the challenge from a psychiatry perspective is that psychiatrists almost literally just do drugs (as do many MDs). therapy is almost always done by LCSW’s sometimes Psychologists, rarely by Psychiatrists. Same with PT and physical therapists vs MDs.
And as any PT/MD will tell you, even getting people to take a full course of antibiotics or their drugs properly is difficult. 1 in 3 odds? 1 in 2?
Getting someone to finish a full course of PT? Nearly impossible. Like 1 in 20 type odds.
So, the system throws medicines and surguries/treatments at the patients when possible (because they can control those things, and they work!) whenever they can, and do tell people about the other options - and they do work and are necessary for issues to really work out well a lot of time - but almost no one really does it.
Then they blame the medicine or surgury for not fully solving the problem, or when it comes back in a different form/direction.
Like weight loss.
But what else are we going to do?