-counter remedy like aspirin. I’m guessing that using them detached from any therapeutic context increases the prevalence of negative experiences.

[macNchz]

That certainly could be a factor in some people having bad experiences in America at least–as I understand it insurance coverage for mental health is often limited or bad, and appointments with doctors are hard to come by and often only last 15 minutes.

[tnecniv]

Well the issue is finding a therapist you like that is also covered. I just moved and have been looking for a new therapist. All the ones that I’ve been recommended are not part of an insurance network. You can file for reimbursement, but it’s slower and the coverage isn’t as good as in network doctors. I went from a $20 copay for my last therapist to paying $200-300 per session out of pocket (depending on who I go with).

Psychiatrists can have similar issues but you don’t meet with them nearly as often. Once I got on meds that worked for me, we’d have a 30 minute meeting every two months just to check in and see if any adjustments were needed. That was fine by me because I was going to a therapist weekly, the two were aware of each other and would communicate if needed, and it saved both of us time.