Is there a limit on how long someone can be under a cmht

[Happiestyearofmylife]

Dd has been under one two years. She meet someone as an inpatient that has been under the team 8 year is this common? I always thought it was short term?

@Happiestyearofmylife

I know people that are having weekly input from cmht that my dd knows.

And?

Your post is really ignorant.

Why is it ignorant. I didn’t mean it to be I was honestly just curious as dd’s care coordinator told her she only expects people to be under her a few months

@Happiestyearofmylife

Why is it ignorant. I didn’t mean it to be I was honestly just curious as dd’s care coordinator told her she only expects people to be under her a few months

Does you/your DD want to be under the cmht long term? Do you feel she isn't getting enough help? It's unclear as you are being quite vague. Also, BPD is very stigmatised and they don't want people to become too reliant on services and they need to develop their own coping strategies. Perhaps that's what she was getting at.

Because quite a few people have told you their experiences and also explained why and yet you seem to be in disbelief and defensive as to why they would be.

I'm not sure you quite understand that not all neurological conditions can just be "fixed" that they are life long conditions that require support from people such as CMHT's. It's also, to me, quite common sense that some people may need life long support just like they would with a physical condition?!?

@manipulatrice

Because quite a few people have told you their experiences and also explained why and yet you seem to be in disbelief and defensive as to why they would be.

I'm not sure you quite understand that not all neurological conditions can just be "fixed" that they are life long conditions that require support from people such as CMHT's. It's also, to me, quite common sense that some people may need life long support just like they would with a physical condition?!?

I agree

Yes I get that but I’m talking about people with eupd not bi polar.

@Happiestyearofmylife

Yes I get that but I’m talking about people with eupd not bi polar.

I am someone with eupd trying to share my experience but you don't seem happy with my answers?

@Happiestyearofmylife

Yes I get that but I’m talking about people with eupd not bi polar.

I work within inpatient services some people with EUPD have been inpatients for 3 years so yes they will probably be on a CMHT after discharge for a long time to prevent another admission to hospital. Inpatient care costs a lot more than community care.

Imnewhere1991 I have

@Happiestyearofmylife every patient is different. Much like patients who have life-long illnesses such as diabetes-some will never manage it well, some will need extra support sometimes, and other people will need support hardly ever.

There can be no generalisations.

EUPD is complex, can require intensive CMHT support long-term from a variety of community services, and still result in multiple admissions via normal admission routes, via general hospital services such as a&e and unfortunately often through the police under section 136.

Good community care can help to prevent admissions, give a better outcome long-term and help to give coping mechanisms beyond inpatient admissions.

You have to learn to trust the process, but also understand that psych medication had limited effects on EUPD patients, that benzodiazepines are overused, and that practitioners have limited access to provide therapy, and sometimes struggle with how to treat EUPD patients due to their challenging behaviours.

It wont help you or your DD to compare her to other patients and their CMHT experiences. Every single person under CMHT has their own needs. Some will only see a psychiatrist twice a year and that is the only input, and others will have weekly meetings with a CPN. Even people with the same diagnosis can vary wildly.

EUPD is treatable and it is possible to no longer meet the diagnostic criteria. That is what makes it different to conditions such as bipolar
or schizophrenia. You have them until the day you die.

I have EUPD, and have always been told any time under CMHT is to get me through a rough patch and wont be long term. I have done DBT.. sometimes I just need help getting back on that path, but the bulk of the work is and should be down to me. People with EUPD can become over reliant on services.
I have been guilty of comparing myself to other patients... thinking that they must be worth helping and I am not if they are getting more input than me. It just feeds into my EUPD to think that way, hence why I do understand why there needs to be boundaries and limits set on the help from services.

This article is quite interesting and informative

https://www.researchgate.net/publication/342080994Referrallofpatientsswithemotionallyyunstablepersonalityydisorderforrspecialistpsychologicalltherapywhyywhenanddhow/fulltext/5eed0135a6fdcc73be8d72c9/Referral-of-patients-with-emotionally-unstable-personality-disorder-for-specialist-psychological-therapy-why-when-and-how.pdf?origin=publication_detail

EUPD is one of those conditions where a large proportion, if not most people diagnosed with it, will have experienced significant trauma, usually in childhood. The “gold standard” treatment for this kind of trauma is specialist psychological intervention but one has to be pretty stable to be able to access this kind of therapy, especially if the aim is to make people “better” rather than re-traumatise them… Therefore the aim of the CMHT is to stabilise people with EUPD, through medication and interventions like DBT enough, so they can cope with therapy. Now, this can take a long time and doesn’t always work out (for some service users it’s just firefighting to keep them alive and out of hospital) and, as EUPD is a complicated diagnosis, not all people diagnosed with it will have experienced trauma (or even benefit from longterm CMHT support) and, yes, over reliance on services is sometime a problem but it’s a pretty good explanation for why some service users have longterm involvement with the CMHT.
I’m a student mental health nurse and have come across service users with EUPD who’ve been under the CMHT for decades. They’re stories are often horrific and, IMO, they should get all the help they need. Do you think differently? @Happiestyearofmylife

@Happiestyearofmylife

Yes I get that but I’m talking about people with eupd not bi polar.

What about the experiences of people with both? Would they count? I have both, am still under CMHT however haven't seen anyone for about 4 years now. I did have some self regulation but had group therapy and DBT about 9 years ago and this has given me more tools to help. I am lucky enough to have a very supportive husband and friends at work who understand. They know there are times when everything goes very wonky so we revert to my support plan, work also take steps to think about how issues are dealt with - this has been the most helpful. At the moment things are ok ish, I know I need to have some intervention but don't want to hassle the services so am managing. If I go fully suicidal (only skating at the edges atm) then I will refer back to crisis team etc. As a pp said one of the main purposes of eupd treatment is to encourage self regulation (btw I am one of the rare eupd sufferers as there was no trauma that caused it, I just have it).

I was under the CMHT for seven years. At the start of that time their involvement was pretty intense; by the end it was just a a check in with the psychiatrist every 3 (then 6) months. Everybody's needs are different.

EUPD and BiPolar are both conditions that cannot be cured, the fact you have drawn a comparison is utterly ridiculous and shows more of your ignorance OP.

@manipulatrice

EUPD and BiPolar are both conditions that cannot be cured, the fact you have drawn a comparison is utterly ridiculous and shows more of your ignorance OP.

EUPD can be "cured" in a sense it takes massive engagement with specialist therapies. If you don't meet the diagnostic criteria after having therapy then you don't have EUPD anymore.

@Happiestyearofmylife

I just don’t understand how they have the resources to keep people under them long term.

You could say the same about other healthcare. Diabetes, chronic kidney disease, transplant patients...

It's cheaper to provide consistent long term healthcare than leave someone to deteriorate so that they require more expensive and intensive interventions.