I like your your idea in theory – psychiatry remains (within neurology) as a very small, highly specialist service offering expert advice to screen out the minority of mental health problems caused by physical issues. This would leave the vast majority of distress caused by trauma/life events to be dealt with by much cheaper staff properly trained in various talking approaches. But that would involve a massive shrinkage of the psychiatric profession and an acknowledgement that the last fifty years of pharmaceutical psychiatry have been a damaging theory foisted on society by a profession that has no more idea of causation and genuine treatment than it did 100 years ago. Psychiatry needs to keep pushing the brain chemistry/genetics/drug necessity angle in order to maintain its power in the system, justify its salaries and retain its identity/kudos as a branch of medicine. As far as I can see psychiatry is not interested in being shrunk to a tiny rump of its current size, only called in for consultation in a small number of intractable cases that don’t respond to other approaches. It wants to keep its pre-eminent position in mainstream mental health services and all the perks that go with that. The big question for me is how do we move our services to a much more trauma-aware, social-focused talking approach whilst the great big psychiatric monolith is blocking the way and determined not to step aside?