Counseling is an Unattainable Service for the Large Majority of the US

Warning: I am about to step onto my soapbox.

Many of you know that the price of mental health services is a topic near and dear to my heart. Counseling is not affordable for a large portion of the people in the United States. I am not advocating that the government take over the health care system, but I am advocating that the mental health professionals aim to make at least some of their time affordable. As someone who is not yet licensed and is green in the profession, I am sure many more seasoned counselors have thoughts on this issue.

However, even in my short time in this profession, I have seen how people fall through the cracks. If people are materially poor then the government will pay for the person’s mental health services. If people have good insurance and a billable diagnosis, then the client can just pay for his or her co-pay, but what about the rest of the population? What about marriage counseling where neither person has a billable diagnosis? What about grad students? What about the working class? What about middle class people with children and every day bills? The list could go on, but you can understand the people who fall through the cracks. We have so many people trained in the mental health profession, yet; still so many people consider mental health services out of reach.

I do believe that mental health professionals should be able to make a living and I know that this is a working profession and not a volunteer job. Mental health professionals have bills just as the rest of the world does, however, we end up with these skills to help people, yet, and so many cannot use our skills because of money. This is a huge problem.

At the end of the day, I am advocating for a mix of clients. If all mental health professionals took just a few clients at a very low fee ($20-$40/hr), this would make a huge dent in the problem. Are mental professionals all so busy and strapped for cash that taking on one or two clients at a reduced fee would break the bank? Doubtful. We cannot save the world, but we can use our helping profession to help people who need help.

Reflecting on our time in Durham

Yesterday we officially said goodbye to Durham. I said goodbye to many before I made the drive to San Francisco a few weeks prior, but at that point, I knew I would still be back one more time for graduation. My first goodbye was tearful. My second was not as emotional but I felt the weight of leaving Durham. Saying goodbye the first time and the second time was hard. Durham was good to us.

We had wonderful friends in Durham—friends that we will keep for life. Many of our friends were from Fuqua, students and partners. So many of the partners provided a listening ear many times and were just overall loyal friends.

We will also miss our church friends. Most of our church friends were in our bible study that met weekly. These friends helped me feel more connected to community in such a big church. They also provided me an immense amount of help with my move and never complained while they helped. They seemed joyful to be able to help.

Another group I will miss is my running friends. I found a running group about 6 months before I moved. I feel like I have known them for more than 6 months though. These friends kept me company on long runs, pushed me during my hard workouts, and provided encouragement for my running. The group was a great fit for me. Finding a running group that is a great fit can be challenging so I am always happy when I find such a group. This is another group that was especially hard to leave. Thank you Bull City Track Club. They reminded me of my Dallas running group I enjoyed so much.

Lastly, I loved getting to know my school friends that lived in the area and the folks at my second internship site, Blacknall Presbyterian Church.

We will miss Durham greatly. We are excited about our new life in San Francisco. As we get settled into SF, I am reminded what it is like to start over with finding a new community of friends. I am sure we will find a community of friends here, and am thankful that so many Fuqua folks are headed our way to start that community.

Thank you to all of our friends in Durham for a great two years. We miss you so much, come visit. Go Duke!