This shooting does not involve poverty or access to health care

[Kalidurga]

6. Sometimes shame is the biggest barrier...

And we live in a society that if you do seek out the help of mental health professionals it can hamper your career at the very least. One of my first classes in college was a Psychology class and my teacher though brilliant had his career hampered for having had a brief stint in a psych ward. It was approximately six weeks after a car accident in which he had a head injury. Head injuries it turns out can alter a persons personality around this time. He became a bit delusional and his parents had him admitted. If a person has political aspirations seeking help is often viewed as a weakness. There are jobs that if they know you have mental health issues they will not hire you.

Not to mention the way your family, friends, neighbors, coworkers may have to say about your illness. When people are shamed for having an illness they are much less likely to get treatment. They will pretend that everything is alright for as long as they can. Usually the worst that happens is they become less functional. Many times they commit suicide. On rare occasions they shoot up a school yard or a post office or become serial killers.

But, you are right, he had the means or his parents probably had the means to get help if they could navigate the system. But, it is very unlikely that he or his parents would be comfortable admitting to his illness.