I'm really interested in psych but it is disturbing that everyone I know in the mental health field outside of school is quite pessimistic and discouraging. One social worker said that the psychiatrists in her agency spend so little time with the clients, do so little, that she could do their job. Most seem to expect the insurance coverage and government programs to get far worse in their mental health coverage before they get better. There's certainly a need for psychiatrists in our health system but I can't imagine helping anyone with a five-minute visit. Is there hope for finding a satisfying job outside of the relatively protected academic medicine?