I don't know, there seems to be a huge disconnect in making these choices into something noble about respecting others time and boundaries, and something positive to the client rather than just saying what it is.

That people who are severely depressed can jump through hoops to find adequate therapy is a reflection of how hard a client has to work for therapy and a sign of how motivated they want therapy instead of recognizing the psycho-social economic issues many in this population face, is bewildering.

Many people who are depressed work full time as health insurance is connected with employment, and people just can't take off work. Personally, when I was at my worst with MDD, all my energy went to just getting through the workday. I didn't even open my mail for weeks at a time, things piled up so bad. Just getting through a day of work can be like climbing a mountain, but to say finding appropriate therapy equates to how much effort someone is willing to put in is also bewildering. People seeking these services often have lack of motivation and hopelessness severe fatigue, insomnia, etc as those are common symptoms of the clients seeking these services.

I am honestly not trying to be mean, but there are hundreds of people inconvenienced by the fact that so many therapists want to only work hours convenient to them. Luckily my therapist recently gave me a slot at the end of the day, but for 10 years now, most therapists i saw meant I had to take 3 hours off work every week.

That means someone at my place of employment had to cover me, another had to account for the time when doing the payroll every week, and the entire department had to schedule the meetings around my therapy. Not only that, but every week there are meetings with between 2 and 20+ people. It is extremely difficult to schedule meetings with 5 or more people, and that block on my schedule due to therapy inconvenienced entire groups who need to meet, in addition to the scheduler who had to constantly find alternative solutions, including at times, personally asking each person if they could meet after regular work hours.

If it's a matter of respecting the therapist's time, that is a lot of people whose time is being disrespected to respect the therapist's time. I am only one person. Not everyone has meetings at work, but consider if a therapist has just 10 clients who take off work each week, the possible dozens, hundreds, who might be inconvienced.

Most therapy here is conducted in private practices, so those in private practices are the backbone of MH here in the US. This might be different elsewhere, I don't know. The only people I know who ever went to agencies were people on disability or unemployed.

I'm surprised that some therapists wouldn't recognize the psycho-social problems of their clientele. So this 'create the schedule and they will come mentality' is very upsetting. Also, labeling it as a mere 'inconvenience' when it is actually known a 'barrier' to services. And a barrier means people do go without.