There are a number of ways that people get shrinks. Sometimes it’s from the recommendation of a doctor. Sometimes it’s from a panel that you insurer will pay for. Sometimes it’s someone a friend recommends. Sometimes you go online and look up people listed in their professional group.
My first shrink was supposed to be someone my doctor recommended. Unfortunately, I was getting pretty bad, and my appointment was over a month away. My wife was so worried she asked a friend of ours who is a therapist if there was someone we could see sooner. Our friend recommended a research psychiatrist who sometimes sees patients. He costs $300 per hour. However, he does see some patients for very low or no cost.
My first appointment was for an hour. All the subsequent ones were for half an hour. I went to a psychiatrist for two reasons: to get a diagnosis and a prescription for appropriate meds.
If you want a diagnosis, you have to go to a psychiatrist. If you only want meds, a physician can prescribe them. Physicians, however, don’t really know what is appropriate and could really hurt you if they misdiagnose. This is not to say the psychiatrists don’t misdiagnose, too. I know people who have gone through four or five different diagnoses over the years.
Usually, you need both someone to diagnose and prescribe, and someone to talk to. They can be the same person, but that is not the most common way of doing it. What most people do is find a therapist to talk to, after they’ve been diagnosed. Therapists (psychologists, social workers, and many more) help you figure out how to cope. They help you use your mind to cope with the things it is messing up on. You can actually change your brain chemistry through thought—if you practice enough. Using meds is faster and best for emergencies. It is important to do both, however.
By the time I got to the shrink I had already diagnosed myself. So there was little surprise to find my self-diagnosis confirmed. You can learn a lot about various mental illnesses online and I encourage you to read widely, especially about a condition you suspect you may have. The more knowledge you have, the better off you are. Do not put all your trust in the shrinks. They are often brusque and over-worked and prejudiced about the intelligence of patients. You want them to do the best job they are capable of, and that means you need their time.
I think it is worth spending a lot of money out of pocket to get a good psychiatrist. Teaching hospitals and universities are good places to find such people. If you get the right diagnosis and the right meds right at the start, you will not waste as much painful time trying to get it right. You can focus on your therapy.
You are uninsured, which totally sucks. One of the most inhumane aspects of American culture is our willingness to throw people to the wolves in terms of health care. We need universal health insurance coverage. Every other Western democracy has it, and they are all doing better than we are. Social capitalism works.
Anyway, get treated, no matter what it costs. Deal with paying for it later. You don’t want your illness to kill you, and so many mental illnesses do. 20% of bipolar folk (that’s my diagnosis) die of suicide.