Existing disabilities form a huge barrier to care. Disorders, especially disorders like OCD, can have their symptoms written off as part of another disorder. Mobility limitations, whether due to a physical symptom or prexisting health condition, can also stop people with OCD and other disorders from getting to the appointments necessary for proper diagnosis and treatment. Add to that someone being on a fixed income because of their disability and it’s the perfect storm for lack of accessibility.
Financially any of us who have been treated at McLean or another private hospital have to acknowledge the privilege of being able to afford that care. Of course it was a stressor on our families but they were able to afford to keep us in treatment as long as we needed. So many people can’t even afford the primary care appointment to be referred to a psychiatrist let alone the cost of the psychiatrist and any further treatment. I just think we live in a bit of a bubble buffered by financial privilege which limits our ability to discuss all aspects of struggling with OCD.