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Mental health

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For people worried about getting help.

15 replies

fluffydressinggown · 24/07/2012 20:12

I have wanted to make this post for a while and I suppose recent events on this board have made me post it.

I have read a lot of threads about people being nervous about seeking help and being scared of being admitted or having medication or therapy so I wanted to share my own recent experiences of mental health services. Obviously this is just me and it is different for everyone. I live in a city but not a big one known for its health care system!

I re-entered into services in December via my GP. I went and sobbed about stress at work, he listened and offered me choices and support about my care. I was signed off for two weeks, I was referred to the primary care talking therapies service (IAPT) and prescribed medication. He listened and did not minimise or ignore my distress.

Within 3 weeks I had access to talking therapies.

During my time with IAPT (which was low-intensity and for a short time) I was listened to, appointments were convenient for me and my therapist went well out of his way to support me. It became apparent by February that I was too unwell to manage with this service because of my mental state and self harm.

I was referred for an assessment, someone came to my house the next day and listened to me, she started me on the crisis home treatment service which is an intensive support service where people visit you at home a lot.

Home treatment was not always easy but they worked with me to find me a great key-worker and a care plan that worked for me, I was given different medication and time to cry and talk about my issues. I was never judged or told off for self harm. And when I became too unwell to manage at home my admission was done very gently and I stayed as an informal patient for 3 months.

Being in hospital was difficult, sometimes the staff did not understand and sometimes I felt judged and not supported. BUT they worked very very hard to improve their care and people went well out of their way to provide appropriate care for me. They had meetings with the community team to find the best way forward and I was advocated for and by the end of my admission really listened to and supported. They started my community therapy in hospital which was very helpful because it meant I started it in a very supportive environment. In hospital by and large my privacy and dignity were maintained, the hospital was clean and fresh and I was allowed to find my own path through my admission (started off never leaving my room, ended up spending time in communal areas because I wanted to - big progress). Some other patients were a bit scary and it was noisy and busy sometimes. Sometimes I wanted to leave and wasn't allowed and that was very upsetting and difficult but it was done in my best interests.

On discharge I am continuing the therapy I have had in hospital and as my mental health has still not improved enough to where I am safe I have had home treatment again which again has been supportive and largely non-judgemental. I have been given a very experienced CPN which is a huge help.

Things have not been perfect, I have been told off and hung up on and not listened to and at times it has been very difficult. But overall services have reacted appropriately and worked and tried hard to meet my (very complex) mental health needs. Sometimes I get frustrated and upset and feel let down but after that people have tried to improve the care I get and they are only human and I accept that sometimes they will not get it right. It is upsetting when people are rude to me or patronising but I try hard to move on.

So please please don't be scared about getting help, because as hard as all of this is (and my God it is hard) it has been made easier with the vast amounts of support I have had.

Sorry this is long, I just wanted to share a positive experience.

OP posts:
kizzie · 24/07/2012 20:30

Well said Smile

NaturalNatures · 24/07/2012 20:37

Thankyou Fluffy.

Getting help can be difficult but really does help.

Problems can arise but places like MIND can advocate for you and it is important to raise concerns incase there are bad practises occuring.

I had a breakdown but was fully supported in the community by the NHS and SS who did everything they could to ensure I kept my family together breadwinner Mistakes did happen and the waiting list was long but my gp's made contact with me everyday and SS were very supportive.

MotionOfTheOcean · 24/07/2012 20:40

If ever a thread needed starting it was this,well done Fluffy.

ImperialBlether · 24/07/2012 21:04

That's an amazing post, Fluffy.

DadIsSad · 24/07/2012 23:13

"I was referred to the primary care talking therapies service (IAPT) and prescribed medication. He listened and did not minimise or ignore my distress.

Within 3 weeks I had access to talking therapies."

Hmm. I'm currently trying to work out what to do next (I know one thing I could do, as pointed out by somebody at the bottom of my recent thread on here, but in a horrible vicious circle I'm not mentally well enough at the moment to make such a huge decision). The thing is though, I went to my GP and saw a Gateway Worker, but was told the wait for any sort of therapy on the NHS was 6-8 months. Hence I paid for some private counselling - but one of the reasons I stopped is my current financial situation where I'm counting the pennies and it was a significant outlay compared to the rest of my budget. Did I miss something here, ask for the wrong thing, or have I just lost out in the post code lottery?

I tried to get some help, but it's not necessarily that easy to get.

fluffydressinggown · 24/07/2012 23:23

No it isn't always that easy.

I have previous history and I am a very high risk service user so I do tend to be seen quicker (would not recommend this!), I was fast tracked into psychotherapy because there is concern about my current risk.

The IAPT service was set up to reduce waiting times, but if you need to be seen by secondary mental health I know that can take time.

When I was referred to IAPT they offered different services and the one I went to had the least wait, I know the counselling and CBT had much longer waits. I know they also do computer and phone based support so that might be worth investigating as a stop gap.

OP posts:
mummylin2495 · 24/07/2012 23:42

Glad to see you posting today fluffy.Hope things are improving for you daily.have you seen any of your medical team today ?

NaturalNatures · 24/07/2012 23:57

Hi Fluffy, I hope you don't mind me posting, I don't know your story, hope you are ok?

I must have been seen by the secondary mh team as it took 8months odd to receive councelling, I was doped up quite heavily on ad's at the time and wish I'd accessed the services of MIND. I did do a lot of self help.

DadIsSad · 25/07/2012 00:11

"I have previous history and I am a very high risk service user so I do tend to be seen quicker (would not recommend this!), I was fast tracked into psychotherapy because there is concern about my current risk. "

Ah - I should probably be glad I'm not in that position in that case. My sympathies, but glad to hear you've found treatment which helps.

fluffydressinggown · 25/07/2012 00:14

Hi Mummylin, I made a new thread to update, even if nobody reads I think it is good for me to get it out so this thread can be for people to share their experiences of getting help and support for their problems.

OP posts:
greentreespurpleflowers · 25/07/2012 06:55

This reply has been deleted

Message withdrawn at poster's request.

mummylin2495 · 25/07/2012 15:26

Im not much good for advising anyone ,i have never been in your position ,i only know what i know about my own sisters illness.Yours i dont understand at all,but its nice to chat to you when you need an ear.

NanaNina · 25/07/2012 15:49

Nice to read your post Fluffy and I remember your other posts, when you were clearly struggling, so was glad to hear about your admission to a psych ward. Your experiences sound better than mine actually. I had my own room which was good and there was a nice garden and given that I was 66 on admission I was on the "over 65's" unit, so it tended to be fairly quiet, which was good. I certainly wsn't given the chance to phase in my admission in the way that you describe, which would have been helpful.

The thing was the staff nurses were always busy in the office and the nursing assistants (with one or two exceptions) were no help at all as they just sat around talking to each other and looking bored stiff. The only time they wanted to talk was when someone was well enough for ordinary "chit chat"

Itook had a brilliant CPN for over a year.

Really glad you started this thread Fluffy and good to know that you are satisfied by the care you have received, but also sorry for people who are not getting the help they need. I think the NHS in mental illness is much the same as in physical illness - they spring into action if something is very urgent but dilly-dally about with something they don't consider urgent. I'm not meaning to discount anyone's mental illness by the way, but I do know that only 1 in 10 people consulting a GP get referred to a psychiatrist and not sure how many of them get admitted. Some people of course are sectioned under the Mental Health Act if they are a danger to themselves or others. This is often with patients who are psychotic (as in out of touch with reality) because they don't realise that they are ill. People with depressive illnesses can be sectioned, but rarely, because the danger to themselves is if they stop eating and especially if they stop drinking, as this can happen.

OwFriggingOw · 25/07/2012 19:10

Thanks and :)

mummylin2495 · 28/07/2012 20:34

I hope you are having a good couple of days and that something nice is planned for the weekend to lift your spirits.You will get there in the end although im sure it seems like a long long road to you.Just one little step at a time.have some Thanks to cheer you up a bit

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