PPI Reclaiming discussion Part III

maxdp

marshallka wrote: »

Ohh, I did not realise he had been under a psychiatrist too as I remember saying this when tiggrae was on about it and you said he had not. I thought it was just his own GP. What did the psychiatrist diagnose then?? They are trained to give names to things and mostly a psychiatrist only deals in meds and its a psychologist that actually does a diagnosis and it takes lots of weekly or fortnightly sessions.

A Psychiatrist would make the diagnosis and refer to the appropriate services. The psychologist is just a glorified counsellor and are not qualified to diagnose. The psychiatrist would diagnose an illness from the DSM which categorises all mental health issues/

It is like going to your doctor for a poorly shoulder and he sends you to a physiotherapist for treatment/

marshallka

di3004 wrote: »

Golly you have all been through it haven't you?:eek:

Hope things get better for you for 2009 hun, you deserve this so much.:beer:

Sent you a PM, back sometime after Eastenders.:D :A xx

We all go through it Di. Our problems are no worse then most peoples and most peoples are perhaps worse than ours.

We still wake up everyday and have things to get up for... Thats a blessing.;)

We all need a purpose in life..

maxdp

marshallka wrote: »

God, suicidal, how were you able to cope with it then Di.. . why did you not mention it on here...and this was in October then... and they have signed him off two months later from being suicidal. Thats malpractice I would think. No-one could get over that in a month or two I would think... . What about now, does he have any more appointments with them or have they referrred him to a hospital for some therapy. It must be terrifying for you... you must be on pins all the time.. .

Hi Di Am sure he would have been fully risk assessed. There is a big difference with somebody feeling like they have come to the end of the road and desperate and somebody actually committing suicide, Mostly when people get to that point they do not talk about it they just do it. People who are depressed and talk about it a lot are usually wanting to show how desperate they feel.

I am being general here.

Did the meds help Di they can take up to 6 weeks to be fully effective and then they can increase the dose as and when needed. The problems is that when people then feel better they stop taking the meds and have a real kick back in symptoms which is really awful.

I feel sorry Di you have a lot on your plate at the moment. Lots of love.;)

marshallka

maxdp wrote: »

A Psychiatrist would make the diagnosis and refer to the appropriate services. The psychologist is just a glorified counsellor and are not qualified to diagnose. The psychiatrist would diagnose an illness from the DSM which categorises all mental health issues/

It is like going to your doctor for a poorly shoulder and he sends you to a physiotherapist for treatment/

I psychiatrist usually diagnosis a plan to stick to for the patient and this is often a psychologist and the meds are sorted also by the psychiatrist. A clinicial psychologist is medically trained to some degree and I agree can sometimes be a glorified counsellor but they have got better qualificiations than an 8 week councelling course.;)

Often though when you are referred to a psychiatrist its ongoing for a suidcidal person or at least should be.

maxdp

marshallka wrote: »

I psychiatrist usually diagnosis a plan to stick to for the patient and this is often a psychologist and the meds are sorted also by the psychiatrist. A clinicial psychologist is medically trained to some degree and I agree can sometimes be a glorified counsellor but they have got better qualificiations than an 8 week councelling course.;)

My point being that the psychologist is the second course they do not diagnose, Yes they do have training I agree I have worked with lots getting "work experience" on a mental health ward:rolleyes: A psychiatrist has many years experience and is qualified to diagnose. The psychiatrist then decides the service as in, Counsellor, Psychologist, Psychotherapist, Anger Management, OT, Community Mental Health services etc. A Counsellor I believe needs to do 2 years part time to be qualified and they are still at the bottom of the ladder. Probably a year full time. Again that is a very basic qualification.

marshallka

maxdp wrote: »

Hi Di Am sure he would have been fully risk assessed. There is a big difference with somebody feeling like they have come to the end of the road and desperate and somebody actually committing suicide, Mostly when people get to that point they do not talk about it they just do it. People who are depressed and talk about it a lot are usually wanting to show how desperate they feel.

I am being general here.

Did the meds help Di they can take up to 6 weeks to be fully effective and then they can increase the dose as and when needed. The problems is that when people then feel better they stop taking the meds and have a real kick back in symptoms which is really awful.

I feel sorry Di you have a lot on your plate at the moment. Lots of love.;)

Its a myth that people that talk about it don't do it. They can do just the same as people as that do not talk about it. It can be a cry for help but they can cry and not get it and then do it too.

marshallka

maxdp wrote: »

My point being that the psychologist is the second course they do not diagnose, Yes they do have training I agree I have worked with lots getting "work experience" on a mental health ward:rolleyes: A psychiatrist has many years experience and is qualified to diagnose. The psychiatrist then decides the service as in, Counsellor, Psychologist, Psychotherapist, Anger Management, OT, Community Mental Health services etc. A Counsellor I believe needs to do 2 years part time to be qualified and they are still at the bottom of the ladder. Probably a year full time. Again that is a very basic qualification.

I wanted to do councelling myself at one time but I would get too involved and I know that too. . Thats was some years ago though... wouldn't want it now though. I think its a hard job to dice with peoples lives...:eek: .

maxdp

marshallka wrote: »

Its a myth that people that talk about it don't do it. They can do just the same as people as that do not talk about it. It can be a cry for help but they can cry and not get it and then do it too.

I am not saying all the time. What I was meaning is that if somebody wants to they would not keep telling everybody about it because they would stop them. If I wanted to do that I would not say just do. I know working on an acute Mental Health Ward what I have seen and what I know has happened or not. That is what I am basing my opinion on. I am not saying that all people that talk about it do not do it. If they are talking about it it means that you can communicate with them and work with them.

People that do not talk about it at all are the dangerous ones because they give no clues to how they are feeling and their thoughts. Hence they are more likely to carry it through. Hence the way you see in the press when people have killed themselves and family and friends say they had no idea.

People who talk about it are letting everybody know how desperate they are feeling. If they do not get the appropriate help they will up the anti until they are taken seriously,

marshallka

maxdp wrote: »

I am not saying all the time. What I was meaning is that if somebody wants to they would not keep telling everybody about it because they would stop them. If I wanted to do that I would not say just do. I know working on an acute Mental Health Ward what I have seen and what I know has happened or not. That is what I am basing my opinion on. I am not saying that all people that talk about it do not do it. If they are talking about it it means that you can communicate with them and work with them.

People that do not talk about it at all are the dangerous ones because they give no clues to how they are feeling and their thoughts. Hence they are more likely to carry it through. Hence the way you see in the press when people have killed themselves and family and friends say they had no idea.

People who talk about it are letting everybody know how desperate they are feeling. If they do not get the appropriate help they will up the anti until they are taken seriously,

Oh I know it swings in roundabouts. I was meaning its a myth they now say about this thing of talking and not talking.

There is a good handbook here about suicide and for survivors of suicide (being those left behind in the aftermath that cannot get on with their lives after left to pick up the pieces around them and no matter how they try they just cannot live a normal life - often they kill someone else in the meantime if you know what i mean and kill whole families too and leave kids not knowing what to feel). Its a hell of a good read.

http://www.suicidology.org/associations/1045/files/SOS_handbook.pdf

di3004

Hi Marshallka and Maxdp.;) :A

I think since they highered the dosage of his medication he shown signs of improvement within a few weeks, and he still has to see his GP regularly and if when needed to in case, but there are no talks of reducing the dosage back down yet.

Yes I feel it was a cry for help from him myself, going by other people I know of who have unfortunately gone and done it...... .

I was just so relieved to finally get him to see the GP, but feel now that he needs a little push now and again to start looking for work again, mind you the CV's have been flying out, although nothing vacant with most of them right now, but there is one I know he's really hoping to hear from, the carpentry job, he's done it all before and I know this will be the making of him myself.:D At least with the others they should keep his CV on file hopefully.;)

Fingers crossed folks, cheers.:A