Paying for mental health care leaves families in debt and isolated

A youth mental health crisis and a shortage of therapists and other care providers who take insurance are pushing many U.S. families into financial ruin. But it's rarely acknowledged as medical debt.

Rachel and her husband adopted Marcus out of Guatemalan foster care as a 7-month-old infant and brought him home to Lansing, Mich. With a round face framed by a full head of dark hair, Marcus was giggly and verbal — learning names of sea animals off flashcards, impressing other adults.

But in preschool, Marcus began resisting school, throwing himself on the ground, or pretending to be sick — refusals that got more intense and difficult to deal with. His parents sought therapy for him. Rachel and her husband had some savings for retirement, college and emergencies; at first, the cost of Marcus’s therapy was not an issue. “We didn’t realize where it was going,” Rachel says.

Today Marcus is 15 and has a younger sibling. His parents have depleted their savings and gone into debt to pay for treatments for his severe depression, anxiety and mood disorders. Frequently agitated and increasingly violent, Marcus could not attend a regular school. Over the years, he’s needed weekly therapy, hospitalization and specialized schooling — all of which has cost tens of thousands of dollars a month.