So it's the state of mental health coverage in Germany too. It's bad. Although therapy is paid for by the mandatory health insurance, there are multiple issues: Wait times of months up to three quarters of a year for a place in hospital, similar wait periods for outpatient care. A lot of therapists won't put you on a waitlist anymore. Federal insurance won't issue more permits for therapist so it's a constant fight for already exhausted patients to find someone (not counting in of they get along). On top, there is more and more pressure to keep mental health costs down by limiting time for inpatient care, by limiting (or severely hinder any extension) the amount of hours and so on.