To agree with Wes Streeting's statement that MH issues are overdiagnosed?

[Locutus2000]

Pretty controversial stuff.

Who decides?

It's a bit like, say, arthritis. You may have mild arthritis in your knee but take a couple of paracetamol and walk to work. Or, you may have severe arthritis and take multiple meds and walk with a frame. Same illness, different severity.

Ditto anxiiey and depression.

Well you seem to be an expert so how does that manifest in anxiety and depression- the difference.

The pp answered your question.

No they didn’t

Methinks some posters don’t actually know what they’re pontificating about.

In that case enlighten us??

Well again, severe mh problems would manifest in high doses of multiple meds and frequent hcp/mdt teview.

Mild anxiety would manifest in low does meds on repeat prescription with the odd phone consult review.

I’m not the one stating people
aren’t genuine and are keeping resources from those who are.

What is a genuine presentation of anxiety and depression as opposed to one that isn’t?

😂Err no it doesn’t really work like that.

The answer is in the dose, the amount of meds and the reviews.

Serious illness of any type necessitates multiple meds and reviews, whereas mild ailments only small doses and occasional check ups. Do I need to keep repeating this?

Not really. I know plenty of people with severe MH conditions who are just under the care of their GP. CMHT just want to get people to a certain stable point and get them off their books. The only people I know still under them are those who have depot jabs, as GPs do not do this.

Yes the latter is the worried well as I referenced earlier, I refer to myself like that, my psychiatric nurse friends refer to me like that and themselves who fit into that category. We all work.

Well that’s bullshit!

My dd has been seriously ill for several years. She is on low doses of meds and her team don’t constantly review once meds are stabilised. Meds are just a part of her treatment.

I don’t know… I’ve lived through what I consider to be normal anxiety / depression /stress. None of it has been acute, thankfully. I’ve never need medication for mental health issues. I would never see a psychiatrist / therapist. I wouldn’t rush to label myself or child with anything, unless explicitly diagnosed by a doctor, if there was an obvious reason to do so. I’ve never really thought about any of it. Aware that I’m just lucky!

Your question has already been answered. If that is not good enough for you then maybe approach a HCP who may be better versed to give you the depth and analysis you so desperately crave.

This.

3 people undiagnosed in our house so I don’t know if this is correct. If it means autism and adhd, I think it’s incorrect.

Don’t need to I know you’re talking nonsense.

Hmmm -I am on a low dose of antidepressants for anxiety. Have been for 5 years. My GP told me last time I had a check up that long term antidepressants use is now being linked to dementia. So not ideal.

No. I'm not.

I disagree

Im worried about this but also that you cant even speak to a GP to go through the pros and cons properly, they dont give you time

PPIs are also meant to have some risk indicators for this too

On the other hand HRT is meant to have risk mitigation, but again anther thing you dont get enough time to discuss with the GP.

Thats why its physical health that is impacting on peoples MH diagnosis or non diagnosis to a significant degree.

I don’t know whether he’s unreasonable, but I doubt he does either.

I am stating this and have provided an example above for those who are taking the resources from people that actually need it.

Generalised normal but brief feelings like nervousness, anger, sadness, hopelessness, etc are not a MH crisis. You do not need to take up resources like medication and NHS counselling or need a sudden diagnosis because your depressed. When it starts to have a prolonged impact on your daily life and beliefs do you then need to seek additional support and a diagnosis.

The lack of resilience and understanding of the general normal emotions/reactions that people now claim are depression and anxiety are what are taking up resources for those who are perhaps self harming for example and can't get access to the help.

NHS MH resources are limited and have been cut to the bone in recent years. No one with severe issues is losing out on treatment because someone with mild depression is getting help. Secondary MH services wont take someone on with mild depression/anxiety as they can be managed by a GP.... and someone seeing their GP is not taking that resource from someone else. If some one feels they are suffering, and it does not matter that it does not meet your standard of what is severe enough.... they should get help. Everyone deserves a life worth living.
I just hope there is no one reading posts like yours thinking they are more of a burden than they are already feeling.

The issue is that it is subjective and everyone has different behaviours. I work with people who have significant depression and anxiety and it is heartbreaking to be in their company. You can feel the sadness and this flatness about them.

Then you have others who seem to think they should not have any stress and should be happy all the time when life is not like that.

However, I am not a medical expert and cannot invalidate anyone’s experiences or make a diagnosis.

I always remind myself that people in my personal life I know to have taken their own lives did not present as depressed.

I think there are lots of intersecting issues.at the root of the surge of people presenting with anxiety and depression.