Psycho-Babble Medication Thread 528530

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Calling all UK people

Posted by Tom Twilight on July 16, 2005, at 11:03:50

What can you do when your desperate in the UK?

I don’t have insurance or anything, so I can’t just check into the Priory!

I don’t know what to do, I’m feeling really anxious and strung out

My GP is sick of me, and I don’t blame him
The only NHS Pdoc I saw in Cambridge was really unhelpful, and is partly responsible for my GP disliking me.

I saw a private Pdoc who put me on Marplan I’m at 20mgs at the moment, I think this is much to low, I should have found one who would prescribe Nardil,
I’m such a Idiot

How does one get admitted to hospital in the UK, what does one do in an emergency?

Please advice

PS. Is anyone in the UK recieving decent care?

 

Re: Calling all UK people » Tom Twilight

Posted by Slinky on July 16, 2005, at 13:32:08

In reply to Calling all UK people, posted by Tom Twilight on July 16, 2005, at 11:03:50

Hi Tom...sorry you feel so bad.

I'm in uk. If you need hospital care all you need to do is go to your nearest A&E and the inhouse psychiatrist doctor will admit you.

 

Re: Calling all UK people

Posted by xbunny on July 16, 2005, at 14:29:28

In reply to Calling all UK people, posted by Tom Twilight on July 16, 2005, at 11:03:50

> What can you do when your desperate in the UK?

I call up the CMHT (Community Mental Health Team) crisis team or my CPN. You might be able to get the number for your CMHT from your GP. If your out of hours try calling the GP out of hours number and see what the GP says. You also might try NHS direct though I wouldnt hold out on them being any help!

> My GP is sick of me, and I don’t blame him

It doesnt really matter what he thinks of you or if hes tired of you, he is there to help you, screw him you're more important. Also are you sure he doesnt like you, many GP's are tired and terse kinda people who would like to spend as little time as possible with you. This isnt a reflection on you, its just how they are!


> The only NHS Pdoc I saw in Cambridge was really unhelpful, and is partly responsible for my GP disliking me.

Can you not see another GP at the same practice maybe?
I find that if I think the NHS psychiatrist is being unhelpful I tell him so and why and we try to resolve the problem. I remember I saw a new consultant quite recently and he laboured asking me about possible illegal drugs use and was quite sarcastic about it. I was quite offended and told him so, he appologized.

>
> I saw a private Pdoc who put me on Marplan I’m at 20mgs at the moment, I think this is much to low, I should have found one who would prescribe Nardil,
> I’m such a Idiot

You dont sound like an idiot, you seem to be trying hard to get yourself help but are having a hard time getting it.

>
> How does one get admitted to hospital in the UK, what does one do in an emergency?

One way is to present yourself at A&E. Usually there will be a on duty psychiatrist or at least a knowledgable dr (as far as I know all full doctors have to have done some psychiatry) who can assess you, if you can goto a hospital that has a psychiatric ward attached then all the better. Every time I have had to go A&E I have ended up seeing the same psychiatrist which has been really helpful, he even remembers me!

>
> PS. Is anyone in the UK recieving decent care?
>

I am receiving reasonably decent care though my needs have lessened alot in the last few years. I get an enhanced care plan from my local CMHT which means 3 - 6 monthly checkups with the psychiatrist, more if required. A CPN, read my message in the 'I have a question' thread for my opinions on CPN's. I got a CBT therapist for awhile, an anxiety management group therapy thing, a support worker who I didnt like but never mind, DLA and a careplan thing with all the contact numbers, emergency procedures and the like in it.
I have been in our local NHS acute psychiatric ward and find it to be ok (once I get out of course ;-) ). Before I got my careplan (before my first admission to hospital) my care was much more patchy unfortunately.

Buns

 

Re: Calling all UK people-ThanXsbunny

Posted by Tom Twilight on July 16, 2005, at 15:32:07

In reply to Re: Calling all UK people, posted by xbunny on July 16, 2005, at 14:29:28

Thanks for the advice Xbunny

What your saying is really interesting and helpful especially about the CMHT

> > The only NHS Pdoc I saw in Cambridge was really unhelpful, and is partly responsible for my GP disliking me.
>
> I find that if I think the NHS psychiatrist is being unhelpful I tell him so and why and we try to resolve the problem.

The Psychiatrist that I was seeing would say one thing, then do another!
For instance when I asked for Nardil he said it was ok, then he wrote to my GP and said I couldn't be trusted with the dietry restrictions
>
Unfortunatly I've also got Social Phobia, which is really horrible especially because it makes it hard for me to stand up for myself, I find it very hard to be assertive.
The thought of going to A&E terrifies me, but if I'm desperate enough I'll do it!

> > I’m such a Idiot
>
> You dont sound like an idiot, you seem to be trying hard to get yourself help but are having a hard time getting it.
>
Thanks for saying that :)


 

Re: Calling all UK people-ThanXsbunny

Posted by Meri-Tuuli on July 17, 2005, at 5:11:58

In reply to Re: Calling all UK people-ThanXsbunny, posted by Tom Twilight on July 16, 2005, at 15:32:07

I can't really add much but one thing - if you don't like your GP, then just make an appointment with a different one. I didn't get on AT ALL with the GP I am supposed to be registared with, so I have been through two others, til I got the one at the moment, who is pretty good, well he actually listens to me, which is always a start!

I think just turning up at the hosipal a&e like the previous post suggests is a good option. My friends have done this and it has always worked for them.

Hope you find something that helps.
:)

 

Re: Calling all UK people » Tom Twilight

Posted by Nickengland on July 17, 2005, at 5:37:59

In reply to Calling all UK people, posted by Tom Twilight on July 16, 2005, at 11:03:50

Hi Tom..

Sorry to hear things are not going too well at the moment..

Have you only got 1 GP you can see at your practice?

I ask this because at mine ive got five. Three of these though I wouldnt even bother with even if I had the flu, they're absolutely usless to be honest. I use the other two, but mainly I just use one - and like you I thought he was getting sick of me at one point. But think of it like this, your GP gets paid close to £100,000 by the your Tax's, its his job to treat you and he gets well paid for it, don't think he's getting sick of you, get him to do the job his paid for!....and if he isn't try another GP at your practice, or maybe even get a new GP altogether in your area...

Another question I thought I'd ask is...is your GP aware of how serious your illness is?

Afew months ago I got a letter from my GP surgery, stating would I mind being put on a mental register at my GP practice which simply confirms I suffer from a severe mental illness..I just had to sign the form and return to them within one month and if they didnt recieve the form within one month or me telling them otherwise i'd be put on it anyway.

Did you get one of these?..I'm 99% sure its a routine NHS GP thing...

Well, at the time I was pretty down and didnt bother, so I was automatically added to it (at the time I really couldnt care a less either way) When I next saw my GP, he mentioned this form, and explained that it wasn't nothing serious really, it just states that I have signed seen the form and that they are doing everything that can to meet my needs...Hmm I thought nothing of it, until quite recently when I saw my psychiatrist and had alittle dispute with him over some medication and when I mentioned this to me GP he was very accomadating indeed...and I do wonder how much this form helped. Just thought that might be worth mentioning.

I would say the care i'm recieving is probably about as good it gets for the NHS (it could be better, but I think it could be alot worse) If I had the money and was staying in the UK i'd probably use Bupa if my health got bad again to be honest. I try to use the mental health services as less as possible, I never have had a CPN, counsiler or psychologist...simply because what with all the waiting involved to use these services I know that by the time I get them i'll probably be well again and therefore not need them.

I think though, that if your really having great probalems right now and your not getting anywhere with your GP or psychiatrist... if you was to go to the A&E, and speak with the on-call psychiatrist there, you'll be able to jump start the process and kick the NHS in to touch so to speak with treating you properly how they should be....what I mean is, hopefully they will start taking you seruiously and do their job to get you right. If theres a crisis - they have to act on it.

I hope things will improve for you soon..

Kind regards

Nick

 

Re: Calling all UK people » Tom Twilight

Posted by ed_uk on July 17, 2005, at 6:34:22

In reply to Calling all UK people, posted by Tom Twilight on July 16, 2005, at 11:03:50

Hi Tom,

I once went to A&E and got admitted to hospital. They sent me to a different hospital with a psych ward. The thing that concerns me is that if you got admitted to hospital they might discontinue the Marplan and restart Effexor or something like that. I think you need to go with a parent or someone else who will stick up for you. I'd go with you if you lived nearby.

kind regards

~Ed

 

Thanks Everyone

Posted by Tom Twilight on July 17, 2005, at 12:58:25

In reply to Re: Calling all UK people » Tom Twilight, posted by ed_uk on July 17, 2005, at 6:34:22

Thanks for the support everyone

I'm still not sure what to do, but at least I have an idea of what to do in an emergency

Do anyone know how one goes about getting time of work in the UK? will I need a doctors letter?

I'm dreading next week

 

Re: Thanks Everyone » Tom Twilight

Posted by ed_uk on July 17, 2005, at 13:12:51

In reply to Thanks Everyone, posted by Tom Twilight on July 17, 2005, at 12:58:25

Hi Tom,

>Do anyone know how one goes about getting time of work in the UK? will I need a doctors letter?

Yes, you can get a letter from your GP.

~Ed


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