One is quality of care. I was in a program that technically offered DBT. In a month’s worth of daily sessions (25 hours a week), we got two worksheets that introduced a couple of DBT concepts. Each was discussed for 50 minutes and then never spoken of again. I can count on one finger the number of therapists I’ve had that did active CBT work. And I hadn’t even heard of ACT until recently - one of the group facilitators in the program I’m attending brought it in as a passion project. The information is good but he’s struggling with the group dynamic.
The other is, it’s not that insurance doesn’t cover the techniques, it’s that providers may or may not work with the insurance your employer chose. At my last job, 75% of the in-network list in like a 25 mile radius comprised of one organization that was basically a pill mill with a raft of overwhelmed social workers. It was maddening. And the only options were pay out the ass for out of network, or get a new job and hope it wasn’t more of the same.
The US “health” “care” system no longer exists. Nobody in the pyramid cares about your health except for maybe your doctor. And there’s only so much they can do. It’s purely a “medical services industry,” whose sole purpose extracting profits from misery.
I think the joke was that in the US, it’s rare.
Gimme somma that black market DBT
In all seriousness, these aren’t rare in the US at all, and most insurances cover them no problem. The healthcare system as a whole is fucked tho
It’s two fold.
One is quality of care. I was in a program that technically offered DBT. In a month’s worth of daily sessions (25 hours a week), we got two worksheets that introduced a couple of DBT concepts. Each was discussed for 50 minutes and then never spoken of again. I can count on one finger the number of therapists I’ve had that did active CBT work. And I hadn’t even heard of ACT until recently - one of the group facilitators in the program I’m attending brought it in as a passion project. The information is good but he’s struggling with the group dynamic.
The other is, it’s not that insurance doesn’t cover the techniques, it’s that providers may or may not work with the insurance your employer chose. At my last job, 75% of the in-network list in like a 25 mile radius comprised of one organization that was basically a pill mill with a raft of overwhelmed social workers. It was maddening. And the only options were pay out the ass for out of network, or get a new job and hope it wasn’t more of the same.
The US “health” “care” system no longer exists. Nobody in the pyramid cares about your health except for maybe your doctor. And there’s only so much they can do. It’s purely a “medical services industry,” whose sole purpose extracting profits from misery.
Hail corporate. 🫥