This morning I made calls to ten more therapists whose names were given to me by the network my health care plan referred me to because they have no more capacity. I have now contacted about fifty therapists and found no openings in a process that has lasted six months. Even before that, my visits had been dropped to one every six weeks.
The pandemic has ripped the band-aid from several wounds in our society, and I hope this is one of them. There is something fundamentally wrong about mental health care for the non-wealthy; it has been wrong for a while, but this is a tipping point. The ERs are going to be flooded more than they already are–mental health ER visits have increased markedly in many areas.
California’s process for licensure as an MFT or social worker is one of the longest and hardest in the nation, and structured in a way that makes it nearly impossible to achieve working part time because if you don’t finish in six years they make you start over. Counselor trainees, and anyone not working in out-of-pocket private practice, are overworked to the point of breakdowns. Usually, their one goal is to get into private practice and escape their hell.
What is the answer? Peer counseling? A lower-level licensure to work with clients who mostly need coaching and someone to listen? What the hell do we do about this? I want to help, but licensure has been off the table for a while because I can only work part-time. I know I could do useful counseling, if there was a framework to do so. But there isn’t.