For years, many of us accepted stigma and avoided therapy. But things are changing. These days, people are seeking therapy more than medication, and the shift is generational — younger people, Gen Z especially, have made therapy ordinary in a way their parents and grandparents never did.

But how do you pay for it?

Therapists across the country say private equity’s move into health care is making it harder for them to care for their patients.

Earlier this month, a local insurer may have made things harder still. If you see a counselor in private practice through Blue Cross, your therapist could be dropped from your plan in March.

What does that mean for our access to mental health care?

David Sniderman, a counselor and art therapist with the Willows Edge Counseling and Healing Arts Center, says the change will hit people’s access hard — especially rural and low-income Michiganders.

Sniderman joined host Robyn Vincent on The Metro to break down how insurance shapes therapy, and to make the case that what heals people most isn’t the method — it’s the trust between a therapist and client.

Hear the full conversation using the media player above.

Listen to The Metro weekdays from 10 a.m. to noon ET on 101.9 FM and streaming on-demand. Never miss an episode — subscribe to The Metro on Apple Podcasts, Spotify, YouTube, or NPR, or wherever you get your podcasts.

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For the first time in decades, more people are seeking talk therapy over medication. 

The good news is there’s less stigma preventing people from accessing care. The bad news: A lot of people struggle to access therapy. Some clinicians argue that one of the big issues is private equity. 

Private equity investments in health care have grown to over $750 billion over the past decade.

Linda Michaels says that’s had devastating consequences for both clients and clinicians. People are less likely to get the therapy they need. And therapists are in a worse position to offer it. 

That’s the premise of Michaels’ talk this Sunday at a local fundraiser for a metro Detroit clinic. She is a psychologist in private practice in Chicago and a co-founder of the Psychotherapy Action Network. She spoke with The Metro‘s Robyn Vincent.

The Metro reached out to two big health insurance providers, United Behavioral Health and Cigna. We wanted their perspective on how their administrative systems have complicated work for therapists, and made getting therapy harder. We did the same for several private equity groups. None of them offered a comment.

Listen to The Metro weekdays from 10 a.m. to noon ET on 101.9 FM and streaming on demand.

Subscribe to The Metro on Apple Podcasts, Spotify, NPR.org or wherever you get your podcasts.

More stories from The Metro