CBT refused !

[MyNameIsTerry]

Thanks Mindful+.

At my surgery a double appointment lasts 10 minutes so I think its all about treating patients like they are on a conveyor belt.

They have always been good, this GP included, for anything physical as I've been with them since birth nearly 40 years ago! Sadly, when I started with the anxiety, I started to notice the cracks.

At my last appointment I was also then told "You will find you own way out of this", which to me was just a pleasantry as it had little substance since this is my relapse and its been 8 years now. I might find my way out, but it will be with the help of websites like this and the charities.

GP's just aren't set up to handle complex issues like this and with physical problems they always have the luxury of passing you to a specialist who takes over your case, whereas mental health leaves your GP as the primary contact responsible for all services. I've asked plenty of others about this at charity groups and only 1 guy ever said his GP had more than a short time like 10 minutes.

Hope things get better for you.

I think that nurse has been a bit blinkered because CBT is often one on one anyway.

A lot of the problems we experience is lack of information on your rights. Here is the view from NICE CG113 for GAD, for instance.

1.2 Stepped care for people with GAD
A stepped-care model (shown below) is used to organise the provision of services and to help people with GAD, their families, carers and practitioners to choose the most effective interventions.
1.2.1 Follow the stepped-care model, offering the least intrusive, most effective intervention first. [new 2011]
The stepped-care model
Focus of the intervention

Nature of the intervention

STEP 4: Complex treatment-refractory GAD and very marked functional impairment, such as self-neglect or a high risk of self-harm

Highly specialist treatment, such as complex drug and/or psychological treatment regimens; input from
multi-agency teams, crisis services, day hospitals or inpatient care

STEP 3: GAD with an inadequate response to step 2 interventions or marked functional impairment

Choice of a high-intensity psychological intervention (CBT/applied relaxation) or a drug treatment

STEP 2: Diagnosed GAD that has not improved after education and active monitoring in primary care

Low-intensity psychological interventions: individual non-facilitated self-help*, individual guided self-help and psychoeducational groups

STEP 1: All known and suspected presentations of GAD

Identification and assessment; education about GAD and treatment options; active monitoring


* A self-administered intervention intended to treat GAD involving written or electronic self-help materials (usually a book or workbook). It is similar to individual guided self-help but usually with minimal therapist contact, for example an occasional short telephone call of no more than 5 minutes.

[mindful+]

Terry,
I'm in , got on a CBT group the course starting October 1st
They're calling it "Recovery Education Awareness" 1-3pm Weds for 8 weeks

got a 2nd opinion with 2 nurses doing the screening.
Meeting went well, didn't discuss past
just some hypotheticals about possible scenarios in the group.
I handled it well, so they offered me a place.

Brilliant ....
Thanks for your good advice mate

[MyNameIsTerry]

Nice one!

Its a shame that we have to push for things, not everyone is able to and these professionals really need to take a look at their processes.

CBT in a group setting might even be better as you have others to help pull you along. I always found it too tempting not to work towards goals but it can be inspiring seeing others doing it if you are stuck in a rut.

[mark84]

Mindful+, I'm pleased to finally hear you're getting the treatment that you deserve and they've finally managed to see past the incidents two decades ago. It's cruel what they've put you through, but it's been a real test of your strength, and you should be proud that you've had the guts and determination to push to get what you need despite the NHS's shortcomings.
Work hard at it, do any homework you're given and think about what they say - don't be surprised if at first things seem a bit worse it's well worth it in the end Let us know how you get on.