There is a big shortage of psychiatrists and since most of those working are over 55 this is going to get worse. It depends on the state how bad it is but apparently it can be REALLY bad. My state not only lacks pdocs it lacks hospital beds for psych as well which makes it even worse because that means the pdocs that exist are handling even more difficult cases/situations than they would be if people could be admitted. Do a search for your state's name and psychiatrist shortage. I was pretty shocked.