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No NHS help for psychosis?

7 replies

advice2021needed · 20/04/2021 13:27

TW: self harm and suicide attempts.

I'm posting because I am deeply concerned about a loved one who has a history of mental illness and is suspected of having schizophrenia. This person has been severely unwell since January with multiple suicide attempts, disappearances (was found naked in a local park after vanishing for 18 hours), and episodes of psychosis (hallucinations and paranoid delusions). This person tried to slice their own nipple off with a razor because they thought maggots were inside it.

Police have been called to their home on multiple occasions for welfare checks and at one point had to smash their door down because the person had taken an overdose.

The person deeply wants to get well and actively engages with treatment. They appear to be compos mentis between episodes of psychosis (but deeply depressed) and very proactive in phoning up GP and phoning to ask for help.

But there seems to be no help available on the NHS. In four months of multiple suicide attempts and police callouts, this person has not yet been able to speak to a psychiatrist or any kind of mental health professional. During their first suicide attempt their GP sent them to A&E, where they were made to sit in a busy waiting room for two hours and allowed to walk out without being stopped despite staff knowing they were actively suicidal.

After their last suicide attempt they were told they'd receive an emergency phone call from a duty psychiatrist but that the emergency call might be delayed, they've just been told that emergency phone call will take place in August. A four month wait for an emergency phone call to an actively suicidal person?

This person urgently needs medication and wants and is willing to start taking medication, but is told they can't be prescribed anything without talking to a psychiatrist, but they can't talk to a psychiatrist until August.

My loved one has been fighting to get a prescription or some help since January.

Surely it can't be legal to deny an acutely unwell person medication for eight months?

I know the NHS is under strain but how can it be this bad? I feel like I'm watching someone slowly die right in front of me. Is there anything that can be done, to get some kind of emergency support so this person can access medication?

OP posts:
Goodtohear · 20/04/2021 14:03

Have you tried Pals/writing to your mp/formal complaint to GP practice manager? Not sure if it will get you anywhere, treatment was bad pre covid now it's even worse and they blame it all on covid.
When I had my screening appointment to book my emergency appointment they actively encouraged writing to ccg to complain, I do intend to but feel I can't presently. Could you do it on your relatives behalf (with their consent)?
Our ccg has a support service who can refer on, be a listening ear etc you have to be referred by the gp is there something like this in your area. Mine is useful for offloading on but not much more.
I totally sympathise I've been waiting for mental health treatment (EMDR) for two years and I've been told it will be approx another 3 years in my area. My emergency appointment when I reached out to my gp in January was booked for May with a mental health nurse, not the psychologist. In the meantime my overworked gp has taken to ringing me weekly - she's great but 10 minute phone call is not treatment and taking her away from other work.
Pestering is probably a good approach to, everyweek just let them know your here.
Best of luck.

romdowa · 20/04/2021 14:07

I would investigate legislation called right to choose. I'm unsure if it used for mental health issues but it is where you have the right to choose under the nhs where you are treated and the nhs must fund it. It may allow them to be seen quicker.

Shehasadiamondinthesky · 20/04/2021 14:08

Wow I'm horrified. I have a similar illness, not nearly that bad though and I'm seeing a psychiatrist next week and then have months of psychoanalysis lined up. I only asked my GP for a referral a couple of months ago and got temporary medication long before that.
I work for the NHS as a medical professional.
I'm wondering if it's just different areas because referrals where I am seem very quick.

Athinginitself · 20/04/2021 14:08

Have you spoken to the GP yourself? I work in mental health and we are stretched, but not that stretched, someone as acutely as unwell as your friend should be under the care of services/home treatment team etc

Amumtomyson · 20/04/2021 20:12

That is shocking and horrifying. How have they slipped through the net to this degree?! It's an absolute disgrace.

Nikki078 · 21/04/2021 08:56

I wonder if you could approach the GP with concerns re this person's welfare - perhaps they are unable to access help themselves at this point and need to be admitted for a period on inpatient treatment? There also should be an emergency/crisis team in your area - your GP should be able to give you more info/refer.

advice2021needed · 21/04/2021 16:15

Thank you for all the advice.

I'm not sure if there's any way legally I can contact, since I'm not a relative or next of kin.

I think part of the problem is my loved one is terrified of being "locked up" and will always lie when asked if they're actively suicidal.

We just keep getting the same answers. Actively suicidal? Told to call 999 immediately. Not actively suicidal? You can wait 8 months.

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