Do you think that now in 2010 any moderate presenting problems on first evaluation by a psychiatrist would see a patient sent home for community support, whereas several years ago, at the very least a voluntary admission would have been suggested. I only ask, because i am seeing my psych for the first time in two weeks and getting paranoid she doesn't see me on my worst day. I have good family and friends support, only a problem when i venture too much into reality. Couldn't stand being around people all the time. OCD and Dissociative Disorder sufferer ( derealization ).