Psychiatry has gone from darkness to a few candles , however this whole thing of blame it on your genes and let us slap a label on you assembly line medicine approach is very off putting for many people ,we went from your long analysis sessions to " oh look we are out of time , your fifteen minutes is up " make another appointment in 3 months ,next . I don't see this approach as being beneficial, the urge to label you something that has an insurance billing code is great , yet what many patients want is what they are not going to get, someone to be a partner in resolving your issues ,not something that is working well as a strategy for helping people ,sure it's making big pharma all kinds of money and it's getting the pdoc paid but is it really in the best interest of the patient, to be so dismissive and money driven , I don't see it from my experience patients tend to come in and want to "unload" they are at crisis point and lacking the support they need ,and figure I will take a stab at "unloading " and instead of being heard they are shut down and pushed through the "system" and that initial inertia to unload and grow , gets stuffed deep down in side , keeping people stuck in the system of not being heard when they should have been talking until they ran out of words ,it all goes to trust,but ovef the years in the system that gets farther and farther ftom being dealt with " keeping people sick " longer , sometimes s lifetime .