I think people should start talking to a licensed guidance counselor or psychologist trained for counseling. Psychology has a lot of subspecs. A psychiatrist would be someone referred to when things are beyond the primary prevention level. I think people overestimate the drugs too much and drugs solve on some cases but not all cases.

For substance abuse like alcohol and meth, one can start detoxification but the follow up would be rehabilitation. For anxiety symptoms, drugs managed the symptoms making the person calm but if that person still exposes themselves in the stressor, you know it's just going to recur and then blame it on the drugs not working. So yeah, not all cases can be solved by drugs. I've had one case where she gets anxiety symptoms while at work but a work from home setup brought her back to being functional and productive.