I mean, you said they reject ANY HINT of medical modal, and say it's ONLY social factors. I didn't see that there.
I don't know if you've been through the system or not, but in the US MUCH of the time you tell your GP you've got the blues, and they say oh hey well take this zoloft/xanax and see how you feel. On the first visit. It happened to me, it happened to my wife, it's happened to more friends than I can count, all of us on great, private insurance. Anyway, that's the kind of thing mad in america is talking about, not ANY HINT of biology.
I currently work in the bureaucratic end of the English system. I meet very many people who have been through, or are going through, treatment for mental ill health. This includes all settings, from secure (forensic) units, through regular MH hospitals, or community treatment, to primary care. It includes common "mild to moderate" illnesses and severe and enduring mental illness, and also personality disorder.
I talk to a wide range of mental health professionals: health care assistants, registered nurses, AMHPs, doctors (consultants, T3 and other junior doctors), speech and language therapists, occupational therapists, art therapists, psychological staff. I talk to people from band 4 (NHS England agenda for change pay banding) through to band 8d, and also directors.
I'm a member of the South of England Collaborative for Mental Health Quality and Patient Safety Improvement. https://iqmentalhealth.co.uk/
The reason I linked to specific twitter accounts is so that you can ask them what their opinion is. You don't have to take my word for it - maybe I would distort their views.
> you tell your GP
I was very clearly only talking about psychologists. I wasn't talking about GPs. If you had asked me about GPs I would have spoken about the frustration I have that they rely too much on medication, and not enough on talking therapy. Even though in England talking therapy is free and easily available.
I don't know if you've been through the system or not, but in the US MUCH of the time you tell your GP you've got the blues, and they say oh hey well take this zoloft/xanax and see how you feel. On the first visit. It happened to me, it happened to my wife, it's happened to more friends than I can count, all of us on great, private insurance. Anyway, that's the kind of thing mad in america is talking about, not ANY HINT of biology.