North America is home to diverse cultures and countries with varying levels of development- ranging from Canada, the United States, and Mexico as the largest and most populous countries and many smaller Caribbean and Central American countries. Attitudes towards mental health can vary widely within countries, and resources for both physical and mental health tend to correlate with the overall level of development. Even within countries, there can be considerable variations in access to mental health. For instance, in the United States, there are many counties in rural areas with no mental health professionals at all. Yet in metropolitan areas, like New England, there are 55.6 psychologists alone per 100,000 residents. By contrast, in El Salvador, where gang violence and the aftermath of a civil war present major social issues and threats to physical and mental wellbeing, there were only two psychologists per 100,000 inhabitants in 2017, the latest year for which data was available. (1)