I guess it is due to ecomonics, everything based on cost.
The persons health problem not defining treatment, but the cost of drugs or talk therapy. It is far cheaper to prescribe pills, that to meet the cost of long term therapy.
There seems to be a tiered approach. Those with milder symptoms, needs met, with short term public funded talk therapy - that meets politically set targets of how many people the health system treats - looks good for politicians.
Then those with the severest symptoms, who may be at immediate risk to self or others, who get "locked up". Again doesn't look good politically if people are dying.
Then there are those in the middle. Short term therapy not sufficient and health care system not prepared to meet the cost of longer term therapy. They may not be at immediate risk of harm in the physical sense, so they are just prescribed medication to "hold" them in a way that may best allow them to function enough.
In my own case, I was told by Mental Health services, to think less and keep taking the pills, despite having suicidal ideation. I had a protective factor of 2 young children, so suicide was not an option that I wanted to take.
So I was left with psychological "pain" and that was all that was offered.
Fortunately for me, I was in a position to fund long term therapy privately. This has been helpful to me and still is.
It seems there is no individual approach to health care, it is based on societal health. Everyone is a statistic and if the stats add up, then health care is deemed to be working OK.
If there is a way to make money from health, then the insurance companies, drug companies etc, jump right on in there. It's not about the person anymore.
It happens with physical health problems too. In ED departments success is not measured by how many people's lives are saved, but on how long waiting times to be seen are. This puts pressure on clinicians, to get through as many people as possible and mistakes get made. Politicians may see this as a fact of life, but the clinicians are left feeling bad. That they have been unable to do the best for their patients. Their options then, are to get out of the profession or stop caring.
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Soup
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