I can’t really speak for America outside of what I hear friends say but they seem fairly similar. I’m Canadian and it’s almost the same here as it is in Germany, with the exception of therapy. Psychiatrists are often covered by healthcare but have obscene wait times. Psychologists rarely are. There are some free intake ones and what have you but otherwise you’re paying.

America also seems similar to us in that regard too. Sometimes certain docs might be covered by your insurance but if so their wait times are insane. The ones who aren’t cost an arm and a leg. People like 35 and younger seem more open to talking about mental health issues than any of the older generations.