Psychiatrist wants to discharge me because I can't/ won't engage with therapy

[mydogmymate]

I have suffered with depression my whole adult life ( I'm 54) and I've had every medication under the sun, but nothing has really worked. I've also had numerous talking therapies, but I didn't feel like it has got me anywhere.

I've just been to see the psychiatrist, I see her once every 3 months, and she has told me that, because I won't engage, she will have to discharge me. I can see her point, in that there's nothing more she can do for me, but I can't face another counselling session. I'm fed up of talking about past trauma because nothing changes. I still feel like my life is over, I don't have any motivation to change anything. I just want to sleep.

I'm panicking now about being discharged, I just don't know what I want to happen. I don't have any support, the mental health team can't justify a CPN for me apparently, and I don't really have anyone in real life either.

As anyone else been in this situation? Is there a way forward?

I'm a troll forcboicong an opinion? don't I have that right?

I think you can change the way you think about this.
You need to accept that therapy hasn't worked and that this, how you are, is you. You can try in the future if you want, but for now, you're not going to.
Remove the pressure to 'fix' things and just 'be'. I know it sounds wanky. Have you tried mindful self compassion? It really helps you to be inside of yourself, even when it may be hellish. Try to move out of seeing yourself as a psychiatric label and focus on the very basics of living and feeling. Diet and exercise will help-that and sleep are the biggest things to improve MH.
I was as hopeless as you once. Now I plod on quite content xx

What will happen without a psych and CPN? You can ALWAYS access MH support, and get re-referred. Nothing has to happen now.
Where is your anxiety coming from? Feel it-ouch-is it manageable? Sit with it for a while and it may ease.
I don't mean to be condescending, just a different way of thinking about things. Nothing cannot be overcome. It just requires a different approach

Can I ask why the therapy hasn't worked? What have they asked you, or told you, in therapy?

Can I also ask why you got depressed? It could be that the NHS has a very uniform treatment.

Maybe talking therapies aren't for you. They aren't for everyone.

If you are having trauma related symptoms it would be worth looking into EMDR. If so, you need to make sure the practitioner is appropriately trained to deal with your issues - complex childhood trauma requires particular training and experience.

Mindfulness approaches would be another option.

Agree to discharge. Take a break. Write down the crisis support numbers just in case. Change nothing, but take the space to think about what you want and what’s important to you. It’s ok to accept that there are things that won’t change. Think what will improve tonight and tomorrow in a minor way. And your GP and mental health services will be there in future too.

typical nhs. not used to taking any responsibility. it's always the patient..