Some psychiatrists include psychotherapy as an important part of their practice...but you are correct that it is not typical. Psychotherapists usually work with an MD or psychiatrist on a consult basis to write scrips (I'm lucky that my psychologist is married to my GP...so it's really convenient).

I had my second meeting with my psychiatrist today. First meeting was 90 minutes -- this one was 45....I guess I'm lucky - but it is also out of pocket. She is thinking she wants to have me try a very low dose of Lexapro now that the Effexor is gone...But -- she is going to speak with my therapist first because they don't fully agree on the diagnosis.

I feel really fortunate...but it's also a great thing about being in NYC....mental health professionals as far as the eye can see.