Still not following, but I think that is a function of the medium.

I think the US therapist industry is a symptom of its culture and relative lack of community. There is an important role for mental health professionals, don’t get me wrong. I’m referring more to the industry of mental health.

What other countries are you thinking about? Certainly in other nations with higher degrees of religiosity and intact community, people may share their issues with clerical figures.

Certainly the American mental health industry, especially the pharmaceutical component, is skewed by all sorts of misaligned incentives. But I doubt that Europeans, Canadians, or Australians are not taking advantage of therapy options offered by national health systems.