Dr. Neal Goldenberg, a psychiatrist, reviewed an insurance appeal for a man's psychiatric treatment, denied as "not medically necessary" by Highmark Blue Cross Blue Shield. The appeal, meticulously compiled by the patient's wife, Teressa Sutton-Schulman, detailed two suicide attempts and extensive medical records. Goldenberg, initially taking on insurance review work to pay off student loans, was angered by the denial and found the appeal compelling. He contacted Sutton-Schulman, learning about her husband's escalating mental health struggles, triggered partly by financial stress from a house purchase. The couple's stress worsened due to home renovations, financial strain, and sleep deprivation from their cats. Sutton-Schulman temporarily left, prompting her husband to seek therapy. His mental health deteriorated, culminating in a suicide attempt involving sleeping pills and bourbon. Goldenberg's background included volunteering at a free clinic and a commitment to affordable healthcare, shaping his perspective on insurance denials. He frequently overrules insurance companies' denials, believing in patient access to needed care. The case highlights the struggle of obtaining mental healthcare coverage and the impact of insurance decisions on individuals' lives.