There is a lot of screening and paperwork involved when getting this kind of assistance. It is their job to determine whether you deserve to be helped, not yours. Even people you (probably) think do not deserve help, and/or who are costing far more than you would probably cost to treat in a lifetime, are getting help that you could at least be considered for. Be honest about how much of a problem you have with “deserving” help and they will be honest about what your chances are.
And here’s a big part of the problem: historically, that screening and paperwork process serves to discourage me from continuing, and then sets up a sense of remorse/self-blame later. Also, whenever I’m in the screening process and someone tells me that they’re suspicious of my right to be there, I tend to bow out immediately.
At least some social services agencies have a position called “case manager”, which is a person who is specifically hired to help other people get through the bureaucracy and to services if they cannot get these services themselves (due to lack of resources whether physical or mental). It may be worth your time to inquire as to how you could be assigned one of those, and then you only need to approach one person and ask.
nod the two times I interacted with a case manager, they immediately expressed suspicion that I was malingering / gaming the system. (At which point, it’s worth considering that I may be subconsciously doing so.)
Sadly, a significant fraction of people working in public health are in the late stages of burnout, where they simply don’t have any altruism left to spare and are only working in their jobs because of money/inertia/fear of unemployment/extrinsic rewards. People who are burnt out that profoundly will express suspicion of malingering as, I think, sort of a protective mechanism: “there cannot possibly have been this many people that need this much of my energy, so most of the people dropping by with sob stories are just trying to pull one over on me because I’ve proved myself to be an easy target”. (This is a just-so story that has no citation. Salt as necessary.)
If you’re worried about this, you can also try, for example, therapists-in-training-programs at colleges or universities, which are cheaper (because the people doing the therapy are paying tuition, so you don’t really have to pay much to make it worth everyone’s while) and have younger/fresher people that are much less likely to reject you because of burnout.
And here’s a big part of the problem: historically, that screening and paperwork process serves to discourage me from continuing, and then sets up a sense of remorse/self-blame later. Also, whenever I’m in the screening process and someone tells me that they’re suspicious of my right to be there, I tend to bow out immediately.
At least some social services agencies have a position called “case manager”, which is a person who is specifically hired to help other people get through the bureaucracy and to services if they cannot get these services themselves (due to lack of resources whether physical or mental). It may be worth your time to inquire as to how you could be assigned one of those, and then you only need to approach one person and ask.
nod the two times I interacted with a case manager, they immediately expressed suspicion that I was malingering / gaming the system. (At which point, it’s worth considering that I may be subconsciously doing so.)
Sadly, a significant fraction of people working in public health are in the late stages of burnout, where they simply don’t have any altruism left to spare and are only working in their jobs because of money/inertia/fear of unemployment/extrinsic rewards. People who are burnt out that profoundly will express suspicion of malingering as, I think, sort of a protective mechanism: “there cannot possibly have been this many people that need this much of my energy, so most of the people dropping by with sob stories are just trying to pull one over on me because I’ve proved myself to be an easy target”. (This is a just-so story that has no citation. Salt as necessary.)
If you’re worried about this, you can also try, for example, therapists-in-training-programs at colleges or universities, which are cheaper (because the people doing the therapy are paying tuition, so you don’t really have to pay much to make it worth everyone’s while) and have younger/fresher people that are much less likely to reject you because of burnout.