If there is anything I would like to see changed in Psychiatry is mandatory visits, especially when the paitient, and the doctor find the right drug, and both a

If there is anything I would like to see changed in Psychiatry is mandatory visits, especially when the paitient, and the doctor find the right drug, and both admit talk therapy is not helping. In the USA, this is how the dealeo usually works: 1. If you don't have good insurance, or not wealthy, you don't have Talk Theraphy sessions with the Psychiatrist. 2. You usually have to find a MFCC, and yak away until the Psychologist gives you a recommendation to a Psychiatrist. (They all that their favorites,) 3. You finally see the Psychiatrist. He quickly determines if you need meds. The honest ones will tell you about current studies, like long term Schizophrenia patients seem to due better long term without medications. (This is a tough call.), or the evidence of efficacy of depression drugs is murky at best. (This will never come out of most doctors mouths. Placebo is their bread and butter.) 4. Ok you find a medication that works. 5. Many medications that actually work are habit forming. This is a problem. 6. A medication that works costs money, and it's not just the price of the drug. 7. It's those mandatory pricey office visits. 8. A psychiatrist can drag you in every week, or day, in order to ok those scripts. (most keep them at 6 weeks, or much longer if the patient does not want to come in.) 9. It get's irritating, and expensive. 10. I would like to see a federal law stating you only need to see a doctor once a year if you are on a drug long term. You obviously can't be a danger to society. In fact, I would like to limit mandatory office visits for most medicines. Say you have been on a high blood pressure drug for years, you should be able to get refills in most cases without seeing a doctor. 11. You will never see a hard cap on mandatory office visits. That is how the Psychiatrists/MD's affords that very comfortable lifestyle. Plus---the AMA knows the rap, and protects their members money. (Yes--it's more nuanced than I am writing write now, but the mandatory office visits for well functioning patients is expensive. And what is well functioning? You got me. By the time you end up in the Psychiatry office, and on meds, you life is never quite the same, and most doctors know that. The one's that exploit their patients for money should be looked at, or delicenced.