Help! No peace of mind. No joy left. Just fear. Sadness.

Smile

MyPTSD Pro
I feel so old. Like a used rag that’s been through the same cycle over and over.

No peace of mind.

No joy left.

Just fear. Sadness.

I wonder if a psych place (not hospital) would help but my insurance doesn’t cover.

In the good old US of A: no money, no sanity.
 

EveHarrington

MyPTSD Pro
There seems to be a lack of intermediate care. Either you are ok with once a week therapy or else it’s hospital time. My therapist wanted me to do partial hospitalization but that is 9-4 Monday through Friday and I can’t continue to work and take care of other responsibilities with that.
 

Smile

MyPTSD Pro
There seems to be a lack of intermediate care. Either you are ok with once a week therapy or else it’s hospital time. My therapist wanted me to do partial hospitalization but that is 9-4 Monday through Friday and I can’t continue to work and take care of other responsibilities with that.
Agree! I totally understand you. also, I found partial hospitalization to be EXTREMELY difficult.

Perhaps that’s just me though
 

RNrecovery

Confident
I wish I had some words of wisdom. I just came to say you’re not alone. I agree with everyone who’s saying we need something between PHP/IOP and once a week. I’m very functional from work done in my youth in more intensive programs.

As an adult I had more trauma piled on and go through phases where extra therapy with my personal therapist would be so helpful. It makes a huge difference in my suffering. But all that seems to matter is whether I can get up and function in life. This is why you hear “they seems fine” when someone is gone. We have to seem fine.
 

Charbella

MyPTSD Pro
@Smile unless you have an insurance plan written a while ago the new laws say that if you get mental health benefits they can’t be limited to a certain amount so that should mean that if you can see your therapist weekly you should be able to see them twice a week. I’d check with your insurance then your therapist.

If you don’t have a therapist maybe see if your regular doctor can point you in the direction of a free clinic or live support group that would be free so you get support without a major bill.
 

RNrecovery

Confident
@Smile unless you have an insurance plan written a while ago the new laws say that if you get mental health benefits they can’t be limited to a certain amount so that should mean that if you can see your therapist weekly you should be able to see them twice a week. I’d check with your insurance then your therapist.

If you don’t have a therapist maybe see if your regular doctor can point you in the direction of a free clinic or live support group that would be free so you get support without a major bill.
I’m in the US and we don’t have the number of visit limits anymore. However it does need to be deemed medically necessary and insurance gets to decide that. They make it hard for therapists to justify. And if you look like you’re functioning from the outside- guess what increased therapy isn’t necessary is it. At least things are better than they once were.
 

Charbella

MyPTSD Pro
I’m in the US and we don’t have the number of visit limits anymore. However it does need to be deemed medically necessary and insurance gets to decide that. They make it hard for therapists to justify. And if you look like you’re functioning from the outside- guess what increased therapy isn’t necessary is it. At least things are better than they once were.
Not necessarily. I’ve had two plans since the changes and neither limit my visits. My insurance has said no limits, before they even had a diagnosis. Plus a PTSD diagnosis is the most accepted reason for more visits according to my friend who works in insurance coding.

My current plan gets around covering mental health in general if not certain diagnosis but with the diagnosis they don’t limit number of visits. The Parity Law says that they can’t make it harder than for medical need so if your insurance is making it harder than if you were looking for medical help you should tell them so. If your insurance is an in general pain in the ass…yeah that sucks.

Also insurance DOES NOT determine medical necessity, they get to say how many hoops your provider has to jump through to prove it but they don’t get to say if it’s medically necessary. If they’re telling you that there should be an ethics line to report them to. My current insurance tried to deny covering a medication and my doctor let them know in no uncertain terms that they do not have a medical license and therefore he would be determining my care. They cover it now, but it’s still cheaper with Good Rx because they cover it at the highest level possible, they suck.
 

RNrecovery

Confident
Not necessarily. I’ve had two plans since the changes and neither limit my visits. My insurance has said no limits, before they even had a diagnosis. Plus a PTSD diagnosis is the most accepted reason for more visits according to my friend who works in insurance coding.

My current plan gets around covering mental health in general if not certain diagnosis but with the diagnosis they don’t limit number of visits. The Parity Law says that they can’t make it harder than for medical need so if your insurance is making it harder than if you were looking for medical help you should tell them so. If your insurance is an in general pain in the ass…yeah that sucks.

Also insurance DOES NOT determine medical necessity, they get to say how many hoops your provider has to jump through to prove it but they don’t get to say if it’s medically necessary. If they’re telling you that there should be an ethics line to report them to. My current insurance tried to deny covering a medication and my doctor let them know in no uncertain terms that they do not have a medical license and therefore he would be determining my care. They cover it now, but it’s still cheaper with Good Rx because they cover it at the highest level possible, they suck.
It’s nice you are having a good experience. I work in the provider side of things as well (and have for 20+ years). For many insurance does dictate what is medically necessary.
 

Sues

MyPTSD Pro
I can say that I feel the same way. You're not alone. I can't remember the last time I felt happy. I struggle through life. I am so blessed to have a therapist that is not only excellent with trauma and PTSD, but he allows me to go twice a week. It has helped so much. I am also at the point that I looked at hospitalization (outpatient). My insurance does not cover that. It's expensive and like someone else said, it's Mon-Fri, and I have to work.

We desperately need more help with mental health and better options/services.
 
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