Page 113 - Men’s Health - USA (December 2019)
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             I don’t want to TAKE PILLS.
                                                                             I’M BROKE AND I CAN’T AFFORD THERAPY.
             IF YOU’RE DEAD SET against the phar-
             macopoeia, so be it. But if your depression
             or anxiety is so severe that you’re strug-                   IF YOU CHOOSE to go to someone outside your insurance network,
             gling to function, “medication that helps                    therapy can be expensive. And quite a few therapists don’t accept
             balance neurochemicals like serotonin,                       insurance at all. Many plans off er some out-of-network coverage, but
             dopamine, and norepinephrine can help                        this means you’ll have to carry the cost until you are partially reim-
             you get out of a ditch,” says Dr. Brown.                     bursed. If much of your anxiety stems from fi nancial stress, this can
             “Therapy can help you build the tools to                     range from untenable to unbearable. Happily, since the early 2010s,
             stay out.” Often, a combination of medica-                   telemental health, or telemedicine—or, I wish, therappy—has blos-
             tion (getting out of the ditch) and therapy                  somed. Research has shown that telemental health services, which
             (staying out) is the most eff ective.                        typically rely on a network of far-fl ung therapists who respond to
                                                                          patients via phone,text, video, and chat messaging, are an eff ective and
                                                                          less costly alternative to traditional therapy. Where to get therappy:

             16                                                           have at least 3,000 hours of            trained in active listening,
                                                                                      TALKSPACE
                                                                                                                             7 CUPS OF TEA
                                                                                      This app uses a
                                                                                                                             It’s a peer-to-peer
                                                                                                                             network of volun-
                                                                                      network of vetted
                                                                                                                             teer “listeners,”
                                                                                      therapists who
             I TRIED, BUT FINDING A
             THERAPIST IS IMPOSSIBLE.
                                                                          clinical experience. You send
                                                                                                                  who are available through
            DIFFICULTY FINDING a therapist is one                         text, audio, or video messages          online chat. Licensed thera-
            of the most common barriers to therapy—                       and your therapist will usually         pists are also available for an
            especially since 115 million Americans live                   respond within the same day.            additional monthly fee.
            in an area with less than one mental-health                   COST: From $65 to $99 a week.           COST: Free.
            professional for every 30,000 people. Try                     GOOD FOR: Anxiety, depression,          GOOD FOR: Those who want to
                                                                          PTSD, relationship counseling,          connect with others with simi-
            asking your doctor for a recommendation,
                                                                          eating disorders.                       lar problems, and/or are broke.
            or start with who’s on your insurance plan
            and set up some conversations. It’s less
            like fi nding your go-to bagel store than it                               BETTERHELP                            WOEBOT
            is discovering your favorite coff ee shop.                                 The more than 5,000                   What happens when
            In the former, proximity and an adequate                                   licensed therapists                   cute start-up cul-
            everything bagel are really the only things                   in its system are each required to                 ture, AI, and mental
            that matter. The latter takes trial and                       have a minimum of three years          health commingle? Woebot,
            error, time, and a battery of pointed ques-                   and 2,000 hours of hands-on            an AI-based chatbot created
            tions. (See “7 Questions to Ask a Potential                   experience. BetterHelp off ers         by a team of Stanford psychol-
            Therapist.”) You deserve someone with                         live phone-chat sessions.              ogists and AI experts.
            whom you can be radically honest, says MH                     COST: From $40 to $70 a week.          COST: Free.
            advisor Drew Ramsey, M.D., a psychiatrist                     GOOD FOR: Stress, anxiety,             GOOD FOR: Those who do
            in New York City. “I always encourage peo-                    depression, addiction, anger,          not mind accepting life advice
            ple to have consultations with two or three                   sleep problems, grief, and more.       from a robot.
            diff erent therapists.” Don’t worry if it’s not
            a good fi t and you move on after the fi rst
            few sessions. “We’re professionals,” says                       7 Questions to Ask a Potential Therapist
            Dr. Ramsey. “We can handle it.”
                                                                                 I’m dealing with x—what is your experience treating this type of issue?

                                                                                 What kind of treatment or therapy do you think might benefit me most?

                                                                                Can you describe how that treatment works?

                                                                                How do you assess progress?
                                                                                How long do you anticipate we’ll work together?

                                                                                What is your availability?

                                                                                How much is this gonna cost me, because . . .  (See No. 18, above.)
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