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Ever since the 2020 lockdown professional help has been impacted, with few openings available.
This sucks especially for those of us with more chronic issues (I was showing signs at seven years old) because finding a patient-therapist fit is a process. A lot of patients need specific care, and the professional sector is not as... well... professional enough to treat without letting their own opinions get in the way. So it sucks to discover your psychiatrist is anti-gay when you are as gay as an opera in Paris.
There's also the matter that US insurance only covers short term mental health care at best, like ten sessions when it takes at least a few years (so 200 sessions) to affect significant change, or get enough symptom management skills to not feel like making a public mess every goddamn day.
So, while it'd be super keen if all of us truly gone fishing types were able to get comprehensive care with a psychiatrist who cares and a psychotherapist who actually gets us and isn't trying to surrepititiously push Southern Baptism Jesus on her patients, this is far, far, far from a realistic goal for anyone in the near future, unless they have rich benefactors.
And the problem with rich benefactors is they are easily swayed to toss their gay-as-love-letters-in-the-1890s relative into an illegal conversion therapy work camp.