To be really offended by what gp said?

Give it a rest @Glowingup
You sound ridiculous

LOL 😂 thanks for giving us all a laugh I guess

I think you are wholly ill informed about MH.

I have commented on the anxiety aspect from a qualified professional view based on the information that is there.

She didn’t say she wasn’t either. What a weird hill to die on

Oh bore off with the back tracking. People have rightly called you out for your ignorance. Maybe go back to telling people with depression to cheer up and think positive.

Equally she has not said she is suicidal at all.

Ive not commented on the ED at all - I am not qualified in that area.

I doubt you are qualified either labelled heightened anxiety as an emergency is fanning the flames and any reasonable clinician would not reinforce this.

Equally she has not said she is suicidal at all.

Ive not commented on the ED at all - I am not qualified in that area.

I doubt you are qualified either labelled heightened anxiety as an emergency is fanning the flames and any reasonable clinician would not reinforce this.

How on earth can you make that assessment? The OP has not said that she was not suicidal or elaborated past her initial post. She has said that her anxiety was 9/10 for five days with no let-up and she was not able to eat, which was scary due to her history of ED. This information is extremely serious in itself as it is dangerous to not be able to eat for several days. That alone would suggest urgency.

You were called out for your horrible and insensitive comments which were basically that anxiety is never an emergency which is utter bullshit (it’s the sort of shit people used to say decades ago before anyone knew much about mental health). People are hospitalised for anxiety and it can be very very serious. The NHS guidance itself suggests urgent GP appointments in serious cases (and sometimes even A&E https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/feelings-and-symptoms/anxiety-fear-panic/). Surely if you claim to work in the field, you would know this?

You then tried to backtrack and explain but it just shows that you know fuck all about MH so clearly do not work in the field at all.

Just stop, you labelling things from this post that are not there. No one has minimised how severe the anxiety is - I really don’t think it warrants an emergency appointment though based on information shared. There is no risk to self indicated.

There are no indications in the OPs post they are in a crisis. You can have severe MH difficulties/distress without being in a crisis. There is nothing to indicate they are suicidal requiring urgent support

A lot of people report suicidal thoughts but they are not actively suicidal.

Being in a crisis would result in a same day referral to a secondary home treatment team and they would be seen face to face that same day.

Just stop, you labelling things from this post that are not there. No one has minimised how severe the anxiety is - I really don’t think it warrants an emergency appointment though based on information shared. There is no risk to self indicated.

There are no indications in the OPs post they are in a crisis. You can have severe MH difficulties/distress without being in a crisis. There is nothing to indicate they are suicidal requiring urgent support

A lot of people report suicidal thoughts but they are not actively suicidal.

Being in a crisis would result in a same day referral to a secondary home treatment team and they would be seen face to face that same day.

This comment might be appropriate if we were talking about a random kind stranger, but this is a frontline medical professional dealing with a mentally fragile patient. It’s a serious error of judgement and it should, at the very least, be brought to her attention how inappropriate it was.

How not, when the patient is told that it is their own thinking that is causing the problem?

Just stop, you labelling things from this post that are not there. No one has minimised how severe the anxiety is - I really don’t think it warrants an emergency appointment though based on information shared. There is no risk to self indicated.

There are no indications in the OPs post they are in a crisis. You can have severe MH difficulties/distress without being in a crisis. There is nothing to indicate they are suicidal requiring urgent support

A lot of people report suicidal thoughts but they are not actively suicidal.

Being in a crisis would result in a same day referral to a secondary home treatment team and they would be seen face to face that same day.

Honestly the comments diminishing the severity of OP’s anxiety are disgusting. Suicides are normally committed by people experiencing MH crises. OP is perfectly capable of making a determination for herself. My gp practice doesn’t give out those emergency appointments willy nilly.

But this is the whole problem imo - whether something is rational or not is a very subjective thing. I don’t consider OP’s reaction irrational.

This is really not the time and place to be questioning a poster’s need for a mental health appointment. You don’t know her. OP, ignore these silly comments.

Well no I will call it out - we all know how hard it is to get GP appointments

The client has had CBT before apparently and they should refer back to the work they did then and use the techniques they learned or refer back to that service.

GPs have so little time to accurately assess MH issues compared to primary care MH services who can offer a much longer appointment to do so. Unless they OP was seeking medication review - which again is not an emergency

Its not helpful to view their anxiety as an emergency either as it’s a disproportional appraisal of what they are experiencing - which the OP has insight into re their reference to perfectionism etc.

Irrational thoughts are biased either perspectives or interpretatively speaking. Yes they are subjective and opinionated- often driven by biases.

Rational thoughts are based on facts that substantiate the thought.

OP has a rational/healthy response to an insensitive comment made by GP

The OPs anxiety may not be rational and I think the response to the GP comment and the anxiety are two different things that are getting conflated on this thread

I don’t think she meant badly it was more of a casual comment she might have thought was relatable for your age group but I understand why it hurt you.

Yes thanks I work in mental health

Anxiety is not an emergency

I agree it can be severe and debilitating but does not warrant an emergency appointment unless they were at risk of harming themselves there is no emergency

The GP comment was wholly insensitive

But this is the whole problem imo - whether something is rational or not is a very subjective thing. I don’t consider OP’s reaction irrational.

Why didn't you straight asked her: "excuse what makes you think I want a husband and kids?"

it's their own irrational thinking that's casing the problem. This is the very definition of a mental illness. It doesn't mean there is anything "wrong" with the patient, any more than there is something "wrong" with a cancer patient - they are both just illnesses that need to be treated.