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To say that the healthcare system hasn't a clue when it comes to mental health??

107 replies

Danghormones · 25/11/2024 09:10

I've struggled with mental health my whole life. I've been told an annoying number of times by people 'you've your life so together'. For context, I am fortunate to have an excellent career and I'm married to a wonderful man and have a beautiful baby. Nothing exceptional or out of the ordinary but I'm young in my profession to have got to the level I'm at so from a general point of view, it looks like I've my shit together.

Underneath I feel like I am ready to explode at any second

About 5 years ago my mental health was at its worst and I can honestly say the NHS were no help whatsoever. I actually dropped off their list for therapy and they rang to apologise....7 months later. I was in hospital for mental health reasons and the follow up was absolutely abysmal. I have paid for private therapy 4 times because of this.

Most recently I was referred to a psychiatrist (finally!!) querying BPD and even at that they told me to go look at a course that's in my area. I rang straight away to enquire about it...they said they don't know when or where it's running but it'll be the new year anyway. My psychiatrist also after looking at my notes asked was I referred to the post natal mental health team after I told my health visitor that my mental health wasn't good. I wasn't; I didn't even know it was a thing! She was apologetic and said i'd been let down by the system....what's new I thought??

I have private health insurance and even trying to get an appointment with them was a 4 month waiting list. It mightn't sound like a lot but when you're in crisis mode, 4 minutes is a long time never mind 4 months.

Just so frustrated that I feel like there's so much encouragement to speak up and get help etc and when you do...well you just feel like what is the actual point??

OP posts:
vivainsomnia · 25/11/2024 11:29

I have nothing to say other than get off the fucking thread. Would you tell someone with cancer to think it away? Wise up
Sadly, this is the issue. @CoffeeCantata is absolutely correct but when you are in it, all you want is someone or something coming up with a miracle cure to take the pain away. Being told that that cure doesn't really exist and that you have to build resilience whilst gaining understanding of what are triggers to build you own coping mechanisms is not what you want to hear.

Psychiatrists mainly deal with severe cases of mental health that affect people in such a way that become completely unable to function in life. Most of the therapies are pharmaceutically based, the treatments are heavy, needing close monitoring and can even be life threatening. Indeed, many people have died as the result of poor monitoring.

Psychiatrists are medically trained, 5 years in medical school, and then speciality trained for many more years.

Many people nowadays suffer from debilitating anxiety and depression for which medication can help, others do well with therapies or a combination of both, but for the majority, it is about learning to make changes in their lives, in the way they think, feel, and accept their strengths and weaknesses.

Obviously no one knows you here and what you've been through so can't make specific comments about your situation, but the NHS isn't to blame. Society is. The NHS can't cure everyone, they can only provide what is available to them and that's not the answer and miracle that those suffering are so hopeful for.

Danghormones · 25/11/2024 11:12

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CoffeeCantata · 25/11/2024 11:10

Danghormones · 25/11/2024 10:55

But see my issue is that it doesnt have to get to that stage of critical suicide before it’s treated. I’ve been there myself and felt the care even at that point was shocking.

You’re right though. What actually is the solution?

There isn't one, really. Stop people developing MH issues in the first place? Absolutely impossible - the causes are so complex: childhood abuse, trauma, neglect, addiction to social media, inherited medical conditions or things like asd, adhd, etc etc.

I'll be brutally frank, and I'm sorry to sound so negative, but I think the only (partial) answer is to re-set the current attitude to MH and basically go back to the 'just get on with it' attitude of the recent past. Obviously, not for serious conditions, but for those where social engagement and physical activity, say, could help. For every person who has a serious MH problem, there will be one who claims they 'have anxiety', without any actual diagnosis ...believe me, I've met them.

Also, we've all been sold the line (mainly as a result of social media - which has a lot to answer for in this matter) that life should be happy and trouble-free - but it never has been for most people. If we can rid ourselves of the idea that we should be happy all the time, and that nothing should cause us stress, that would help for many people. Investigate Buddhism - that has a lot to teach about acceptance and not struggling against things which we can't change.

Ready to get torched....but I'm not talking about people like the sons of my two friends. I mean the girl I used to work with who couldn't do any of the slightly less pleasant aspects of her job because she claimed to have anxiety. She hadn't mentioned this at the recruitment stage, of course.

Danghormones · 25/11/2024 10:55

But see my issue is that it doesnt have to get to that stage of critical suicide before it’s treated. I’ve been there myself and felt the care even at that point was shocking.

You’re right though. What actually is the solution?

OP posts:
CoffeeCantata · 25/11/2024 10:47

My daughter has needed MH treatment - so I'm not just saying this from a position of smugness.

But the NHS was just never set up to deal with the long-term and very complex issues posed by MH problems. It was set up originally to provide straightforward surgery, free glasses and dentures and basic pharmaceutical treatments.

MH problems are by their nature often very long-term and difficult to treat. And they're usually open-ended too. Personally I've never heard of anyone saying 'Well, I got 6 sessions of counselling, so that's me sorted!" Have you? While I sympathise (having been at the sharp end) I really don't see that the NHS as it stands can possibly be expected to treat MH adequately.

I suspect MH spending will necessarily be focused on the most acute cases - like the son of a friend who is basically on suicide-watch, or ofr patients whose conditions make them a danger to the rest of us.

I don't know what the answer is, but I don't think it will be simple - or just a matter of funding either.

Danghormones · 25/11/2024 10:10

I know it’s not the NHS itself who is at fault. I’m in Northern Ireland so it’s even worse from a local and British government level. I feel even at that though a lot of the professionals give different advice, refer to different people etc. it’s all such a mess.

OP posts:
Catza · 25/11/2024 09:37

I am sorry for your experience and. sadly, it is not an isolated incident.
Healthcare system has a clue about a lot of things. But this doesn't change the fact that there is no money to train, recruit or retain qualified staff. In my area, the waiting list for neuropsychiatry is closed because they currently have 3 years worth of patients on their books already and only two members of staff. With the best will in the world, I wouldn't be able to refer someone.
I understand the desire to blame people who work in the system but, trust me, we are just as frustrated by lack of joined up care and the length of waiting lists as you. I left MH work because I was tired of constant hoops I had to jump through to ensure someone has a long term follow up plan and being told that the service I am asking for simply doesn't exist or did exist but no longer does due to funding and recruitment issues. Or does exist but the patient does not qualify because they haven't been hospitalised yet. Or, my favourite one, that they can't accept a patient who doesn't self-harm which results in a patient who never self-harmed beginning to do so out of desperation for support. So yes, there is one less staff member in my previous team and my post is still not filled 2 years later... but what can I do.
The buck stops with the government, I'm afraid. If you want to direct your anger there, we would greatly appreciate it. Because when we, as health professionals, try to raise it we are being told that one can't just "pour money into a broken system". This money doesn't buy a SEO a new Lamborghini. It literally pays for bums on seats to staff the services people are desperate for.