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Copyright 2000 The Atlanta Constitution  
The Atlanta Journal and Constitution

March 16, 2000, Thursday, Final Edition

SECTION: Editorial; Pg. 23A

LENGTH: 310 words

HEADLINE: In My Opinion: Insure mental health treatment

BYLINE: JANE MARSTON, For the Journal-Constitution

SOURCE: JOURNAL

BODY:
As one who has benefited from both psychotherapy and drug therapy for anxiety, I have become an advocate for consumers of mental health services. In particular, I believe insurers should offer more coverage for outpatient therapy. Public interest and media coverage of mental health issues have improved our understanding of mental illness. It is generally accepted that depression and schizophrenia, for example, arise from imbalances in brain chemistry. These imbal-
ances can be treated with drugs prescribed by any physician or psychiatrist.

But insurers still restrict mental health coverage, limiting or even denying any coverage for outpatient care. Psychologists and counselors bear the brunt of these restrictions, even though rage-based behavior, suicide and stress, among others, are public health issues that can be addressed through " talk" therapies not involving drugs.

What is the rationale for refusing coverage for psychological services? In an era of managed care, one supposes it is mainly economic: An occasional office visit to a family doctor costs less than a weekly visit to a psychotherapist.

This rationale is unacceptable. If I am treated for anxiety by a cardiologist, I am being treated for a condition of the body. If I am treated for anxiety by a psychotherapist, I am being treated for a condition of the mind. But it is the same anxiety, and it might take both practitioners to address the full range of symptoms.

I urge that, as public policy begins to take a sympathetic stance toward mental illness, therapists who are not doctors be included in the transition. In our enthusiasm to respect the brain, we don't want to lose the mind.
JANE MARSTON, Athens

Submissions to this readers' column should run 300-350 words and include a recent photo of yourself, brief biography and a daytime phone number.

GRAPHIC: Photo
Jane Marston, a retired UGA professor, has lived in Athens for 16 years. She holds bachelor's and master's degrees from East Carolina University and a doctorate from Vanderbilt University.

LOAD-DATE: March 16, 2000




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