u/Top-Will9903

Recently I've been struggling a lot more with my mental health, I have trialed multiple drugs and seen no progress and relief of symptoms only side effects over many years. I reached out to my therapist and he said I should consider looking into other treatments such as spravato which I already had some prior interest in.

I reached out to my psychiatrist about possible other treatments including spravato and other treatments. His response was that spravato was not an approved treatment that has proven benefits for my diagnosis (MDD, Anxiety, PTSD) and that IV ketamine is only offered during hospitalization IF insurance would approve it.

He also shot down every other treatment I asked about and had one thing to offer .. IOP which I told him would only make things worse for me, I have done years of CBT and DBT which their program is based on and I don't enjoy group settings even my therapist agrees there's nothing I would get out of half a day of group therapy and being "taught" laundry and doing the dishes can be fun.

I am entirely at a loss here. He just left me at that, basically told me understandable let's schedule a follow up in a month. I can't afford to pay it of pocket but I'm likely losing my insurance at the beginning of the year anyways so all of this feels like it's for nothing if i can't follow through an entire treatment. My therapist said my best option to get treatment now is to go to inpatient which I also can't afford to do. I don't even know what im saying all this for but I guess I don't understand why my therapist and everything I've read says spravato is approved for treatment resistant MDD but my psych says no... Is it just insurance?

So I was given a referral to get my top 2 wisdom teeth removed(I only have the two) probably almost a year ago but only had dental insurance and no health insurance and couldn't afford sedation out of pocket so decided to wait till I got insurance. I called the surgical office once I had health insurance and they told me due to my insurance company they have to wait list me and don't have a timeline on it just that there were 70+ people and they don't schedule them just a call when there's an opening.

The issue is one is impacted and causing constant ear pain, headaches, and eye pain when chewing. I explained this, my dentist sent another referral noting it was urgent. Same situation they can't do anything but put me in a waitlist.

Called my insurance to find a different provider and there are none within 50+ miles and everyone out of that range won't take my dental insurance.

I'm frustrated, lost, and in pain. My dentist said there's nothing he can do and due to the impaction he won't remove it. I was considering paying out of pocket at the next closest place which is a dental school 1hr away but they didn't even say if they could do the referral but that they'd need to take X-rays and have a meeting to determine if my case is good for learning.