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Therapists used to be the most helpful thing in the world (or so I've heard), now they're so unhelpful they have to rely on the state to get us to use them and have so many different indie-based projects and programs competing with them, like BetterTherapy (which isn't bad tbh). The old joke is they're paid friends but now I see they're just paid, you could be in a genuine situation where something obliterates the quality of your life (e.g. custody battles) and they'll be like "does lithium sound good" (which by the way, lithium is outdated by two thousand years, so if it's recommended right away to you, run). The reason they're not set up like lawyers where you only pay them "if you win" is because they know this would destroy them.
I fear the medical profession is also going down this path.
Government and lawsuits are totally regulating everyone to death. Doctors used to be knowledgeable and creative (and they still are) and had the freedom to prescribe whatever they thought would be the best.
Now, they can only follow conventional wisdom and the exact recommendations of the regulators. If they deviate just a little to find the perfect fit for your case, they risk themselves and their livelihoods.
It's primarily private insurance (at least in the US) that drives that. The doctor can prescribe something and then a "doctor" who works for the insurance company can take a 10 second look at it and deny it outright in favor of a more profitable treatment.
When it comes to costs, yes, but there is also another angle.
Sometimes doctors will prescribe expensive, patented drugs when cheaper, better, out-of-patent alternatives exist.
This is not to the benefit of the insurance companies.
Rather the pharma industry and regulators act in a concentrated rap battle: the regulator covers their ass by only approving in accordance with the latest, most comprehensive studies ("evidence based practice") and the pharma industry only bankrolls new studies on their most profitable medications.
Nine out of ten doctors are great.
The regulations exist because of the tenth doctor.
The problem with that thinking is that it also applies to patients in a different way:
9 out of 10 patients fit the 90% confidence interval.
And the tenth patient gets told to F off, because the scientific consensus does not cover their situation.
Psychiatrist prescribe drugs not psychologists.
Tell that to the therapist. I know they're not supposed to prescribe drugs, but they definitely have the power to arrange that.