I can’t imagine why anyone looking for a good therapist would seek out a psychiatrist. There are good psychotherapists everywhere. Many advances in psychotherapy have occurred in the last twenty years. The good therapists are clinical psychologists, clinical social workers and marriage and family therapists. A few good therapists are licensed as psychiatrists, but not many. Everyone but Robert Berezin seems to understand this. Psychiatric medication also has a place, and some people desperately need it. And, of course, some people need psychiatric medication AND psychotherapy. Psychiatric medication is sometimes helpful, sometimes not. Same goes for psychotherapy. The current system has been well-established for about twenty-five years. Psychiatrists try to make about $400 per hour for writing prescriptions. Therapists try make $50 to $150 per hour for doing therapy. (Most therapists get $50 to $75 per hour from health insurance.) Everybody seems to understand this except Robert Berezin. This might not be the ideal system, but it’s not the catastrophe that Berezin makes it out to be. If he wants to practice psychotherapy, he’s free to do it. No one will stop him. Maybe he’s a good therapist… He probably won’t make $400 per hour, though. I wonder if Berezin believes that only psychiatrists are smart enough to be really good therapists. If so, this would represent inexcusable arrogance. Berezin was apparently trained to be a psychoanalyst. Psychoanalysis is still available in every major city. It’s too expensive, and controlled trials have demonstrated that it is not an effective treatment. For these reasons, psychoanalysis is much less popular than it used to be, and health insurance won’t pay for it, nor should they. Health insurance won’t pay for other ineffective, overly expensive and obsolete forms of treatment. Fifty years ago, most psychoanalysts were psychiatrists. That has changed. Today, psychoanalysts are more likely to be clinical psychologists, and possibly some other licenses, or lay analysts. This depends on the training institute. I really don’t understand Robert Berlin’s main concern. C’mon, Dude. State your case in a reply!