I'm not a fellow professional, but I can offer you my own personal insights from the perspective of a patient with chronic anxiety disorders of various severity. I've been "treated" off and on for nearly 15 years, and I cannot say that I've ever been passed over for any types of treatment (at least, I'm not aware that I have been); I've been medicated with just about everything under the sun, and have been involved in cognitive and psychodynamic psychotherapies on at least four or five distinct occasions. My thoughts on the matter of treatment now, after feeling relatively well for several years, have to do more with the provider than the client. Not all therapists are created equal, and not all have the same intellectual abilities; I had virtually no success with any treatment until I finally found a therapist who was able to keep pace with me intellectually. Nothing is more frustrating in psychotherapy than having to repeat and re-define your thoughts because your therapist doesn't understand what you're saying. I've never had a therapist who had the courage or humility to suggest I might be better served elsewhere; if I had, I could possibly have shaved years off my misery. Just a thought, but perhaps as professionals, you might want to look to your own abilities, recognize where they falter, and have the courage to admit that not all therapists are right for all clients.