I have found psychiatry useful personally, it’s not a magic wand but in my experience it’s a useful adjunct to more personal work.

I also haven’t found any correlation between expensive mental healthcare and effectiveness. This is sort of different to like surgery where the standards of success are more clear-cut and the ballers get paid a lot if they are motivated by money.

Getting help can be as simple as finding a group in your area, it’s not always a huge barrier to entry to see improvement.