When I first started psychiatrists did do 50 minute therapy along with med regulation. However they were in the highest paid tier of the mental health field and eventually pressure from insurance companies forced more and more of the therapy part away from the pdocs into being more there for the meds now. That isn't to say all pdocs go that route. I do have a separate t but my pdoc appts last 30 minutes and we do go into aspects of my behavior as that helps him determine how my meds are doing and what meds to take or not to take. Also he and my t act as a team together with my t giving him updates as needed.