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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AdPrimary MH worker - would it be unreasonable to report to my GP?

7 replies

pinkpapaya · 05/12/2022 20:26

I have a very abusive background and struggled quietly for years. An incident about 5 years ago ripped the plaster off and I couldn't cope any longer on my own. I was diagnosed with CPTSD by a psychiatrist and a clinical psychologist at the local hospital. Then my non-abusive parent became extremely seriously ill, 300 miles away from my home. Due to surgical procedures and hospital stays, I was unable to access PTSD pathway treatment and was discharged with recommendation to get a referral when things had calmed down a little.

Was referred to the Primary Care Mental Health Worker at the GP's surgery. Today was my 2nd appt. Last week, she made me feel very judged. She made comments about my appearance and that my hair was clean (I have scalp psoriasis and have to use prescription shampoo). A friend had come round to help me with my hair treatment as I have allergy issues on my hands and to accompany me to the surgery (I suffer from agoraphobia). She then asked me where I live (an affluent part of town but I am a social housing tenant) then immediately asked my why I wasn't paying to go private with a therapist as though she thought I was rolling in money. Then she asked why I didn't move to where my parent is because 'it is so pretty there'. She asked me who helps me with day to day things and I said 2 or 3 friends to which she responded 'Oh lucky you! I wish my friends would do things like that for me'. I felt really uncomfortable and tearful. When I left, there was no mention of crisis lines, what do if I felt worse etc.

Today, she said that I had 'quite a nice lifestyle, living in town then able to take breaks at the coast. Lots of people would live to do that' - I explained that I don't see the coast when I am there as I am with sick parent who can't walk and is very ill with a degenerative illness. She then made me do a family tree and said 'You told me you have no family but you had lots of people around you' - I pointed out that most were dead or were abusive or had colluded in abuse so although they exist, they may as well not have. It left me feeling hugely distressed and again, like she was unempathetic. She then made a comment that my coat was 'stylish' which sounds like a compliment but felt like a judgment given everything else going on.

She then informed me that she had contacted the PTSD people at the hospital and they had written back saying there wasn't enough evidence of PTSD so they couldn't accept her referral.

I was gobsmacked. I have had the diagnosis for 2 years by two highly qualified MH professionals, nothing has changed, in fact it has got worse so who knows what this woman has written about me to them after one hour in my company during which time she was making assumptions about me, my lifestyle, my finances, my clothing choices etc.

I desperately need a referral back to the PTSD people and I feel tearful, nauseous, shaky and my arousal levels are sky high right now. It felt like she was interrogating me and no empathy. I am worried she has written things that are detrimental to me accessing treatment. I don't feel comfortable with her but scared she will skew it that I am paranoid or something.

How can I handle this situation please? If anyone has advice I would be really grateful. Would it be reasonable to speak to my GP about this?

OP posts:
Ilovemybed2022 · 05/12/2022 20:30

Please go back to your GP about this. This person sounds unprofessional. Any idea what their qualifications actually are? I'm sorry you have to go through this

pinkpapaya · 05/12/2022 21:37

Thank you. I feel so awful right now. She made me feel really judged and upset. I have never had a medical professional say things like that in relation to my MH. I feel so scrambled up right now with hyperarousal and my head is all over the place. I wasn't sure what to do but I am super worried about what she has said to the hospital and the implications for me accessing treatment.

OP posts:
Ilovemybed2022 · 06/12/2022 13:59

Hey OP. Have you managed to speak to the GP? Or even the practice manag er. Can I ask if this person is actually qualified?

NotAnotherCrisis · 06/12/2022 15:07

I would ask to see your medical notes to see what she has written.

On a much smaller scale I have had comments like that from community mental health nurses, e.g. 'you're so lucky to have a nice husband, he can look after you', 'come on, you don't really feel like that do you?', 'everyone gets anxious'. It's actually really distressing and interestingly I've been treated with huge compassion by psychiatrists but largely like I am a nuisance by the nurses.

You must challenge this to get the treatment that you need. Good luck.

pinkpapaya · 09/12/2022 16:13

Hi Ilovemybed2022 and NotAnotherCrisis,

Thank you so much for responding and for your advice. I really appreciate it.

I am going to make an appointment with my GP to discuss this and tell him I don't want to see her again. I assume she is a mental health nurse.

After my last session, I was physically sick in the street after I left as I felt so churned up and ended up calling the Samaritans at 1.40am as I was so distressed.

I know I have to keep it as neutral as possible at the GP but not sure how to broach the subject.

OP posts:
JusteanBiscuits · 09/12/2022 16:46

I would suggest self referring to your local IAPT. Google IAPT and your area, and it should come up with details. There should then also be details on self referral - so you don't need this persons or GP's involvement. IAPT will do an assessment, where you can explain you already have a CPTSD diagnosis and they will refer to the appropriate service.

This sounds shit. To be honest, the mental health support in GP's isn't for anything complex or difficult - just basic anxiety and depression that responds to CBT and similar. I really hope you can get the help and support you need.

KettrickenSmiled · 09/12/2022 16:50

I don't feel comfortable with her but scared she will skew it that I am paranoid or something.
What a horrible experience OP I am so sorry. Flowers
fwiw - there is NOTHING coming off your initial post that smells of paranoia.
You described what happened clearly & are not wrong about many of her comment being out of order.

I know I have to keep it as neutral as possible at the GP but not sure how to broach the subject.
Print off your OP & use it as a prompt.
You can then even just hand it over if you get wobbly & find talking difficult.
Your GP will want to know that this MH worker is ... let's just say falling prey to personal bias.
You don't have to make any accusations - just say how & why you felt judged, & how you think that that judgement has been used to block your access to the help you need.
Remember that you need was acknowledged & documented 2 years ago. It's not your fault that events with your parent took over so that you were not available (I'm guessing whatever treatment was location-dependent) to follow the treatment pathway then.

Good luck OP.

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