Adult mental health assessment help

[Capricorn8990]

I've got an adult mental health assessment on 15th October. I have diagnosed OCD which I was diagnosed with at 11 and was with CAMHS from 11-18 but I didn't qualify for ADMH services.

I've always struggled with impulsivity in terms of suicidal thoughts and harming myself - hitting my head on walls, biting and scratching myself. I've tied things around my neck in an attempt to hang myself and have overdosed.

I have been told I have emotional dysregulation due to trauma in the womb as my birth mum did drugs, abused alcohol and self harmed. She was beat up by partners and got into fights. She has borderline personality disorder/ emotionally unstable personality disorder and has been sectioned on numerous occasions.

I cannot regulate my emotions and when I'm alone I let it all out. I feel alone, empty and have no purpose. I am not depressed but these emotions are so strong and I can go from one extreme to another.

I have got this assessment because I think I have BPD/ EUPD too. I KNOW it's not the best diagnosis to get but I NEED help.

How can I explain over the phone how bad things are? They aren't doing face to face assessments cos of COVID. I've always been denied help cos I work full time but it's a real struggle to keep my life together. I feel I will have to reach rock bottom before I get support.

I know there is something more going on with me. I've done a lot of research into diagnosis and I've not diagnosed myself but I know deep down something isn't right.

Any advice would be grateful.

You can tell them you struggle to articulate yourself. Write it down
Discuss any triggers, or significant event that have impacted upon you
How have the past 7 days, 1 month been?
How’s your appetite?
Your sleep?
Do you smoke? Alcohol?
Discuss Suicidal ideation? Suicidal intent? Tell them the DSH

Take your time express yourself in a way that work for you
You can write it down

Good luck I hope the assessment gives you a chance to ask questions and explore diagnosis and treatment inc medication

@EspressoDoubleShot thank you for your advice! I'll detail it like you have advised. May I ask what DSH is? X

Deliberate self harm

@EspressoDoubleShot I had my mental health phone assessment yesterday and the nurse said they don’t and won’t diagnose over the phone and they prefer to not give out diagnoses these days and actually look at the symptoms as that’s what needs to be addressed.

Basically I have emotional dysregulation and tolerance issues with stress which are symptoms of borderline personality disorder/ emotionally unstable personality disorder which is what I thought I had. Nice to be heard.