In other words, some psychiatrists receive their paychecks from managed care corporations that require them to prescribe one type of drug rather than others that are expensive. Sometimes psychiatrists are wrong. However, at certain times I have found it important to seek out a second opinion. Even with a managed care plan or if you are on Medicaid or Medicare, it is possible to get a second opinion on an issue you deem important. Psychiatrists are not experts on everything.
Most psychiatrists believe in the primacy of biology.
Most have a mechanized and materialist world-view. Thus, chances are that if you have a diagnosis of major mental illness and you talk to your psychiatrist about ecstatic spiritual experiences, mystical experiences, psychic abilities, or similar experiences, these will be perceived as crazy or symptomatic. Talk with mystics about your mystical experiences. Talk with psychics about telepathy, etc. Set your agenda for the meeting.