PSYCHOTHERAPY'S IMAGE PROBLEM
It is in decline in the U.S. - but not from lack of need. Apparently, there are too many so-called "therapists" just shoveling pills, and avoiding any real talk-therapy or counseling.
"A recent analysis of 33 studies found that patients expressed a three-times-greater preference for psychotherapy over medications... For patients with the most common anxiety, like depression and anxiety, empirically support psychotherapies are the best treatments of first choice. Medications should be considered only if therapy either isn't working, or the patient isn't willing to try counseling." Absolutely!
But many times, the problem lies with the therapist. A long-standing problem we have in the U.S., is that too many failing medical students are only left with Psychiatry as a specialty, when no other specialty will take them.
The Fort Hood killer-psychiatrist had been counseled repeatedly - while still a med student - on how badly or callously he treated patients. Why are these disturbed and/or lazy med students even allowed to enter Psychiatry, which deals with the most fragile and needy citizens?
Another problem lately in the U.S. with Psychiatry, is that a lot of female med students are choosing Psychiatry as a "life-style choice" - regular hours and weekends off, so they can concentrate on raising a family. Again, med students this narcissistic and undedicated should never be allowed to enter Psychiatry.