posted on Jun, 11 2015 @ 03:18 PM
a reply to: bucsarg
The problem is though that many Qualified Mental Health Professionals get stymied quickly by Medicaid, Medicare and those piece of crap private
insurance companies. I have been a licensed therapist for only 4.5 short years and in that time I am losing count at how many people requested
therapy...not pills....therapy...and liked working with me. Then BAM...sessions are over. Because insurance companies and state/federal insurance
systems think you can magically set a time limit of therapy sessions.
Without exaggerating, I will tell you what I saw was the worst story I have been part of
We had a woman (adult) who endured fourteen years of sexual assault by father and brother. Upon entering my office she felt she was ready to finally
make some progress. I explained *(as I am Existentialist/analytic in training) that even in CBT schools which are meant to be quick, trauma, ASD and
PTSD do NOT progress rapidly. It is quite usual for it take take four-six months to even broach the topic of details (provided the client wants to
discuss them at all) because the therapist must set up a heavy duty social/emotional grounding support system for the client to return to when
he/she/we discuss details. You take it an inch at a time, then return to grounding...then a bit further...then ground...etc...
So I explained that we absolutely work with her insurance carrier and she was given a set money schedule/allotment in order to work with me. We
lowered our price to extend...we got her insurance to agree to 18 sessions...18....18 1-hour sessions for a woman who'd been abused half her life. On
the other hand this same carrier will spill coins and bills all over the floor if one psychiatrist says the word "Zoloft" (or other pills)
Yes there are most certainly some terrible therapists out there but try to understand that we have to fight the system just as much as the client
Also, psychoanalysis, while very effective for some, is but one of hundreds of methods. As stated I practice analytic and existentialism but true
psychoanalysis is an exceptionally lengthy and intense process often consuming two to three sessions per week for multiple years.
Now, with that said you are 100% correct on proactive vs reactive...but again...we therapist are made to stick in a reactive system because of taboo
and the system itself. Our entire medical model and government is based on a "cure" instead of prevention. Well short of working with a few things
like specific phobias or personal and short life issues, mental illness does not "cure." We help to cope and problem solve. But that is not how our
system or society works. We don't gear ourselves up for prevention...so while there are definitely some awful therapists, the system is what crushes
our good intentions and leaves us breaking ethical insurance borders or just straight out giving up.