My waiting list nightmare
For World Mental Health Day, Gavin, who has borderline personality disorder and complex post traumatic stress disorder, blogs about how it took him 17 years to get the support he needed.
The long NHS waiting times in the UK has been one of the hardest parts of managing my condition. When I have been able to access professional help, I’ve had issues with misdiagnosis and inappropriate medication. This has often made my symptoms more dangerous.
I started to experience symptoms such as social anxiety and self-destructive behaviour in my teens. I didn’t understand why I felt like I did. After not knowing where to seek help, I self-medicated with alcohol and drugs. When I finally talked to my GP, he was judgmental of my life-style choices and didn’t recognise that my substance misuse was a symptom of mental health problems.
"Making the call to Mind was pivotal in my journey to recovery. For the first time I felt able to talk about my mental health in a non-judgemental and safe space."
He recommended I seek help for alcohol dependency, and prescribed me an antidepressant without suggesting any sort of talking therapy. I continued to
self-medicate with alcohol for some time and began to lose hope that I would ever feel better. It was at this point that I saw an advert for Mind’s Helpline and called their support team.
Making this call was pivotal in my journey to recovery. For the first time I felt able to talk about my mental health in a non-judgemental and safe space. The adviser listened to me and helped me understand the steps I needed to take to seek professional treatment.
"I was put on another waiting list, this time for a community psychiatric nurse. My condition deteriorated significantly."
After speaking to my GP, I was prescribed a course of cognitive behavioural therapy. I had to wait for six weeks before I saw a therapist and attended a course of six sessions. CBT helped me manage some of my symptoms and learn healthier coping strategies. However, I still needed more specialised support for my psychotic, dissociative and self-destructive behaviours. So I was put on another waiting list – this time for a community psychiatric nurse.
I felt my life had been put on hold. My condition deteriorated significantly, my problems with alcohol worsened and at times it felt like I was just clinging on. It was eight months before I finally received an appointment to see a community psychiatric nurse for an assessment. The outcome of this was a recommendation that I needed treatment from a Specialised Clinical Psychologist, which meant another long waiting list.
I felt like I was back to square one. I became desperate and began to self-harm.
It was nearly a year before I saw a highly specialised clinical psychologist for an assessment. The outcome was a referral for a course of treatment, but I had to wait again. It was two years before I started treatment and during this period I was hospitalised again.
The clinical psychologist introduced useful self-compassionate techniques. However, after the course of treatment finished I relapsed again. After more visits to A&E and the crisis team, it was recommended that I needed to see a specialised psychiatrist. And on it went, being pushed from pillar to post.
"I first reached out for help in 2005, but it wasn’t until 2022 that I received the correct diagnosis, treatment and medication."
Finally, in 2022 I received the help I needed. Together my psychiatrist and I found an antipsychotic on that has enabled me to manage my symptoms on a daily basis, and I have not been admitted to hospital for over two years.
During this time, I was placed on waiting lists for over a year on lots of occasions, only to find out I had been waiting for the wrong therapy and had to go back to square one. I have been hospitalised on numerous occasions while on waiting lists as I have not been able to cope for long periods without help. Seventeen years since reaching out I am finally in a safer place, but the waiting times during this period have not only been frustrating but life-threatening. I consider myself lucky to have survived.
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