I agree in principle, but in the mean time we need triage. The current system has reached a breaking point. > Do you really think lowering the bar is a good id

I agree in principle, but in the mean time we need triage. The current system has reached a breaking point. > Do you really think lowering the bar is a good idea? How much lower can the bar go? The "ethical and self regulation" you describe is all too often nonexistent. If my experiences - and many others I've read about - are any indication, the situation couldn't be much worse. There are certified professionals doing everything from actively pushing religion to making a cynical game out of how fast they can pigeonhole your 'symptoms' into a checklist so they can prescribe the currently most marketed drug for that DSM entry. Then they tell you to report back in two months. Just having someone to talk your shit out with regularly who doesn't judge too much and has knowledge of practical solutions for common stressors would be a vast improvement over the 'care' all too many are currently receiving. The guidelines for providing simpler care like this can be clear & concise, and we have better tools now for filtering out bad actors. I see more reasons to continue advocating for such an approach than not at this point.