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Talk psychiatrists to me..

40 replies

psychconcerns · 25/05/2023 21:41

DD is trying to get a referral after 6 years of struggles. ED, anxiety and depression on various combos and at various levels.
She's seen a therapist off and on and been on and off citalapram. Her therapist has suggested a psychiatrist
I'm feeling wobbly about thsi. But she's 25 and lives and works a long way away.
May I please ask for experiences goid and bad?

OP posts:
LemonSwan · 27/05/2023 00:05

Feetinthemudandleaves · 26/05/2023 22:55

It isn’t that clear-cut in my experience of both NHS and private psychiatrists.

That’s interesting. What else did your psychiatrists do/offer?

Feetinthemudandleaves · 27/05/2023 01:16

LemonSwan · 27/05/2023 00:05

That’s interesting. What else did your psychiatrists do/offer?

My In-patient treatment for depression involved a lot of Occupational Therapy (such as Art Therapy) as well as medication

The ED treatment is mainly therapy-based and doesn’t necessarily even include medication.

Dogsarebetterthanhumans · 27/05/2023 10:23

OP you have some very lucky friends if you don’t know anyone who has ever been referred to a psychiatrist. Honestly I think you are over-worrying this and it’s not that deep. I promise. From first hand experience.

Think of it as just the same as you being referred by your GP to a specialist for any issue or disorder such as gynae, back or neck issues or digestive issues. Would you think the same about that kind of referral?

Just to clear up the confusion above I think the poster was talking about getting a private appointment in 2-4 weeks rather than an NHS one.

I would second seeing the recommended specialist at the Priory. I don’t know him personally but it is always good to have a personal recommendation.

What I would say is though, at least for the first appointment, it’s really preferable for your daughter to see him in person. The experience in psychiatry is completely different face to face, they can get a feel for how each other operate and he can get an accurate weight for her. It’s a 43 minute journey from Liverpool Street to Chelmsford and then just get a cab to the Priory. Book the afternoon off work as annual leave if she doesn’t want to say it’s a medical leave; I take some appointments as annual leave and use the opportunity to catch up with friends in London at the same time/ have a bit of a day out.

My experience of the psych teams at the Priory in Hayes Grove was good when I was a bit younger than your daughter and that’s not far from Charing Cross.

if you have any more questions just ask xx

sunnydayys · 27/05/2023 10:47

In my area it's actually very difficult to get a psychiatrist appointment, I'm a GP but we are expected to manage most mental health in the community with the help of psychology.
Their threshold to see a patient is very high and reserved mainly for those with an element of psychosis or those with severe depression needing anti-psychotics as the usual anti-depressants aren't helping.
Obviously paying privately is different but just a warning that a GP referral doesn't mean she will get seen I'm afraid as I'd say >80% from my practice are rejected.

kizziee · 28/05/2023 20:50

@sunnydayys that's really interesting to hear from your perspective.
I had a previous episode of severe anxiety / depression and was seen over a few months by nhs psychiatrist.
My (lovely) GP tried really hard to get me seen by psychiatrist this time but it has proved very very difficult. I have ended up paying to see someone. I was able to find the money but obviously that's not the case for everyone.

Feetinthemudandleaves · 30/05/2023 21:02

How is your DD getting on OP?

Annabel28 · 10/06/2023 21:39

Just thought I'd add a few thoughts.

I'm a psychiatrist based in Oxfordshire but as a student I was under mental health services myself in SW London (Clapham I suspect comes under St George's/Springfield). Many, many people may end up seeing a psychiatrist at some point in their lives - we see small children with autism/ADHD etc., we see people with mood and anxiety issues where primary care isn't working, we see people with learning disabilities, people who have lost touch with reality (psychosis), people with addiction, and at the later stages of life we see people with memory problems and dementia. There is no "typical" psychiatric patient, and even though my current speciality is psychosis many of my patients have degrees and are employed in normal jobs.

Psychiatrists specialise in the diagnosis and treatment of mental illness, but this includes providing psychological interventions or spotting when to refer to a therapist. As part of my training I had to study CBT and took on a long psychodynamic case. So we definitely don't just prescribe!

Waiting lists vary massively across the country but are definitely increasing. The wait for my service (EIS) is under 10 days. The wait for the NHS CMHT I worked for last year was 1-6 weeks, depending on urgency. When I was a student (2005) I was seen within 4 weeks I think, and then I was seen monthly by a psychiatrist for years just because I had recurrent depression. But I do believe the many, many voices I hear who say they waited years or couldn't see a psychiatrist at all. Unfortunately whatever the government says, mental health services have had real cuts and there is a chance your daughter may not be deemed unwell enough (there now, usually, needs to be a level of risk involved before a GP will refer to secondary care). If you think your daughter is likely to only need intermittent outpatient care then finding a good private psychiatrist is an option, but be warned that if she were to ever need inpatient care this is usually unaffordable without prior health insurance. Sometimes private psychiatrists refer patients back to the NHS if the case feels too complex or risky for an individual to handle (the NHS benefits from working in larger MDTs so can provide 24/7 outpatient crisis input which the private sector can't).

I hope your daughter gets the right help soon. For what it's worth, despite benefitting from seeing many psychiatrists over the years, largely for medication input, the person who has helped the most is my psychotherapist.

potsandpots79 · 10/06/2023 21:46

Definitely see a psychiatrist! Pay for it if you can. It has saved my family. It is the best money spent.

psychconcerns · 23/09/2023 07:59

Hi all. We're still kicking this around. Hard when your DD is 25 and living away and (outwardly) functioning. Her counsellor (who seems to keep her on an even keel but without improvement) has recomended Orri to her as a set of services. I'm sceptical because i only see one Phychiatrist there, and many many clinical managers and the like. I'm going to perhaps show her this thread, but that's always a worrying thing to do.

If anyone (in London) has a specific psychiatrist or organisation they could recommend I'd be grateful x

OP posts:
cassiatwenty · 23/09/2023 18:11

Psychiatrist's speciality - meds
Psychologists - talk
Psychotherapists - exercises and work you do together

People place much more importance on bonds they create with their therapists over how they work i.e. a friendly, non-judgemental approach

Doctors who see a lot of people and are under a lot if stress may not be the most empathetic people out there

It's important to see someone who'll able to take you out if yourself and your problem and focus on the future and good things abd solutions.

If there's constant talk of you and your problems, you want to be careful not to retraumatize yourself.

cassiatwenty · 23/09/2023 18:26

Not really a tip on who to see in London, though. There are brilliant people out there, mediocre and people who're not that great.

I suppose this is common sense, but it's important to work with someone who makes your DD feel better and not worse.

Wishing you good luck

Zone2NorthLondon · 25/09/2023 20:05

Psychiatrist is a medical doctor with additional specialist training at post grad level,can prescribe, offer therapy & treatment. Depending on specialism some psychiatrist study psychodynamic approaches to treatment.

psychologist has post grad doctorate in psychology and will use different modalities and treatment approaches. Doesn’t prescribe. Trained to use individual & group work

talk and listening are essential for psychiatrist and psychologist, there isn’t a distinction. Both talk

Both psychologist and psychiatrist may recommend additional support eg CMHT or specialist team to support recovery

SophiaElise · 25/09/2023 20:15

psychconcerns · 23/09/2023 07:59

Hi all. We're still kicking this around. Hard when your DD is 25 and living away and (outwardly) functioning. Her counsellor (who seems to keep her on an even keel but without improvement) has recomended Orri to her as a set of services. I'm sceptical because i only see one Phychiatrist there, and many many clinical managers and the like. I'm going to perhaps show her this thread, but that's always a worrying thing to do.

If anyone (in London) has a specific psychiatrist or organisation they could recommend I'd be grateful x

Have you tried psychiatry uk?

https://psychiatry-uk.com/

I haven't looked at all their qualifications, but I'm sure there'll be one or two with expertise in eating disorders.

Psychiatry-UK – Online Psychiatry Service

https://psychiatry-uk.com/

HundredMilesAnHour · 25/09/2023 20:24

psychconcerns · 23/09/2023 07:59

Hi all. We're still kicking this around. Hard when your DD is 25 and living away and (outwardly) functioning. Her counsellor (who seems to keep her on an even keel but without improvement) has recomended Orri to her as a set of services. I'm sceptical because i only see one Phychiatrist there, and many many clinical managers and the like. I'm going to perhaps show her this thread, but that's always a worrying thing to do.

If anyone (in London) has a specific psychiatrist or organisation they could recommend I'd be grateful x

@psychconcerns I highly recommend Dr Alex Langford. He's based in Oxford but does consults over Zoom (and prescribes meds via a private service who deliver same day in London). I don't know about his ED expertise as he's been helping me with long Covid but he really has been amazing!

https://www.cognacity.co.uk/amo-team/dr-alexander-langford/

Dr Alexander Langford - Cognacity

Dr Alexander Langford is a Consultant Psychiatrist at Cognacity specialising in mood, anxiety, and personality disorders

https://www.cognacity.co.uk/amo-team/dr-alexander-langford

Blueeyedmale · 25/09/2023 20:35

OP I was in the priory many years ago as a teenager on The edu I was an inpatient unfortunately for me was the only boy on the unit thankfully that's changed now and I don't believe they mix anymore,but the staff were absolutely amazing and they are very experienced,this was marchwood priory in Southampton

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