As a man born and raised in Cortez, I take issue with the narrative that farmers don’t seek mental health care. Since returning to this community after completing residency in 2020, I’ve seen many farmers come into my office, some for a visit or two and others for longer.

I like to think that most found our visits to be far different from the two stereotypes people have of psychiatrists: that of a patronizing, clueless puffball incessantly repeating, “and how does that make you feel?” Or of an impatient, uncaring pill pusher.

For my part, I’ve known farmers to be people first, each one holding their own set of values, needs, stresses and life histories. Some have been surprised when I tell them: “I really don’t think a medication would be helpful. You don’t need one.” Others waste no time in telling me, “I’m not open to being on a medication,” then we focus on what other options there are and what might fit with their lives.

The science of medicine is complicated, infinitely detailed and rapidly changing. The art of psychiatry is fundamentally about listening, considering available treatment options, and talking with people in a way they can hear, understand and benefit from. I value my Cortez upbringing, and I’ve been pleased to see that despite many people’s characterization of farmers as avoidant of mental health care, plenty of farmers find their way to my office. I’m grateful to have the chance to help.

Aaron Montaño

Cortez