To think this psychiatrist neglects their patients

[User5373839]

I’m on a support group for people suffering from mental health problems in my local area. The main point to to offer support and signpost people to support groups etc in the area. It’s been mentioned on there recently though about the local unit and the consultant at the unit. He removes people of a section within a day usually if they have a particular condition. Aibu to think this is dangerous and if someone meets the criteria to be sectioned less than 24 later you don’t remove the section? Surely it undermines the decision of two other senior doctors and a amhp.

It doesn't do people with EUPD/BPD any good being in hospital. It can actually make things worse. Many trusts have a 'PD Pathway' and the guidance varies I believe, between no admission at all and very short 24-72 hour admissions.

Are these patients taken in by section 2 or under police powers?

All the women I’ve met who have been diagnosed with EUPD have a history of childhood trauma. Many have a diagnosis of C-PTSD or autism as well, I often wonder if being diagnosed with a personality disorder as well is helpful or necessary.

It seems like a diagnosis that is a curse, as it does have a stigma attached to it that means a lot of professionals do not take people seriously when they have that label, as @Lhia29 illustrates well in her post.

For women who have survived sexual abuse, and are behaving in a way that is understandable - in the context of having several trauma - to then be labelled with a personality disorder seems like further abuse as them seems like something is wrong with them.

Especially when you add the prevalent idea that this PD is associated with “telling lies”. Something just seems wrong, as if this diagnosis as thrown at women who self harm and struggle with unstable emotions, without always taking their history into account.

Agree with that. It often feels like your being punished for having experienced extreme and traumatic things. You develop whatever methods you can to cope with your trauma and just survive and get by. And then when you seem difficult to treat, because medication won't work, or are having an extreme reaction to a situation that is triggering (ie I was told I had to go through a colposcopy and lletz treatment and because of what's happened it sent me into that crisis I described in my first post) you are just not trying enough, or being purposefully difficult. I've had suggestions made that I want to be ill or enjoy being ill. I've had professionals say that I enjoy the victim mindset (I do actively work against that and I prefer the term survivor in regards to past sexual traumas).

There's always a few good eggs who "believe" you and approach it with firm boundaries but kindness and empathy. But they are few and far between. And often so stretched and drained themselves.

I'm actively trying to get my diagnosis changes to c-ptsd mostly because of the stigma. Which is ironically a bit manipulative I guess but I tend to get ill (badly) once a year, around a trauma anniversary, and I'm dreading receiving the same treatment I did last year. I don't want to go to hospital or get molly coddled by the home treatment team. I just want to be treated with some dignity, belief and respect.

The people I’m talking about have been admitted on a section 2. Some following assessment from a 136 and others following a request from the persons community teams.

YABU to think it’s just patients with EUPD. I’ve seen patients with other conditions discharged very quickly. Have you ever been in an acute inpatient unit OP? They’re not therapeutic places. People with a diagnosis of EUPD need intensive therapy and proper input which is rarely achieved on an NHS short stay ward.

I have yes and while I agree they aren’t nice places sometimes it’s the only way people are safe.

Admitted in crisis. The crisis has lessened slightly so they're discharged. Seems like good care on the face of it.

Also reviews on the internet won't be the most balanced really op.

It’s not just reviews on the internet. I definitely wouldn’t base my views upon that it’s something I’ve seen first hand.

It's evidence-based practice. The longer a patient with EUPD is an inpatient, the higher their chances of suicide.

Are you back again slating mental health professionals? Your view is completely biased and you are currently in hospital receiving treatment for your own mental health issues which is, really, what you should be concentrating on.

Do you have EUPD?

No I have psychotic depression luckily now managed by medicine. I’m not slating anyone I just wanted to see if anyone had any insight into why this happened.

I’ve not been inpatient for over two years hence I’ve personally never meet this consultant.

I think I'd probably just let the trained professional get on with their job then, and not worry yourself about it.