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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To be worried about mental health act assessment

101 replies

busyweeks78 · 09/01/2020 21:05

My care coordinator mentioned this a few weeks ago I think now but luckily I managed to convince her I would be better off staying at home. Today when I meet her though she’s said she’s asked for one to be done and it will be done tomorrow. It’s to do with concerns for both my mental health and my eating etc. If I end up up being detained will I be sent to an acute ward or an eating disorder unit?

OP posts:
UndertheCedartree · 10/01/2020 19:22

Don't forget you can get help from an Independant mental health advocate if you want to request the section is lifted at tribunal.

busyweeks78 · 10/01/2020 19:40

No I won’t see the consultant till Monday now.

OP posts:
UndertheCedartree · 10/01/2020 20:19

Oh yes, sorry I forgot it was Friday. Do you have anyone to visit you over the weekend?

Schuyler · 10/01/2020 20:22

It’s unlikely they will keep you until you’ve gained all the weight you’ve lost. They’ll keep you until you’re mentally and medically stable. For many people, that’s when still underweight but to continue with your treatment as an outpatient. There are few EDU beds available nationally, so try and accept the help you’re getting now, however it may be.

MitziK · 10/01/2020 20:28

It's still safer than you remaining at home as you are right now - hence the section.

When you're this unwell, it really doesn't matter how nice or 'good' the ward is - you aren't going to like it because they're disagreeing with your thoughts - which, as shown by the section, aren't an accurate portrayal of what is happening; you are seeing that you're having a bit of trouble eating, they're seeing somebody who is danger to herself because she is continuing to restrict to a point at which it is life threatening - as would anyone else who isn't in the grip of an ED themselves (or has been there, got the child sized t-shirt, crumbling teeth and fucked up bone density).

All over the Christmas period, you've been posting things that come across as you having very poor insight. I've answered most of them factually and, hopefully, kindly.

Much as it goes against how you feel right now, try your best to trust them. They want you to be alive, healthy and happy - right now, they are concentrating upon the alive part. Getting assessed, healthy and happy will take longer and will involve further input both as an inpatient and upon discharge.

CarolinaPink · 10/01/2020 20:34

(((OP))) Flowers

This sounds very frightening, and I really feel for you. I hope you have friends/family to support you while you’re there, and I hope all goes as well as possible for you Flowers

UndertheCedartree · 10/01/2020 21:57

@MitziK - I actually disagree that just because you are sectioned you will dislike the ward - that isn't a given. The OP should be able to express her feelings about the ward without them being discounted just because she is mentally unwell.

user1470132907 · 11/01/2020 10:45

OP my experience is that it is very very hard to get a MH ward bed, so I don’t think the decision to section you will have been taken lightly. On the wards I’ve been on, the psychiatrists have always been keen to get people discharged as soon as they’re able to keep themselves safe at home (with community and outpatient support) so hopefully you won’t be in there too long. The general thinking now seems to be that people only start to truly recover once in their normal environment, so they don’t want to keep you in the hospital bubble too long.

I found on one stay that the nurses weren’t proactive and I could go days without speaking to one. I ended up chasing them repeatedly to get some 1:1 time with them. I found this helpful as, apart from anything else, they tend to be making the notes that brief the psychiatrist about how you’re doing. If your allocated nurse is shit but another seems alright, see if you can have an informal chat with the alright one - diplomacy can help. It shouldn’t be this hard, I know, but I found this helped.

My only other advice is to be absolutely honest with your nurses and psychiatrist. I know it’s it hard to figure out the right things to say that will get you home quicker, but you will just end up back in hospital. It’s not worth it.

Oh, and really pin them down on what your discharge plan and follow up will be - this is a frequent place where things break down and your recovery can be compromised. Again, it shouldn’t be like this but often is.

If there are community meetings on the ward, attend them and make your feelings about the general ward environment known. These should be minutes and treated with some seriousness.

If you don’t feel well enough to advocate for yourself right now, get friends or family involved and give them permission to be involved with your care. Getting an independent advocate is also a great idea.

user1470132907 · 11/01/2020 10:47

*easy to figure out

AraGrand · 11/01/2020 10:52

Hey Op. Hope today is a better day.

lljkk · 11/01/2020 10:56

Why didn't the bloods get done, OP?
What do you weigh now (& how tall are you)?

busyweeks78 · 11/01/2020 11:18

Thank you for all the messages. The ward is very unsettled. I decided not to get the bloods done and I’m 15 pounds underweight now.

OP posts:
LIZS · 11/01/2020 11:32

What was your decision to miss the tests based upon? For most people 15lbs would be within tolerance, or is this 15lbs below the underweight zone on bmi? Are you physically unwell because of this?

UndertheCedartree · 11/01/2020 11:34

Great advice from @user1470132907. Hope you find some staff and patients you feel comfortable with today. Take care of yourself in little ways - take a nap, have a cup of tea and a biscuit, have a shower, do some colouring or a crossword (if that's your thing), read a book. Have you family or a friend that can bring some things in for you?

busyweeks78 · 11/01/2020 11:47

I’m 15 pounds below the minimum healthy bmi. Though they expect people to be a bmi of 20 ideally.

OP posts:
TheSparklyPussycat · 11/01/2020 11:52

IME the staff are too busy for much 1:1 stuff. It can be a bit weird depending on other patients' states, but talking to other patients can help- and passes the time, which can hang heavy.

UndertheCedartree · 11/01/2020 13:38

I agree a lot of comfort, empathy and support can come from other patients. I did find it was possible to have a chat with the staff a few times a day even on a busy acute ward. It might not be for too long and be 'on the floor' as they are on obs, though. If you want a 1:1 in private try to speak to your named nurse and they should be able to accomodate it even if not there and then.

@busyweeks78 - I was about 7 pounds under weight when I went onto an acute a couple of years ago. They didn't make a big deal of it but did encourage me to eat.

MitziK · 11/01/2020 14:00

That means that you're very, very underweight and at risk of dying. You need to be there - especially as you didn't have the blood tests that are so important.

lljkk · 11/01/2020 14:20

Anorexics in treatment programmes are walking around out in the community with BMIs as low as 13-14. Your BMI sounds unlikely to be below 17.

OP, WHY did you decline the blood test? What are you afraid will happen due to blood test?

UndertheCedartree · 11/01/2020 14:45

@lljkk - agree. The OPs weight won't be seen as a big issue. There will be others in there underweight too.

busyweeks78 · 11/01/2020 15:52

My bmi is 16.2 according to the nhs bmi checker.

OP posts:
Rose789 · 11/01/2020 15:53

Your condition seems to have escalated a lot within less then a month. Before Christmas you were offended your psychiatrist noticed you were underweight, then you were offended they asked you to go for a blood test as you didn’t have an eating disorder, then you had booked in blood tests in the new year. Now you have been sectioned for an eating disorder and not getting blood tests done.
What was the section actually for?

UndertheCedartree · 11/01/2020 16:03

@busyweeks78 - are you on a section 2 (1 month) for assessment?

busyweeks78 · 11/01/2020 16:09

I hadn’t seen my psychiatrist for a while which is why she hadn’t noticed I was underweight and I’ve always been on the lower side of the healthy bmi. I’m not just sectioned for eating I’m sectioned because my general mental health has deteriorated.

OP posts:
busyweeks78 · 11/01/2020 16:10

They said I’m not engaging with mental health services which includes not getting the bloods done. Yes I’m on a section 2.

OP posts: