I've been through 9 different psychiatrists and none of them considered that my family might have been the issue. They always pushed the idea that I was the problem, that I was broken and needed fixing. Psychologists too.

It took giving up on professional help and start reading on my own to finally be able to stop the panic attacks I used to have from my interactions with my emotionally abusive family. I am still confused as to why any of them couldn't pick up on the signs that my family was terribly dysfunctional and broken.

Actually, it was one of those psychiatrists that gave me a hint about my family. She eventually asked about my relationship with my father after many years of treatment, when I said I was feeling guilty about not being a good enough son to him. After inquiring a little bit about him and his social life, she said something like "some people are just hard to deal with".

That was the trigger that shifted my perspective, that got me to start thinking that maybe I wasn't the problem.

Although that was basically the only good thing that I got from her. She had a severe lack of empathy and was terribly invalidating. The first suicide ideation I ever had, as a teenager, was during my first session with her.

You might get lucky and have a psychiatrist that is actually a decent, empathic person that wants to help. But I feel like psychiatrists just don't have the tools to help you. You are hurting because of something that happened to you, not because of who you are. It's not your fault.

Most of their diagnoses are meaningless, and their palliative medications don't deal with the real issue.

As Bessel van der Kolk wrote in The Body Keeps the Score:

"In the case of the troubled children with histories of abuse and neglect who show up in clinics, schools, hospitals, and police stations, the traumatic roots of their behaviors are less obvious, particularly because they rarely talk about having been hit, abandoned, or molested, even when asked. Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.
Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as “oppositional defiant disorder,” meaning “This kid hates my guts and won’t do anything I tell him to do,” or “disruptive mood dysregulation disorder,” meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage."