At this point, I think it would be wise for therapists to refer a client back to a primary care doctor in some cases or have a discussion about the risks of the process...but what often happens is that the therapist merely makes a referral to a nearly identical "professional" ensuring that the cycle of confusion and money wasting and insurance scam continues. I was caught in this hydraulic for years. Once I got a dog, my depression cleared enough to tackle change through a therapist who is basically a life coach who checks in on my goals and eases off the b.s. sorry for hijacking....