To focus better on prevention, there has to be better primary care reimbursement. I have lots of time in a practice trying to get up and going in that there aren't many patients so can spend lots of time.
It is indeed harder when you have a 10 minute appointment. What does this promote? Here take this pill. I am not being sarcastic or cynical but that becomes the busy physician's solution (even instead of explaining a cold is caused by a virus --- oh it is easier and quicker -- here is your antibiotic).
I see this as a massive disservice to patients, doctors, everybody.
But I think that there is massive financial incentive to keep the system as it currently is.
There is no incentive by PC's who aren't trained to talk - and won't be paid if they do, by psychiatrists who at this point (at least in rural areas for medicaid patients at Community Mental Health Centers) only give a pill.
Drug companies make lots of money miss diagnosing people with borderline or bipolar or schizoaffective --- all which need to be treated with a pill --- except borderline (which is a character flaw). Again not being sarcastic, being experiential.
Everyone. I mean everyone who is concerned, please advocate for the diagnosis of developmental trauma (which for many people is the correct diagnosis) and advocate for proper means to treat the affect dysregulation, impulse control dysregulation, attachment dysregulation etc.
Thanks ya'all.