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I saw a college therapist who refered me to my GP years ago for antidepressants. I didn't say outright I had suicidal thoughts but then, the questionnaire they get you to fill in tends to reveal all that. They didn't pick up on it though- oddly.
Both were pretty good in their way. The GP was very sympathetic when I just burst into tears. The meds didn't do anything for me and I found the therapy intrusive. (I guess it has to be!) Workwise at that point, things improved for me- which was always my best coping mechanism. So, I quit therapy and didn't renew the meds. I think it's worth trying though- if you have any desire to.
As to who you should contact, as Dot said- it depends how badly you feel really. If you want immediete intervention- then a Crisis line may be the way to go. But I suspect they might initiate a welfare check if you tell them you are suicidal and have a method to hand.
I guess you need to make it sound serious enough- that they get you support quickly but, not so bad you get sectioned- I imagine.
Isn't there that app: Betterhealth to put UK residents in touch with therapists? I don't know how good it is though. The member @FireFox didn't seem to have much luck. Whatever you do though- I think you need to pester in the UK. Our health service is so overburdened. I don't think they have the time to check up on people now. I think you have to push for stuff and, keep pushing!
Good luck though. I hope you find something that helps.
As to who you should contact, as Dot said- it depends how badly you feel really. If you want immediete intervention- then a Crisis line may be the way to go. But I suspect they might initiate a welfare check if you tell them you are suicidal and have a method to hand.
I live in England and I've reached out to some of the official services (never used 999). I'll detail my experience below:
Contacting 111
They asked me the reason for the call, I explained and they said I'd get a call back in a few hours from a doctor. If I became a danger to myself, that I should contact 999 or go to A&E.
Doctor called back in a few hours (if you call late at night, they will still call you back, no matter if it's 3am, 5am, etc)
The doctor asked for more details on my state, asked suicide ideation questions and whether I have attempted and if I have the means, if I feel I'm in danger, etc. The rest of the questions felt like the doctor was reading from a depression/psychosis/etc questionnaire and I just answered.
In the end I think they recommended me to go to the GP, either I had to do it manually the next day or they did it for me and I got contact from the GP, I don't remember. It wasn't that helpful.
Self referral through Talking Therapies
When I was severely unwell, I went online to Talking Therapies and filled in a self-referral reporting severe depression
They called me back within 2 weeks and asked for extra details. They then asked the usual suicide related questions you're expecting (do you have suicidal thoughts, have you attempted, do you have a method at hand, do you feel in danger, etc). After that, they asked a lot of questions regarding depression, psychosis and other things. You give answers in the form of "very often I feel that way" or "cannot relate" or a scale of 1 to 5 or 1 to 10, things like that.
After all that, they said they'd refer me to the Crisis Team as I was too unwell for their service. If I wasn't as unwell, I could be referred to a psychologist or something.
Using the Crisis Team
Contact from the Crisis Team was fast, I got a call the next day or so. The call was short and I was told to meet them in a couple of days. The Crisis Team monitor you for 6 weeks and not more.
The first consultation is around 1h and it was with 2 nurses. They asked similar questions to what I already answered and I told more of my story. We talked a lot about suicidal ideation and they basically gave me a pitch of "you won't want to be in-patient here, you won't recover, this isn't a good place for depressed people, you don't want us in your life like that". So, I was accepted as outpatient and started going there 3 to 4 times a week.
Second consultation is with a psychiatrist and a nurse or social worker, I don't know, the lady didn't say anything during the appointment. Again, you answer questions similar to what you answered and tell, again, your story. If you have taken meds before, you're asked to say which ones and how many grams, how often, etc. The psychiatrist then prescribed medication. She also gave me a 1 month fit note so I wouldn't be working. They give you medication for 1 week and not more, so you can't attempt to overdose. The meds are free of charge and you usually get them straight after your appointment. From here on out, you'll get the meds weekly.
The next consultations are always with either a nurse or social worker. They ask how you've been doing. It feels like what you'd imagine talking about mental health with a GP feels like, except they know a bit more than a GP, but are not as caring or have as much tact as a psychologist. It was nice to have that regular support but sometimes I'd leave the appointments feeling worse, especially if it was with the psychiatrist who was vile.
As you continue through the weeks, your appointments may change from 3 or 4 times a week to 2 times a week or once a week. It will depend on your case. The appointments will also become shorter, from 1h to 30min.
At your last appointment they will tell you whether they will refer you to the Community Mental Health team (long term support, long waiting lists) or whether they'll refer you to the GP (basically abandon you). I was referred back to the GP because I had a private psychologist at the time.
GP after Crisis Team
The GP is supposed to monitor your meds and speak with the Crisis Team psychiatrist if changes are needed. Sounds nice but reality is that, I would go to the GP appointment and the GP haven't spoken to the psychiatrist so no change in meds would happen. Second appointment, same shit. So basically I felt that I'd continue on the same meds forever.
I ended up quitting my medication and giving up on all this.
I've also used the Community Mental Health team later on and other things like Samaritans, the suicide hotline, etc. Let me know if you're interested on that. I've already written a lot so don't want to overload you with information. I hope this helps.
Thank you all for sharing your experiences, I really appreciate it .
I've been hesitant to reach out to NHS services before because I was unsure how they would treat me but I'll consider talking to my GP. I've never heard of Talking Therapies so I'll look into that too.
I saw a college therapist who refered me to my GP years ago for antidepressants. I didn't say outright I had suicidal thoughts but then, the questionnaire they get you to fill in tends to reveal all that. They didn't pick up on it though- oddly.
Both were pretty good in their way. The GP was very sympathetic when I just burst into tears. The meds didn't do anything for me and I found the therapy intrusive. (I guess it has to be!) Workwise at that point, things improved for me- which was always my best coping mechanism. So, I quit therapy and didn't renew the meds. I think it's worth trying though- if you have any desire to.
As to who you should contact, as Dot said- it depends how badly you feel really. If you want immediete intervention- then a Crisis line may be the way to go. But I suspect they might initiate a welfare check if you tell them you are suicidal and have a method to hand.
I guess you need to make it sound serious enough- that they get you support quickly but, not so bad you get sectioned- I imagine.
Isn't there that app: Betterhealth to put UK residents in touch with therapists? I don't know how good it is though. The member @FireFox didn't seem to have much luck. Whatever you do though- I think you need to pester in the UK. Our health service is so overburdened. I don't think they have the time to check up on people now. I think you have to push for stuff and, keep pushing!
Good luck though. I hope you find something that helps.
I live in England and I've reached out to some of the official services (never used 999). I'll detail my experience below:
Contacting 111
They asked me the reason for the call, I explained and they said I'd get a call back in a few hours from a doctor. If I became a danger to myself, that I should contact 999 or go to A&E.
Doctor called back in a few hours (if you call late at night, they will still call you back, no matter if it's 3am, 5am, etc)
The doctor asked for more details on my state, asked suicide ideation questions and whether I have attempted and if I have the means, if I feel I'm in danger, etc. The rest of the questions felt like the doctor was reading from a depression/psychosis/etc questionnaire and I just answered.
In the end I think they recommended me to go to the GP, either I had to do it manually the next day or they did it for me and I got contact from the GP, I don't remember. It wasn't that helpful.
Self referral through Talking Therapies
When I was severely unwell, I went online to Talking Therapies and filled in a self-referral reporting severe depression
They called me back within 2 weeks and asked for extra details. They then asked the usual suicide related questions you're expecting (do you have suicidal thoughts, have you attempted, do you have a method at hand, do you feel in danger, etc). After that, they asked a lot of questions regarding depression, psychosis and other things. You give answers in the form of "very often I feel that way" or "cannot relate" or a scale of 1 to 5 or 1 to 10, things like that.
After all that, they said they'd refer me to the Crisis Team as I was too unwell for their service. If I wasn't as unwell, I could be referred to a psychologist or something.
Using the Crisis Team
Contact from the Crisis Team was fast, I got a call the next day or so. The call was short and I was told to meet them in a couple of days. The Crisis Team monitor you for 6 weeks and not more.
The first consultation is around 1h and it was with 2 nurses. They asked similar questions to what I already answered and I told more of my story. We talked a lot about suicidal ideation and they basically gave me a pitch of "you won't want to be in-patient here, you won't recover, this isn't a good place for depressed people, you don't want us in your life like that". So, I was accepted as outpatient and started going there 3 to 4 times a week.
Second consultation is with a psychiatrist and a nurse or social worker, I don't know, the lady didn't say anything during the appointment. Again, you answer questions similar to what you answered and tell, again, your story. If you have taken meds before, you're asked to say which ones and how many grams, how often, etc. The psychiatrist then prescribed medication. She also gave me a 1 month fit note so I wouldn't be working. They give you medication for 1 week and not more, so you can't attempt to overdose. The meds are free of charge and you usually get them straight after your appointment. From here on out, you'll get the meds weekly.
The next consultations are always with either a nurse or social worker. They ask how you've been doing. It feels like what you'd imagine talking about mental health with a GP feels like, except they know a bit more than a GP, but are not as caring or have as much tact as a psychologist. It was nice to have that regular support but sometimes I'd leave the appointments feeling worse, especially if it was with the psychiatrist who was vile.
As you continue through the weeks, your appointments may change from 3 or 4 times a week to 2 times a week or once a week. It will depend on your case. The appointments will also become shorter, from 1h to 30min.
At your last appointment they will tell you whether they will refer you to the Community Mental Health team (long term support, long waiting lists) or whether they'll refer you to the GP (basically abandon you). I was referred back to the GP because I had a private psychologist at the time.
GP after Crisis Team
The GP is supposed to monitor your meds and speak with the Crisis Team psychiatrist if changes are needed. Sounds nice but reality is that, I would go to the GP appointment and the GP haven't spoken to the psychiatrist so no change in meds would happen. Second appointment, same shit. So basically I felt that I'd continue on the same meds forever.
I ended up quitting my medication and giving up on all this.
I've also used the Community Mental Health team later on and other things like Samaritans, the suicide hotline, etc. Let me know if you're interested on that. I've already written a lot so don't want to overload you with information. I hope this helps.
Thank you all for sharing your experiences, I really appreciate it .
I've been hesitant to reach out to NHS services before because I was unsure how they would treat me but I'll consider talking to my GP. I've never heard of Talking Therapies so I'll look into that too.
As a child CAHMS was okayish or shit and often invalidated how I felt and my problems and even health ways of coping I used such as age regression.
From being an adult they haven't done much at all. I get occasionally (months apart) mental health assessments which just reviews how I am feeling recently and whether change in medications have to happen but that doesn't actually tackle my mental problems so it's basically useless. I am in a waiting list for therapies and psychology but it's a very long waiting list.
I have went to hospital a 2 times cus of my parents being concerned for me. Each of these visits had us wait hours and hours to get anyone to interact with me. The first time we went there we couldn't deal with the wait time and my parents brought me home. The 2nd time we did the waiting and we had the decision for me to go into a psych ward or have the home treatment team. We chose the home treatment team as I won't be able to handle the environment of a psych ward.
The home treatment team was poor cus it was random people coming to visit me at home every day asking basic questions about what I was doing and taking care of myself and didn't actually help me with anything. It being a random person each time made it harder to open up for me. It ends after a few weeks.
Some other stupid stuff thats happened with NHS mental health is they forgot I had an autism diagnosis and thought about putting me on anti psychotics even tho I don't have psychosis, delusions or hallucinations.
Try it out maybe, you might get lucky but in my experience it's been poopy. Private mental health help has been better for me.
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