The ins. cos. don't want to pay for psychotherapy because it's too expensive when they can just have a family doc or a shrink prescribe a Benzo or an SSRI or something to suppress symptoms and shut you up until you get off their plan. Then you're someone else's problem. They like to do things like limiting you to 3 sessions and then require prior authorization for any additional session. Session by session. You can't begin to make a rational treatment plan under those circumstances. There has been this "brief therapy" kick for the past couple of decades. I once saw a cartoon that reduced brief therapy to its minimal configuration: The therapist slaps the client across the face and yells, "Get over it."
I practiced part-time in several small mental health clinics but bailed out and went into a straight forensic practice a couple of years ago to escape the insurance hassles.