So annoyed.

[Bigboyuk]

Thanks for responding as usual bigboy :-)

To be honest, I'm not sure what mind or anybody can offer. How I feel about the way I look is affecting everything, it's making me severely angry too as I feel confined.

I'm too self conscious to wear certain boots because I feel my legs are a horrible shape, I'm too self conscious to wear short coats or jackets as I feel my bum is fat etc. It's making me beyond miserable, I really need help specifically in regards to my appearance.

Even if there was a BDD group or something, I just don't see how it can help me feel better, I don't feel alone in feeling this way as I have a relative who seems to be turning into me! But it doesn't make it easier and feels like sometimes it's a competition about who has it the hardest. I just want to hide my disgusting appearance away from everybody :-(

Since becoming single it has worsened.

---------- Post added at 12:30 ---------- Previous post was at 12:29 ----------

I will go back to my GP, I'm going to wait until my current fit note expires so I'm not going back 2 weeks in a row.

KeeKee as always no problem. You need a lot of help, not sure if you can have 2 types of therapy going at the same time to help with you multiple conditions (if that's the case) You have a excellent dr so use this to your full advantage KeeKee For now stop worrying about other people yes it's selfish but at the mo you have a hell a lot of problems to get through your self Make a note written if it helps then when your sick note runs out go and see him infact have a double appointment if needed Stop worrying that other ppl are looking at you and judging you they aren't Cheers

[MyNameIsTerry]

BDD is in the same set of guidelines as OCD, but it has some specific points too:

https://www.nice.org.uk/guidance/cg3...ter/1-Guidance

This shows the IAPT are expected to offer CBT for it.

This might be a case of a service not wanting to offer more to patient they've alreasy had. That's like my situation.

It's just so tragic that the NHS can't seem to understand that someone struggling with mental health issues probably doesn't need more frustration & stress piled on them! It wound me up at the time too.

[Bigboyuk]

BDD is in the same set of guidelines as OCD, but it has some specific points too:

https://www.nice.org.uk/guidance/cg3...ter/1-Guidance

This shows the IAPT are expected to offer CBT for it.

This might be a case of a service not wanting to offer more to patient they've alreasy had. That's like my situation.

It's just so tragic that the NHS can't seem to understand that someone struggling with mental health issues probably doesn't need more frustration & stress piled on them! It wound me up at the time too.

So to clarify if say for eg 6 sessions are offered and at the end more might be needed can extensions be offered does the patient have to request extra sessions? Like you say we don't need extra stress with our conditions and yes totally annoying most definitely Cheers

[MyNameIsTerry]

So to clarify if say for eg 6 sessions are offered and at the end more might be needed can extensions be offered does the patient have to request extra sessions? Like you say we don't need extra stress with our conditions and yes totally annoying most definitely Cheers

My therapist said they don't do extentions.

IAPT cover both Level 2 & 3 on that Stepped Care Model. If you go in at Level 2, at the end of the course they can upgrade you to Level 3. Beyond that (Level 4+) it's the CMHT so a different service provider (who most likely will be the NHS, but they do subcontract out for therapies, if needed) and you only get to them through a doctor.

I went Level 2, then 3. At the end I was pretty much told "that's your lot mate". They discharged me and advised my GP to refer me onwards. He didn't want too, gave a BS talk about "finding my own way to recovery", probably trying to be supportive to be fair, and said he believed the CMHT "caused more problems than they solved", which I took to mean "this will cost me money".

I'm not sure how much I agree with him after some of the things I've seen people say on here. I know someone being treated by my CMHT, a former member of this forum, who was treated very poorly. Some on here have had lots of support from their CMHT though so it's like everything else with the NHS.

It's a worth a go if you need the help though. It's better than nothing.

[Bigboyuk]

My therapist said they don't do extentions.

IAPT cover both Level 2 & 3 on that Stepped Care Model. If you go in at Level 2, at the end of the course they can upgrade you to Level 3. Beyond that (Level 4+) it's the CMHT so a different service provider (who most likely will be the NHS, but they do subcontract out for therapies, if needed) and you only get to them through a doctor.

I went Level 2, then 3. At the end I was pretty much told "that's your lot mate". They discharged me and advised my GP to refer me onwards. He didn't want too, gave a BS talk about "finding my own way to recovery", probably trying to be supportive to be fair, and said he believed the CMHT "caused more problems than they solved", which I took to mean "this will cost me money".

I'm not sure how much I agree with him after some of the things I've seen people say on here. I know someone being treated by my CMHT, a former member of this forum, who was treated very poorly. Some on here have had lots of support from their CMHT though so it's like everything else with the NHS.

It's a worth a go if you need the help though. It's better than nothing.

In essence it's a vicious circle while some ppl will be mended at 6 sessions others will go on with out the treatment they so righty deserve and KeeKee cant even get off the starting block. And things will get worse as the Budget is announced Personally I would be robbing the vey wealthy folk to pay for some of the short fall in the NHS Scrap HS2 which will go over budget when finished and the money will be found for that with little or no problem makes me sick inside. Cheers

[MyNameIsTerry]

I would make all politicians eat basic meals at their lunches and scrap all the fancy transport we pay. How many millions a year is all that? Just look at those top hotels they meet at in the EU.

I regard IAPT as a filter. They pick off the Mild-Moderate cases. The trouble is, the severe get lumped in too and advance through the same process rather than go into what is needed.

I think KeeKee needs that diagnosis so they have to decide what to do. I didn't have an OCD diagnosis, still don't now per my GP although the therapist noted it day one, and I ended up referred for GAD. The therapist was free to just change her treatment plan, which she said is formed with her supervisor after the initial assessment anyway. But BDD brings more unique & complex issues than the fundamentals that GAD & OCD probably share. Depression for a start.

[Bigboyuk]

I would make all politicians eat basic meals at their lunches and scrap all the fancy transport we pay. How many millions a year is all that? Just look at those top hotels they meet at in the EU.

I regard IAPT as a filter. They pick off the Mild-Moderate cases. The trouble is, the severe get lumped in too and advance through the same process rather than go into what is needed.

I think KeeKee needs that diagnosis so they have to decide what to do. I didn't have an OCD diagnosis, still don't now per my GP although the therapist noted it day one, and I ended up referred for GAD. The therapist was free to just change her treatment plan, which she said is formed with her supervisor after the initial assessment anyway. But BDD brings more unique & complex issues than the fundamentals that GAD & OCD probably share. Depression for a start.

Ahh so true and top chefs cooking for them all has to be paid for. Poison them all springs to mind Hmm so cant you be depressed with GAD/OCD conditions (well I know I do) May have read your post incorrectly so my apologies Terry Cheers

[KeeKee]

Bigboy I was told when doing cbt the first time that doing 2 different therapies at once wasn't advisable. Something about putting all your effort into one or something around those lines.

Terry that all sounds so stressful. I don't know what I'll do if my doctor refuses to refer me.

My GP has agreed I have BDD, but not sure if they can give an official diagnosis. Anyway guess I'll wait and see, my fit note expires in 3 weeks so I'll be mentioning it then.

At least I managed to get cbt with them twice, both times 16 sessions too. It was evident halfway through that it wasn't going to work but they still both persevered so I'm grateful for that. After my second cbt they did state in my referral for CAT that they wouldn't be able to offer any further help so really I should've known. I just didn't know which organisation the number was for etc. It's called psychological wellbeing or psychological services so you'd imagine I could see a psychologist with them really. Oh well. I'm sure I'll get there eventually, I doubt I'll just be left hanging.

[MyNameIsTerry]

Yeah, my belief is that a certain amount of depression is the norm. It doesn't make sense to me that taking a daily kicking from anxiety and fighting to recover doesn't naturally lead you into periods of low mood.

Whether they constitute a separate diagnosis is another matter. For some it undoubtedly will and comorbidity is pretty high anyway.

I think people assume being anxious means you are too emotionally heightened all the time so that depression is considered the polar opposite because you are down & numb. I've seen dubious "gurus" make that point.

If that were the case, DP/DR, the frazzled come down from panic attacks & heightened periods of anxiety, etc wouldn't be so prevalent. I've been in tears enough over the years to know I go through it.

[Bigboyuk]

Bigboy I was told when doing cbt the first time that doing 2 different therapies at once wasn't advisable. Something about putting all your effort into one or something around those lines.

Terry that all sounds so stressful. I don't know what I'll do if my doctor refuses to refer me.

My GP has agreed I have BDD, but not sure if they can give an official diagnosis. Anyway guess I'll wait and see, my fit note expires in 3 weeks so I'll be mentioning it then.

At least I managed to get cbt with them twice, both times 16 sessions too. It was evident halfway through that it wasn't going to work but they still both persevered so I'm grateful for that. After my second cbt they did state in my referral for CAT that they wouldn't be able to offer any further help so really I should've known. I just didn't know which organisation the number was for etc. It's called psychological wellbeing or psychological services so you'd imagine I could see a psychologist with them really. Oh well. I'm sure I'll get there eventually, I doubt I'll just be left hanging.

KeeKee that's a lot of CBT personally after 16 surely the therapist would have said lets try something else? So maybe don't go down the CBT route again as you will only be wasting more time. try and get a definite diagnosis this time and ask to be referred to a specialist who deals with BDD Good luck as always X Dave Cheers