that's not a realistic view tbh. if a psychiatrist refused to see anyone who wasn't also committed to staying in therapy they'd have almost no patients. it's not an issue of "competency" psychiatrists don't have much education or training in therapy because they are medical doctors. if people have clinically diagnosed mental illness they are usually better off being medicated and not having therapy vs not being medicated AND not having therapy. Especially for bipolar disorder and other conditions for which people need antipsychotic medication.Unfortunately, this is what psychiatry has come to in many places. Unless you have the money/insurance & good sense to find a competent psychiatrist who wants you to go to therapy in conjunction with seeing them, and who also communicates with said therapist— you end up with this shit. Someone who sees you every 6 weeks, occasionally ups your dosage of one or more meds, and says, “this is fine”. Psychiatrists in rural Kentucky who are willing to take a self-pay patient typically aren’t going to give top of the line care.
besides what you're saying doesn't even apply to amberlynn because despite muh rural kentucky she DOES have access to a therapist who according to her is in the same program as her psychiatrist.