Not a recent thing: Long before 2012, when I retired from running a treatment foster care program, I saw seriously traumatized foster children getting monthly med management where even psychiatrists at nationally known institutions took 10 minutes with their nose buried in laptops (sometimes not even facing the child) asking pro-forma questions to foster parents about the child’s “behavior”. At best, these were sessions for harassed foster parents to unload a few grievances – not accurate updates on what was going on with the child. Multiple psych. Rx’s were then written and the child was out the door. Psychiatrists seldom paid attention to the input of our social workers; they almost never advised foster parents of drug adverse effects. Our advocacy for weaning children off the drugs almost always went nowhere. Meanwhile, we were able to get psychotherapy for children that mostly consisted of bi-weekly, or even monthly, sessions. Exactly what was this going to do for children who had been monstrously traumatized (including the trauma of having been removed from the only family and community they had ever known and placed at the tender mercies of the foster care system)? I lobbied long and hard for small caseloads (of 7) for our masters level licensed social workers. They were the ones who saw the children anywhere from at least twice a month to 3 times a week. They often spent hours with children – not minutes – and often an equal amount of time with foster parents. The goal was to treat every moment of these encounters as opportunities for in vivo “therapeutic interventions” – usually the best thing was just to listen, listen, listen without trying to play “expert.” Often enough – especially on long car rides in which children didn’t feel they were being put under a microscope – children would open up about things conventional therapists would be thrilled to hear in office sessions. The takeaway? A) Still further evidence of the damage done by psychiatry; B) Dr. Gnaulati is surely right about the lack of availability of meaningful therapy for most people (although it is a tribute to clients and therapists that even bi-weekly therapy can work for some); C) People are hungry to be listened to, can open up and move toward better lives if someone in their lives takes the time to really listen, to express confidence in their goodness, intelligence and basic humanity, and to stay calm and positive when people show their pain. We need more creative ways to encourage this between people in our daily lives. The peer support movement seems to me an excellent start in this direction.