It’s a good article, and devastating to see it all put together.
I’m also interested in the posts above re the public system, as I have been trying to work there but am increasingly getting the impression that they are getting to do less and less caring for people (as in interventions and therapy) and far more trying to find other services for them (which of course often don’t exist). Maybe it’s better to just stay in the private.
That said, our hands are so tied here too. The Medicare rebate is kept so low that few can afford to bulk bill, and while this year I can see people with more long term serious issues thanks to the additional covid sessions, next year it’s back to just the mildly anxious or those with rich enough relatives to pay for continuing sessions. It’s heartbreaking when someone with serious issues comes to you near the start of the year and you just know they will be nowhere near done by the time the 10 sessions runs out, it’s been such a relief this year to be able to offer fortnightly sessions for most of the year and actually support someone properly and make progress on deeper things.
From what I gather there has always been rather a ‘missing middle’ - the people not severe enough for acute services but not mild enough to be helped by 10 sessions (or able to afford them). But it seems it’s now a missing top as well, people with acute issues aren’t getting the time and coordination they once were. What is the point of a system that only services the rich and mild?