It's all coming apart

[MyNameIsTerry]

If they are IAPT then forms of therapy offered are limited.

Dynamic Interpersonal Therapy (DIT) is based on psychoanalytical therapy but is stripped down to the same timescale and it's for not depression, not anxiety.

You can cross borders of IAPT's for treatment if it means accessing services you need, the NHS Charter was updated a couple of years ago to allow this to bring parity with physical conditions (not that any of us probably knew that was the case for those either? ) but you can't select the type of treatment which remains in the hands of the assessor.

[FrankT]

So I should consult a GP for advice, yes?

[KK77]

So I should consult a GP for advice, yes?

That would be a good place to start. You might have quite a wait for the type of therapy you want though. Would you consider meds in the meantime? You could ask for low dose pregabalin or propranolol if you don't want SSRI antidepressants.

[FrankT]

I am on meds. I've been on Sertraline for years.

[MyNameIsTerry]

Yes, it's always worth getting your GP's opinion and advice on which way to go.

There are other forms of CBT as well such as ACT which might be more appropriate.

[KK77]

I am on meds. I've been on Sertraline for years.

Then it would make sense to increase dose or switch to something else, as it's clearly not helping if you feel so miserable and anxious

[FrankT]

But I think I'm on the maximum dosage already.

[Fishmanpa]

My daughter was on Zoloft for a few years and it crapped out on her. It took a few tries but she's finally on meds that are helping now. Between that and therapy she's doing well. It's apparent you're suffering. Definitely speak with your doctor.

Positive thoughts

[MyNameIsTerry]

What dose are you ok? Has it been working for you since you've been on it? And did anything in your life cause more stress and that's when you found it helped you less?

[FrankT]

I'm not sure, but it might be 150mg. But the thing is... I can't remember it helping me much recently - but I don't dare go off the pill in case my symptoms worsen.