Hi,
So I've been under the CMHT for nearly 5 years now, done a couple of weeks of CBT and a full course of DBT. I still really struggle with my moods, self harm, drinking, binge eating and suicidal thoughts. I've been seeing my care coordinator for 18 months now I think and we are getting nowhere. She wants to discharge me in september as apparently there is nothing more they can offer me (she only ever seems to acknowledge my BPD diagnosis and completely ignores the depression, GAD, panic disorder and agoraphobia). It's getting to the point where every session I end up crying and afterwards I feel terrible and have really strong urges to self harm or kill myself. I didn't bother to turn up to this week's appointment because I knew if I went, I'd feel like crap for the rest of the day.
My question is if I discharge myself from my care coordinator, will I still be able to see my psychiatrist? Also, how do I go about discharging myself from my care coordinator? Can I just ring up and tell the receptionist I don't want to see her anymore?
Thanks,
Ella
I'm not sure what the right answer to this question is but personally I would write a letter to your psychiatrist say you would keep seeing him/her but you finding the time with you cc detrimental to you health and wellbeing.
I don't know if it will work but that's what I would do.
The average,
well-adjusted adult
gets up at 7.30am feeling just plain terrible.
Call me Kate.
I have dyslexia so please excuse my poor spelling and sometimes poor understanding.
This sounds very similar to my experience. I think if you are discharged you will be discharged from everything CMHT, which would include psychiatrist I think. Maybe they see people who aren't under their care, I don't know, but I doubt it.
I just said to my psychiatrist that maybe they should discharge me. Then I said it to my CC and they said, "are you sure?" and I said "yes because you don't help me and you're not listening" and they said, "OK" and now it has all been done.
It has been something along those lines. They also said the, "there's nothing we can do to help you and I suppose we haven't done much to help you for dome time"
so you just have to tell them.
I feel much better now that they're not a worry for me, because I was getting into a real state about appointments because I didn't trust them, and they wouldn't listen to me, or help or do anything that they said they would (except for discharge, they followed that one through lol)
So even though I'm on my own in terms of support, I'm finding it better otherwise I'd ask for help and they'd say some BPD bull that's really outdated etc, and I'd feel worse.
I discharged myself from the cmht altogether earlier this year. I know there was the option to just not see my cpn though but still be under the cmht to see the psychiatrist and be able to call my cpn if I needed to.
Maybe you could bring it up with your cc and psych when you next see them together and work out a care plan or something?
I'm fine! Totally fine. I don't know why it's coming out all loud and squeaky, 'cause really, I'm fine!
I discharged myself from the ED service in December and now have private support. As I discharged myself, I wasn't able to see their Psychiatrist. My GP has referred me to just see a Psychiatrist on the NHS as I'm having private therapy.
I used to see my psych even before I had a CC and was under the CMHT, maybe it depends on which area you are in. I would try to arrange a time you can see them both together and discuss it.
"Never be a spectator of unfairness or studpidity. The grave will supply plenty of time for silence." Christopher Hitchens
'When words fail, music speaks'
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Feeling really sorry for myself. I just want help, but I'm clearly not "bad" enough to meet NHS funding. Why can't they try to help me for my other diagnoses? Why am I stained by the BPD diagnosis? I want help, I need help, but I can't seem to access it. Just because I can manage to work, they assume that I am okay. I want to cry, but I can't.
So I got in contact with my care coordinator over the phone on tuesday and she wouldn't discharge me over the phone, so we made an appointment for this morning. Again she wouldn't discharge me, and she wants to be present when I see my psychiatrist in a couple of weeks. I'm really confused - she's said herself that there in NOTHING more they will offer me, but she won't discharge me at the moment? I'm still really frustrated about the "we can't offer you any more than you've already had" as my agoraphobia and panic disorder is really bad atm. Had a panic attack at work yesterday, then again when I got home, and another this morning.It was very embarrassing at work as I was stood in the stairwell to the basement and couldn't even move from where I was, so people were walking past and seeing me like that. I still feel awful today, but I can't phone in sick as I will get a disciplinary if I have any more time off and could lose my job. I really don't know what to do now.
Did they that you can't get help because of the BPD diagnosis?
I am glad you were able to speak with your CC. I imagine she doesn't want to discharge you if it might be an impulsive or sudden decision. You are entitled so sick leave if you need it - provided you get a note from your doctor - so it's worth remembering that you can take time off sick if you need to.
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No-one gets remembered for the things they didn't do.
We won't all be here this time next year,
so while you can take a picture of us.
We're definitely going to hell,
but we'll have all the best stories to tell.
Thanks for the reply. I guess I'm just frustrated that she thinks 2 months from now and my planned discharge date will make such a difference. With regards to time off work, my company has a policy that if you are off sick more than a certain amount you get a warning, after that if you're off at all in the next 6 months, you get a disciplinary and could get fired. I'm really worried. Been having so many panic attacks.
Another issue is that I picked up my prescription for meds just now and they have no record of my consultant putting me on beta blockers instead of normal blood pressure meds for my anxiety. So I have now blood pressure/anxiety meds until monday at the earliest. I have work tomorrow and sunday, and am already seriously anxious. Had to leave a team meeting earlier to have a panic attack have been pacing all day and can't do anything. Anxiety is causing racing heart, palpitations, vertigo, nausea, plus all the usual stuff. Really not coping well.
beta blockers lower your blood pressure too and slow your heart rate so should help with the physical symptoms of anxiety. I am on propranolol too and it works on the physical stuff. x
