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AMA
Original poster

I’m a mental health nurse- AMA

58 replies

Tethersend01 · 04/01/2023 22:10

I’ve been a mental hear nurse for 27 years, I’ve worked in inpatient and community, all in adult care but I’ve never worked with Children’s services. I know work in a service thats a bit like a general triage service for everything. Happy to answer questions about my role or any general type of mental health queries!

OP posts:
Original poster
Tethersend01 · 08/01/2023 18:08

@Neverhot I’m not 100% sure but I think you would probably need to do the add on, however, there is a huge shortage of LD nurses and even less that are dual qualified so I suspect you might even be able to get sponsored to do the top up if you can find a job in a trust that has both MH and LD services (mine does). We are also desperately short of people with expertise in the less severe presentations of Autism alongside MH issues, and our trust has just appointed a band 8 specialist to help develop services, my point being there are opportunities!!

OP posts:
Original poster
Tethersend01 · 08/01/2023 18:23

@Bpdqueen @XenoBitch a person deserves and should be treated with respect and empathy no matter what the diagnosis, and I’m really sorry if that hasn’t been the case. No one should be left to cry it out (the only exception would be if the person themselves agreed that this is the preference approach for some reason.
Some professionals, particularly those who don’t have a robust understanding in attachment theories and trauma focussed care can fall into the trap of attributing challenging behaviours in the wrong way, I would also say that psychologically speaking, some people who present with PD can experience and also trigger very strong emotional reactions in relation to professional caregivers (transference and counter transference reactions) and this must be very challenging to deal with positively in a pressured ward environment. I do believe the understanding of PD has come a long way since I qualified and we know a lot more about what works and doesn’t work for people (dialectic behaviour therapy is the gold standard currently but we need many more people to be trained). So yes, I do think people with PD would find the current MH system difficult and we still have a long way to go to ensure services are appropriate, effective and most imports accessible!

OP posts:
Original poster
Tethersend01 · 08/01/2023 18:26

@JesusWearsPrada no I haven’t but have just read some reviews and it looks fascinating!!

OP posts:
JollyLab · 10/01/2023 22:56

Hello, I wonder if you might be able to advise on a situation my sister is facing. She lives in South Wales.

Her husband is suffering with mental health issues but refuses to seek help and is in denial through fear of losing his job. He is currently signed off work but has lied and said it is stress. It has been around 5 months.
It’s difficult to explain what his issues are without giving examples, so hope this is ok…..

(Background - he believes that my sister is cheating on him (can appreciate his insecurity here as it happened with his ex wife))

Examples:
So whilst sitting beside her, he’ll take a photo of her hand and his. Then he’ll immediately ask who the man is in the photo. Is it who she is having the affair with.

He believes there are people hiding in the house. So he rips the house apart looking for them (like shreds mattresses, takes kitchen cabinets off walls and burns carpets)

He wakes the children up during the night to tell them that their mum is leaving because she’s found someone else. He also destroys their things (things like toys where evidence could be hidden or baby scans in books as it’s evidence of cheating)

He has joined pages such as only fans and screenshots every female with brown hair and sends it to her asking why she is on there? (300 screenshots per time of doing this. None are her or even look remotely like her).

So the issue here. Nobody will help her. Everybody she had spoken to says it’s up to him. She managed to get him to speak to the GP on the phone and he said he was fine so that was that. She’s been to the gp for herself and they said they can’t help but does she want tablets?!

Im so sorry for the long message. I’m hoping for some advice on what she can do. She loves him and doesn’t want to leave of course but she can’t even go out because he threatens his own life. She says she doesn’t think they are in danger but I really fear that may escalate (he was aggressive/violent whilst she was on a work call and ripped her headset off her and threw her laptop at the wall yesterday)

Again, sorry for the long message. Really appreciate your offering on here :)

Name99 · 15/01/2023 17:15

JollyLab · 10/01/2023 22:56

Hello, I wonder if you might be able to advise on a situation my sister is facing. She lives in South Wales.

Her husband is suffering with mental health issues but refuses to seek help and is in denial through fear of losing his job. He is currently signed off work but has lied and said it is stress. It has been around 5 months.
It’s difficult to explain what his issues are without giving examples, so hope this is ok…..

(Background - he believes that my sister is cheating on him (can appreciate his insecurity here as it happened with his ex wife))

Examples:
So whilst sitting beside her, he’ll take a photo of her hand and his. Then he’ll immediately ask who the man is in the photo. Is it who she is having the affair with.

He believes there are people hiding in the house. So he rips the house apart looking for them (like shreds mattresses, takes kitchen cabinets off walls and burns carpets)

He wakes the children up during the night to tell them that their mum is leaving because she’s found someone else. He also destroys their things (things like toys where evidence could be hidden or baby scans in books as it’s evidence of cheating)

He has joined pages such as only fans and screenshots every female with brown hair and sends it to her asking why she is on there? (300 screenshots per time of doing this. None are her or even look remotely like her).

So the issue here. Nobody will help her. Everybody she had spoken to says it’s up to him. She managed to get him to speak to the GP on the phone and he said he was fine so that was that. She’s been to the gp for herself and they said they can’t help but does she want tablets?!

Im so sorry for the long message. I’m hoping for some advice on what she can do. She loves him and doesn’t want to leave of course but she can’t even go out because he threatens his own life. She says she doesn’t think they are in danger but I really fear that may escalate (he was aggressive/violent whilst she was on a work call and ripped her headset off her and threw her laptop at the wall yesterday)

Again, sorry for the long message. Really appreciate your offering on here :)

She needs to contact Women's aid and the police, no one can diagnose him over the Internet, but she is suffering abuse and so are her children.
This is truly awful and sounds like some kind of psychosis, but whatever it is she needs to get her children away from this ASAP

mumsys · 15/01/2023 18:19

This reply has been withdrawn

This has been withdrawn at the poster's request.

sneakyrussian · 21/01/2023 15:26

I just wanted to say thank you because the mental health nurses I saw through a recent crisis were incredible under pretty awful circumstances. I've a long way to go but they have put me on the right track and it's the first proper help I've had. It must be a tough job but thank god for people like you as you have made such a difference to not just me but my OH struggling to look after me.

aussiemoist · 21/01/2023 15:36

@JollyLab the nearest relative can request a mental health act assessment. She needs to speak with the gp.

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