True, a patient's ignorance or belief system can be an issue. There's also two other factors - (1) some doctors often don't update themselves on the medical adv

True, a patient's ignorance or belief system can be an issue. There's also two other factors - (1) some doctors often don't update themselves on the medical advances in their field and (2) doctors who treat mental health problems are also the most suspicious about trusting what their patients say (which is somewhat understandable when you consider the kind of mental health issues there are where patients do lie or can be delusional and all that isn't easy to ascertain in one or two sitting). So dealing with new therapists is always a pain as they want to do their own evaluations and insist on medicating you even if you don't need it. More so when you can't find therapists well versed with newer therapies like CT, DBT.