Going to a therapist is absolutely a major time and money commitment and those are the things that stopped me from doing it for way too long. My basic experience finding a therapist was that there were two kind: one that was in my network, and one that could see me at a reasonable time. I ended up just paying out of pocket and getting somewhat reimbursed later by the insurance company. It wasn't great, but it was totally worth it and I really wish I'd done it sooner.
I don't mean to sound pretentious, but this line:
> I'm still no where near what I feel is normal.
Tells me that you hardly scratched the surface of what therapy can offer you, at the very least in terms of perspective.
It sounds like you're in a rut, and you aren't making progress. Regardless of if you enter therapy, it's time to try something else. If you happen to be in NYC feel free to email me and I can set you up with a great therapist who really helped me. Either way, best of luck to you and keep up the good fight.
What I finally had to do, was talk to a close friend who knows a lot of Mental Health practitioners, partly from using their services, partly from the fact this guy knows everyone in town. He was able to call a friend who is a retired Psychiatrist, who was able to help find someone who would take me without a referral, and further refer me to a good psychologist. There's also the issue that most insurance plans have pretty crappy coverage for this stuff. And since I can't get an in-network referral to an in-network doctor, I'll be paying for most of this out of pocket.
My advice, for the little it's worth, is first... Don't Give Up. It's a fucking absurd pain in the ass, but it is possible to overcome. Think about finding a doctor the same way you would about hiring an employee, that's basically what you're doing. Use your social network, do you know anyone who is in a high-risk group for depression or other mental health issues? It's likely you know someone who has struggled with this and just never said anything. Ask around. It sucks to have to reveal yourself that way, but it's really not as bad as it seems in one's imagination. You will probably be surprised how many people not only get it, but want to help. Try a doctor out, if he isn't working, fire his ass and get another. No different than hiring a contractor. It's easy to load a lot of emotion into the process, but avoid doing this and stick to business. And try not to get sucked into the psychiatry vs psychology wanking contest. They're different approaches, have different tools, and different efficacies for different issues. CBT is great for moderate depression. There's much less evidence it's helpful for ADHD. There's a whole class of medication that's quite effective for ADHD. There's much less evidence that zoloft and friends are useful long term for depression. Extrapolate that out for all the other possible mental health issue a person might have.
At any rate, you're not alone, my friend, and you're not the only one who has had to go thru this shit. It is possible... Email is in my profile, if you need someone to talk to, feel free to contact me. Best of luck.
Holy shit. That is so fucked up dude. I'm sorry.
For what it's worth the vast majority of therapists do not require referrals, but not having a referral can make it impossible to get reimbursed via your insurance, which I know can make it a nonstarter for some.
> There's also the issue that most insurance plans have pretty crappy coverage for this stuff. And since I can't get an in-network referral to an in-network doctor, I'll be paying for most of this out of pocket.
Yeah, it really sucks.
> My advice, for the little it's worth, is first... Don't Give Up. It's a fucking absurd pain in the ass, but it is possible to overcome. Think about finding a doctor the same way you would about hiring an employee, that's basically what you're doing.
I agree 100000%. It's so worth it. I also love using our existing startup skills as a platform for addressing these issues, nice.