Writing again at the Spectator, Dalrymple says that psychiatric services in the UK are increasingly ineffective and pointless, designed more for the bureaucratic form-fillers than for the patient:
…the way in which services are organised is often so absurd that it defies satire; and the fault is not the government’s but of psychiatrists and their bureaucratic hangers-on. Of all medical specialities, psychiatry, you might have supposed, is the one that requires the closest personal relationship between doctor and patient and the greatest continuity of care. But on the contrary, the services have been deliberately fragmented so as to become increasingly more impersonal.