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Uk Nhs Treatment For Ptsd Seems To Bad!

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Taina

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I'm struggling a lot with the PTSD help available on the NHS. After two months of trying to get help, my horrible little GP told me that no one will oversee my PTSD, I have to just see someone for the particular trauma that I went through (in my case sexual abuse). I'm not opposed to seeing someone about sexual abuse recovery, but it seems a bit insane that I won't be seeing a PTSD expert who can help me unravel what is symptomatic. So far reading books and learning about PTSD has been all that's been helping me, and I was hoping to go through that journey with a PTSD specialist. I'm sure the sexual abuse recovery people know about trauma, but because my PTSD has gone untreated for ten years there's a lot more to the picture for me than just the initial trauma. I've grown up with PTSD and it's holding back every part of my life, and led to many instances of being re-traumatised.

I've looked at private help but it's so pricey and hard to tell who's legitimate.

Anyone been through this?
 
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Sorry that you are sufferring and are finding it difficult to get help.

Your experience of the NHS is fairly typical.

The failure is institutional

Without people choosing what to spend their own pennies on, or not to spend them on... The only way that what services will be provided, where and in what quantities and quality can be decided - is politically.

Add to that, price is a rationing mechanism: at an auction for a Rembrandt painting, the price is raised until there is only one willing buyer left. When a shop needs to clear left over stock, ready for the new season's stock, it drops prices, and people que up and even fight to buy what has failed to shift all season at a higher price.

The NHS is "free " at the point of use, so naturally there is massive over demand.

of course, it is not actually "free", it is very expensive, and because there is no entrepreneurial owner who can keep the profits from working efficiently, and because there are no real competitors to lure paying customers away -the NHS uses predatory pricing- there are no incentives to be efficient.

So it is almost certain that we pay far more for NHS services than we would pay on an unhampered market. Incidentally, the American system is still largely a distorted third party payer system.

For the decision making
Individual people are at a disadvantage to organised pressure groups.

For pressure groups, it is easier to organise and hold together a small group than a large and diverse one.

There is also a greater motivation when their is a large reward, than when the reward or cost is relatively smaller.

Hence the decision making for the NHS (as in all politics) is dominated by organised pressure groups, representing relatively small numbers of people who stand to make considerable gains:

Such groups as drugs companies and doctors organisations,

Nursing unions represent a more diverse and poorer rewarded group of interests, but are still a way more politically concentrated constituency than ordinary peons...

Unfortunately, "mental health" represents some of the financially least able in society, and the politically easiest to ignore, minimise, and throw under the bus.

I'm looking to train as a CBT practitioner, but even that is stitched up by professional associations throwing up entrance requirements on new trainees, that existing practitioners never had to meet. Had those requirements been for the benefit of patients, they would have been applied to existing members too. They never are. They are solely to reduce new entrants to the field in order to limit competition and hence maintain prices at an artificially high level, and with feck all quality.

There are good TS out there, there is also a lot we can do for ourselves.

You come across as very bright and motivated, and already well read.

It is important to have a reality anchor, someone of reasonable intelligence, needn't be super bright, but does need to have good common sense. There are people here who can perform that role,

To catch any spirals of negative thinking and drasticization. To validate your experiences, and to cheerlead your real achievements and qualities. Qualities that you will have more of than you'll be likely to admit to yourself at present!

Coming here provides access to probably the largest repository of PTSD experience ever assembled

It also provides controlled exposure, to help you disarm your triggers.

By all means use the sh!tty dysfunctional monopoly that is the NHS (you may for example be able to self refer for CBT, under IAPT), every one else does, it is a classic example of Garrett Hardin's " tragedy of the commons", in which everyone has the incentive to maximise their own consuption, as the benefits accrue to the user, while the costs apply to all.

But do not ever consider yourself dependant on the NHS. One thing that CBT teaches, is how to be your own therapist, and that gaining or important. of a sense of self agency is so important.

It's your recovery, not your miserable little overpaid and over entitled GP's

Feck him!
 
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I am sorry to hear you are having such a hard time getting professional help. I've also had difficulty in getting to see a therapist, just any therapist, so I am not surprised by your experiences. The therapist I am currently seeing does specialise in CBT and uses compassionate mind therapy. I don't think she is an expert when it comes to PTSD, but she knows more than me so that's a start. But her training has included PTSD, causes and treatments, so she is aware of it.

What has been most important for me is that we get on, and I feel confident in her ability to help me. And I do. She has been great and I trust her, regardless of the fact that she isn't a psychologist or isn't a specialist in PTSD. Her expertise has enabled her to help me with much more than just the cause of the trauma, so I hope this may give you some small hope, if and when you do get to see a therapist.

Unfortunately in my case I have been severely limited in the number of sessions the NHS will fund. Initially I was limited to six sessions. The therapist told me and her manager I needed much more (my traumas go back to childhood, 50 years..) and they made the case for me to be allowed another six sessions, but I had to wait three months in-between. I have three sessions left and I am certain that I won't be allowed anymore. My therapist often remarks that I probably need years in therapy and is frustrated by the limitations of the current system. So be prepared to argue for all the help you can get.

It might also be worth investigating the charity sector for help. I also saw a therapist through a rape and sexual abuse charity. This lasted for six months. Again the therapist had some knowledge and training in PTSD and experience of helping people with a wide range of issues, albeit predominantly sexual abuse.

I know none of this is really what you are looking for, and the NHS system is dire, but there is still some hope that you may get to see a therapist who might be able to help you in more ways than you think.

Best wishes - mit
 
You're not alone in this. Six years in and out of the nhs initially for eating disorder not otherwise specified and i haven't improved. In fact, I'm worse (because the last cbt T dredged up the past and I remembered shit I never wanted to). On a waiting list for psychotherapy and a sexual abuse counselling place (also nhs) so we'll see how those go. I saw a psychiatrist on Friday and she hinted I am "lucky" to be on a waiting list for psychotherapy. Wtf?! Told my gp I think I have ptsd she didn't even make a note, just went "okayyy". :banghead:

On the upside, this forum is an excellent place for advice and support, it has helped me quite a lot so far. I hope you can get the help you need.
 
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After 2 1/2 years on a waiting list I finally saw a trainee psychologist who forced my story out of me and retraumitised me. When they were due to move on to their next training position I was refered to a new psychologist who had been reviewing my treatment. She was trained in ptsd and trauma therapy including emdr, but I couldn't force myself to go. The nhs has failed me so much I don't even know where to begin. Well after all that I haven't seen anyone or worked for 2 years, I don't trust any doctors took my self off all meds.

I'm finally at a point where I think I could see someone again, I just can't see it happening with the nhs the way it is atm. It was the worse than unhelpful it actually harmed me. I just don't know if I have the strength left in me to go through something like that again. I too could never afford to pay for a private psychotherapy now I'm on benefits. The worst part is I probably could've at the time I had quite a well paid job. So stupid I should've just paid. Smh.
 
I don't know where in the UK you are but if you are in Scotland, it may be of use to you to look up Survivor Scotland. This was set up by the government to help guide people who have survived sexual abuse, their partners, and families. You can find lists of people who may be able to help....including charities.

I hope this is of some help to yourself and others.
 
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