I read that NYT article and I think it does explain the shift in psychiatry in this country. Regarding insurance, my psychiatrist bills $265 for a 40 minute session ( the longest his office offers), but gets reimbursed about 1/2. Now for a 20 minute appt, he bills $165 and gets reimbursed about 80%. So he actually loses money on the longer appointments. The insurance companies essentially force them to do med checks only. I do know there are many in the city who do psychotherapy but they don't accept any insurance. At $250-350/ hour, only the most affluent can afford them.

There are more Psychiatric nurses popping up. My former t left the practice to go back to school for a masters in psych nursing. Then she can prescribe meds, do therapy, accept insurance and be reimbursed well. I bet psychiatry as a profession will be obsolete in 20 years.

Sent from my iPhone using Tapatalk