My CBT!

[pulisa]

I really don't think there is a service on the NHS for people in distress and in severe need. If you have financial security you can buy treatment but often it's a bit of a lottery in the private sector and you have to be very careful where you go. I'm happier taking responsibility for my own mental health and for that of my daughter-there is less hassle and frustration that way but I realise it's not for everyone and shouldn't be.

[Bigboyuk]

I really don't think there is a service on the NHS for people in distress and in severe need. If you have financial security you can buy treatment but often it's a bit of a lottery in the private sector and you have to be very careful where you go. I'm happier taking responsibility for my own mental health and for that of my daughter-there is less hassle and frustration that way but I realise it's not for everyone and shouldn't be.

Think you are correct on this pulisa If there is I haven't found it yet! Well went to see my therapist and I have asked is this CBT she said no I am just here to support you?? I said I think I would benefit from CBT but think the therapist has ruled it out so quite agitaited about this. after waiting since march of this year I feel it's going to be wasted now. There is one glimmer of hope re my hoarding problems she has made a report out and risk assessment and the people she is contacting about seems to be able to offer one to one support on my hoarding the assement has been sent off so now I wait to see what is going to be offered to me just hope it's what I need to move forward and get my life back on track ATB

[pulisa]

The 1-1 support sounds good, BigBoy. Let's hope this offer becomes reality and you get some much needed help and support with the hoarding issue. It needs very specialised therapy so make sure you get the relevant team and not some "general" therapists.

[Bigboyuk]

It does but what it's going to deliver is another thing when I first contacted the well being service I was told it would be CBT with my therapist, well she doesn't think I need CBT (I do but what do we know!) Like I said before she is a CPN but a office one so is she really is up to the job on this? But this other organisation she has contacted for me and she has made a report on me with the risk assessment which hopefully has now been sent off so more waiting required but she thinks it wont be too long before I hear something, so fingers crossed for me please everyone Thanks ATB

[KK77]

It does but what it's going to deliver is another thing when I first contacted the well being service I was told it would be CBT with my therapist, well she doesn't think I need CBT (I do but what do we know!) Like I said before she is a CPN but a office one so is she really is up to the job on this? But this other organisation she has contacted for me and she has made a report on me with the risk assessment which hopefully has now been sent off so more waiting required but she thinks it wont be too long before I hear something, so fingers crossed for me please everyone Thanks ATB

Sorry you're being messed about and made to wait. But remember, you've waited years for the "right" therapy, and you deserve to get it. So hang in there and hopefully you'll be offered professional targeted psychotherapy for your particular problem.

[MyNameIsTerry]

Sounds like she was going to offer a Level 2 service and now you are being referred up to the CMHT for Level 4. L4 means you may get nurses coming to see you.

Just bare in mind, that's the long wait service. Same on as mine, Dave. The nurse I spoke to said I would be seen fairly quickly for assessment but then come the waiting problems. That service deals with outpatient care to people with more complex mental health problems so we can be lower down the list to them. I don't want to be negative but this is something to prepare for so "if" it happens, it won't hit you too hard.

On a more positive note, I've seen some get in quicker than what I was told in other regions where slots have opened up.

I would get your GP helping you too. They would normally be referring people into these services so they can perhaps help? What I mean is, and this is something that annoyed me about my treatment, you have been referred to the wrong service and this shouldn't mean you are pushed to the back of the L4 queue due to NHS ineffeciency. I got help from the L4 nurse there and got my 3 month wait reduced to 1 week but this was with the L3 service, the L4 are very different and dealing with much harder cases.

Good luck.

[pulisa]

Why couldn't you just have been assessed as a L4 candidate at the beginning of the process instead of all this rigmarole of going through the levels? It's not rocket science. Really annoys me-such a lot of unnecessary expense and timewasting. At least you are now on the appropriate list and that's a major achievement, Dave!

[Bigboyuk]

Why couldn't you just have been assessed as a L4 candidate at the beginning of the process instead of all this rigmarole of going through the levels? It's not rocket science. Really annoys me-such a lot of unnecessary expense and timewasting. At least you are now on the appropriate list and that's a major achievement, Dave!

Why is a very good question really pulisa I think I will call the well being line and speak to them they did a telephone assessment in march Tell you all something now if this next thing that is in the pipe line doesn't match what I need (I know I shouldn't) I will get angry about this as really had enough now I am sure you all understand my frustraitions on this matter anyway off to my new OCD group tonight,only joined 2 weeks ago Thanks one and all ATB

---------- Post added at 11:47 ---------- Previous post was at 11:39 ----------

Sorry you're being messed about and made to wait. But remember, you've waited years for the "right" therapy, and you deserve to get it. So hang in there and hopefully you'll be offered professional targeted psychotherapy for your particular problem.

Thx KK tell me about it I have jumped over many hurdles in the many years I been trying to get the right help only to be hampered by many stumbling blocks along the way just want to get better now ATB

[MyNameIsTerry]

Why couldn't you just have been assessed as a L4 candidate at the beginning of the process instead of all this rigmarole of going through the levels? It's not rocket science. Really annoys me-such a lot of unnecessary expense and timewasting. At least you are now on the appropriate list and that's a major achievement, Dave!

Depends how you get there. These services are separate so if you self refer you go to an IAPT provider and they aren't L4. The only way to L4 is through a referral.

So, it depends on what your GP thinks it's needed. I guess the question for them is health risk from hoarding because that would make it more more a possibility for L4 otherwise hoarding is going to go the IAPT route since it's OCD.

---------- Post added at 16:51 ---------- Previous post was at 16:45 ----------

Dave, if she is escalating to L4, which it sounds like, the only level above them is Inpatient care.

L4 do everything. The advantage of them is they can offer a much greater range of therapies and you can have nurses helping you outside of the basic office set up that's more common to IAPT. The downside is they vary greatly and it can be about support rather than therapy. They can do other things though like assess health risks, social stuff, help with benefits stuff, etc.

Look at it this way, even if you get a nurse to support you perhaps you can steer things a bit too by pushing the CBT angle (even if you try to combine something private like CBT4PANIC on top of it).

You'll have people on here who can help you work through some decisions about that as well as give an opinion on whether you are getting the kind of service that you want. Use them, get what you can from them. I know the waiting is a pain and it upset my chasing things up but once sorted it all smoothed out and the nurse was great as she took all the hassle away and kicked some butt for me.

It just beggars belief that the lack of joining up in these processes just adds to people already struggling badly. The NHS is like that but it's very annoying when they can't see how it affects mental health patients.

[pulisa]

Is hoarding OCD though?