As various members spoke of their difficulty in connecting to a psychiatrist who would do more than prescribe medications, I recalled a referral that I had attempted to make a few weeks earlier. The patient was a significantly depressed middle-aged man who in addition to being depressed suffered from a severe neurological disorder, which necessitated the use of potentially toxic agents. The long-term prognosis for his neurological disorder was not known. Because of difficulty in traveling, he wanted to continue in his psychological treatment and medication treatment with a psychiatrist near his home. I proceeded to give him the names of psychiatrists in his area. With the patient’s permission, I spoke with one. Of note is the fact that although the patient is disabled, his insurance pays full, standard fees, not discounted.