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HSE Mental Health service

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Comments

  • Banned (with Prison Access) Posts: 1,019 ✭✭✭stuar


    xLisaBx wrote: »

    Where I live, you can be waiting 2 weeks for a GP appointment, and it's a lot of mental health service seekers that get emergency appointments. So many hotlines and walk in services are available for the suicidal and self harming, but if somebody is physically ill, they can't call a hotline for antibiotics or other medication. Yet they seem to be less of a priority.
    If somebody is self harming or suicidal I think a hotline is the very least they should have, although in that frame of mind they most probably wouldn't think about it. If you are physically ill in an emergency you most probably would call 999.
    xLisaBx wrote: »
    I have no other option but to see my GP in order to get a prescription for emergency medication. If said medication is not administered on time, I can end up hospitalised.

    You've "No Other Option"??, what about south doc?


    xLisaBx wrote: »
    If I call my GP in the morning, I'll be waiting a week at an absolute minimum for an appointment. I'm actually not entitled to repeat prescriptions (like many others), because I need antibiotics and steroids every time I fall ill. And if they are not taken within a few days, I will most likely be hospitalised.

    If you mention you'll be hospitalised I'm sure you'd make the emergency list.
    xLisaBx wrote: »
    Where I'm living, my GP is probably the quickest to get an appointment with :pac:
    :pac::confused:
    xLisaBx wrote: »
    We do have south doc, and it's saved me from A&E quite a bit, but when my own GP knows the routine sometimes I just prefer to visit them.

    Ohh so you "prefer" your GP.
    xLisaBx wrote: »
    Not all of them, but a lot of them. I know because the nurse mentioned it in passing. She didn't disclose any information, but she did say that it's a lot of people with mental health issues that get emergency appointments.

    Also, through my studies I know the percentage average of patients going into certain outpatient settings.
    Are you studying telepathy?
    xLisaBx wrote: »
    I had a nice long reply typed out and it decided not to post :o

    Lots of people clog up the GP for silly reasons, medical card holders being a lot of these people.

    I don't think seeking mental health care is a silly reason. However, it does contribute to a backlog just like everything else. This is a mental health thread and is neither a thread about hypochondria nor under 6's. That's why I didn't discuss them.

    The original point was the lack of public mental health care. My experience is that the GP seems to provide a lot, and everyone got all offended and upset about it.

    No people got offended by your ignorant uninformed remarks and exaggerating your illness and moving the goal posts.

    If you had such a major illness as you tried to make out at the beginning you would be seen by your GP in front of all those mental health time wasters, and if your GP can't see you you can call south doc, 999, but you prefer your GP, you should have just said that from the start.


  • Closed Accounts Posts: 12,687 ✭✭✭✭Penny Tration


    xLisaBx wrote: »
    They are also equipped to hand out anxiety medication, advise on coping techniques and breathing mechanisms, advise on dietary changes that can really help people.

    So, as I mentioned, not the full treatment necessary for mental health patients? All a GP can provide a person with a serious mental illness is a referral, and some temporary, usually fairly useless, coping mechanisms, and some tablets.


    The people who provide mental health treatment (ie diagnosis, treatment plan) are psychiatrists, not GPs.


  • Registered Users, Registered Users 2 Posts: 901 ✭✭✭xLisaBx


    If somebody is self harming or suicidal I think a hotline is the very least they should have, although in that frame of mind they most probably wouldn't think about it. If you are physically ill in an emergency you most probably would call 999.

    Yes, but 999 wouldn't usually be the response to severe infection or chronic pain. Usually, you would attend the GP, who knows you, and who will prescribe what works best for you. Waiting for hours on a trolley is about as useful as staying in bed and waiting for a GP appointment.

    You've "No Other Option"??, what about south doc?

    SouthDoc is certainly an option. However, I don't like using SouthDoc, and it's not really me "liking" going to my own GP or any of the rest of it. I try to use my GP because they know I need my antibiotics and steroids immediately. SouthDoc have left me without antibiotics before, "wait a few more days and see if it goes away". For the record, I fully support this because it is an attempt to stop the over use of antibiotics. However, I need them, because what starts as throat, ear and eye infections turn into chest infections, which turns into pneumonia. This turns into a hospital visit.
    My GP knows my own history, and knows that waiting a week really isn't a viable option to me. My GP also prescribes strong pain medication that I need to function at times. SouthDoc need to approach patients with caution, they could be trying to abuse narcotics and not really be in pain at all. I need morphine during my bad times, and SouthDoc aren't going to give me that.

    Ohh so you "prefer" your GP.

    Above is why I "prefer" my GP. Not that I should have to defend that.

    Are you studying telepathy?

    I wish my lab work was that cool.

    If you had such a major illness as you tried to make out at the beginning you would be seen by your GP

    Okay this is ridiculous. It's insulting and I do not believe I should even have to justify my medical condition.

    I have a condition which causes chronic pain, and the only thing that effectively helps this pain is morphine. I've been living like this for about a year now. I also have a tremor down my right hand, and a numbness that spreads through one of my legs. This means, at times, that I cannot walk.

    When I have an "episode", the muscles in my back, down the trace of my spine, down into my pelvis, contract and do not relax. This leads to severe pain, which causes me to pass out, to vomit, or both. Attractive right?

    My immune system is practically non existant, so I get a lot of infections which require the antibiotic and steroid treatment, as discussed above. This should be the least of my worries, but trying to get an appointment for a prescription can be impossible.

    I also have hypothyroidism, and get severe headaches a few times a week.

    If you haven't managed to match certain symptoms together, my doctor is thinking that I have a form of MS. I'm 20, and am about to face the testing process that will really determine a lot of what I'll do with my life.

    How dare you insinuate that I am exaggerating my illness.


  • Closed Accounts Posts: 23,646 ✭✭✭✭qo2cj1dsne8y4k


    That illness sounds horrific Lisa but what about a patient struggling to admit they're mentally ill? They might prefer speaking to their own GP, or having support from someone they know, and trust to help them. As horrific as your illness sounds, it's in no way more important than somebody else mentally ill.


  • Registered Users, Registered Users 2 Posts: 901 ✭✭✭xLisaBx


    That illness sounds horrific Lisa but what about a patient struggling to admit they're mentally ill? They might prefer speaking to their own GP, or having support from someone they know, and trust to help them. As horrific as your illness sounds, it's in no way more important than somebody else mentally ill.

    I understand this, completely, like I know how difficult it can be to admit just how mentally ill a person is. Of course mentally ill people are entitled to use the GP, but this thread is an accusation that the state is doing nothing. A GP is a public service to help physically and mentally ill people. It's evidence that the state does provide something.

    I didn't want to share about my illness by the way. I just felt the need to defend the accusation that I am exaggerating it.


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  • Closed Accounts Posts: 23,646 ✭✭✭✭qo2cj1dsne8y4k


    I don't think the state are providing adequate care.
    I've broken my ankle, presented to a+e, been sedated, made comfortable and prepped for surgery.

    If I feel suicidal, according to others on this thread, I'll be left for months to see a doctor qualified to help me.

    In 2013 I was told I had tachycardia, and was admitted straight away to a ward, connected up to a heart monitor that night that was monitored all night long by coronary care. The following morning I saw a cardiologist.

    It should be absolutely no different for someone will a mental illness, but it is.
    Nurses in a+e do not treat patients who self harm very kindly, I've been horrified hearing the way some of them spoke to patients.


  • Registered Users, Registered Users 2 Posts: 901 ✭✭✭xLisaBx


    I don't think the state are providing adequate care.
    I've broken my ankle, presented to a+e, been sedated, made comfortable and prepped for surgery.

    If I feel suicidal, according to others on this thread, I'll be left for months to see a doctor qualified to help me.

    In 2013 I was told I had tachycardia, and was admitted straight away to a ward, connected up to a heart monitor that night that was monitored all night long by coronary care. The following morning I saw a cardiologist.

    It should be absolutely no different for someone will a mental illness, but it is.
    Nurses in a+e do not treat patients who self harm very kindly, I've been horrified hearing the way some of them spoke to patients.

    If you feel suicidal, you will receive immediate care if you present to the right places. I don't think any GP or A&E would send somebody home who was genuinely about to kill themselves.

    I've had a few relations and a few acquaintances commit suicide, and I do not blame the state for what happened. They wanted to die, I know deep inside that nothing could be done for them. Would somebody severely suicidal, not just contemplating it, actually get help? They don't want their plans to be disrupted, they don't want to be talked around their idea.

    And who says all nurses are the same? You seem like a lovely beauty therapist, but say I had a bad experience with a beauty therapist, you wouldn't be impressed if I said "Beauty therapists in salons do not treat customers with scars very kindly." It's a sweeping generalisation. I know nurses who are abrupt and bitchy, but then I know some lovely nurses who want the best for their patients, regardless of why they are seeking treatment.


  • Closed Accounts Posts: 316 ✭✭noaddedsugar


    We have had dreadful experiences. My husband had severe depression, was suicidal and was told to go home and google CBT. My brother is a psychiatric nurse and says he is embarrassed by the level of care they can provide.


  • Closed Accounts Posts: 12,687 ✭✭✭✭Penny Tration


    xLisaBx wrote: »
    If you feel suicidal, you will receive immediate care if you present to the right places. I don't think any GP or A&E would send somebody home who was genuinely about to kill themselves.

    That's not true. Guy from my area (pretty sure it made the news, can't be too sure though) went to Beaumont A&E begging for help because he was scared he'd kill himself but a small part didn't want to.


    They sent him away. His body was found hanging around the corner from my house the next morning by a child walking his dog.


    Suicidal people are very frequently left to their own devices after seeking help.


  • Closed Accounts Posts: 3,962 ✭✭✭r93kaey5p2izun


    xLisaBx wrote: »
    If you feel suicidal, you will receive immediate care if you present to the right places. I don't think any GP or A&E would send somebody home who was genuinely about to kill themselves.

    I've had a few relations and a few acquaintances commit suicide, and I do not blame the state for what happened. They wanted to die, I know deep inside that nothing could be done for them. Would somebody severely suicidal, not just contemplating it, actually get help? They don't want their plans to be disrupted, they don't want to be talked around their idea..

    I'm afraid this is simply just not true. I have seen "the right places" turn away suicidal and homicidal mentally ill person a number of time. It doesn't sound like you have much experience of acute and emergency adult mental health services in this country. Tbh you sound very naive about the whole thing.

    As for nothing could be done for those people who committed suicide - is this based on any evidence or just your own opinion on writing off the mentally ill? Do you view depression/mental illness as a hopeless terminal illness?


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  • Closed Accounts Posts: 23,646 ✭✭✭✭qo2cj1dsne8y4k


    xLisaBx wrote: »
    If you feel suicidal, you will receive immediate care if you present to the right places. I don't think any GP or A&E would send somebody home who was genuinely about to kill themselves.

    I've had a few relations and a few acquaintances commit suicide, and I do not blame the state for what happened. They wanted to die, I know deep inside that nothing could be done for them. Would somebody severely suicidal, not just contemplating it, actually get help? They don't want their plans to be disrupted, they don't want to be talked around their idea.

    And who says all nurses are the same? You seem like a lovely beauty therapist, but say I had a bad experience with a beauty therapist, you wouldn't be impressed if I said "Beauty therapists in salons do not treat customers with scars very kindly." It's a sweeping generalisation. I know nurses who are abrupt and bitchy, but then I know some lovely nurses who want the best for their patients, regardless of why they are seeking treatment.
    I understand what you're saying about generalisations but I've been in a bed next to a lady who was suicidal. I could hear absolutely everything they talked about, there was no privacy. Nurses that were really really nice to me, coming in and out making sure I was okay were the same ones looking after her, and I could hear them scolding her, how worried and upset her mother was, that she had a daughter who she should be thinking about before taking all those pills etc.
    I can only talk about what I've experienced and I am sure not all nurses were like that but there was little to no understanding, and Jesus Christ the girl had just tried to kill herself, I'm no medical expert but I'd be willing to bet she felt pretty lousy already without guilting her even more.


  • Registered Users, Registered Users 2 Posts: 488 ✭✭Edgarfrndly


    I was advised to go to A&E for feeling suicidal a while back. It took me 6 hours to be seen and I was sent on my merry way after a 30 minute Q&A. It took 2 months to receive a letter in the door from the hospital for an psych appointment date.

    During the initial Q&A in hospital, I asked for counselling which I can't receive due to high demand. I was told I could be waiting an inordinate amount of time, and instead was referred for group based therapy which I do not want at all. Especially given the fact I have horrid anxiety, and don't feel comfortable with a group of strangers.

    My experience with mental health services in Ireland is not very good at all, and I feel sorry for anyone who's struggling like me.


  • Registered Users, Registered Users 2 Posts: 901 ✭✭✭xLisaBx


    That's not true. Guy from my area (pretty sure it made the news, can't be too sure though) went to Beaumont A&E begging for help because he was scared he'd kill himself but a small part didn't want to.


    They sent him away. His body was found hanging around the corner from my house the next morning by a child walking his dog.


    Suicidal people are very frequently left to their own devices after seeking help.

    That's really a rough story, horrible thing to happen and utterly unacceptable. However, so many people reach out and get the help they need, and while he was obviously failed, so many people have been helped and have recovered from their mental illness.
    I'm afraid this is simply just not true. I have seen "the right places" turn away suicidal and homicidal mentally ill person a number of time. It doesn't sound like you have much experience of acute and emergency adult mental health services in this country. Tbh you sound very naive about the whole thing.

    As for nothing could be done for those people who committed suicide - is this based on any evidence or just your own opinion on writing off the mentally ill? Do you view depression/mental illness as a hopeless terminal illness?

    Well if I viewed mental illness as a hopeless terminal illness, I'd have died when I was 8! I know it's possible to recover, I'm a recovered Bulimic and Self Harmer. I also have a friend who was admitted, attempted suicide many times, and he is graduating next year from a chemistry degree. Lovely guy, lovely girlfriend and I'm pretty sure he has his life on track and will do great things. He used public services the whole way through his recovery.

    I know that those close to me could not have been saved. My cousin had endured a lifetime of abuse, his situation just wasn't nice, and he was definitely permanently damaged from his childhood. I still don't blame the state for not helping him, I don't blame anybody for his death really, because he made a
    choice, and that's the end of it really.
    I understand what you're saying about generalisations but I've been in a bed next to a lady who was suicidal. I could hear absolutely everything they talked about, there was no privacy. Nurses that were really really nice to me, coming in and out making sure I was okay were the same ones looking after her, and I could hear them scolding her, how worried and upset her mother was, that she had a daughter who she should be thinking about before taking all those pills etc.
    I can only talk about what I've experienced and I am sure not all nurses were like that but there was little to no understanding, and Jesus Christ the girl had just tried to kill herself, I'm no medical expert but I'd be willing to bet she felt pretty lousy already without guilting her even more.

    That lady really wasn't treated well. I also know a nurse who refused local anaesthesia to a patient she was stitching after self harming, on the basis that the patient would "enjoy the pain". It's not acceptable, however it is not representative of the health service as a whole. However, I know some nurses that bristle with compassion, sympathy and empathy for their mentally ill patients, they even visit days that they are not scheduled to work.


  • Registered Users, Registered Users 2 Posts: 1,129 ✭✭✭PMBC


    The HSE does not have a mental health SERVICE. It does not provide a service to people with mental health issues. That's left to the private sector and voluntary sector.
    For every person that dies on our roads, several commit suicide. Yet there is a hundred times the effort put into road deaths than suicide prevention.

    A similar thought entered my head this morning but don't know if I was correct.
    Do you have (even approximate) numbers of suicides versus road deaths?


  • Registered Users, Registered Users 2 Posts: 488 ✭✭Edgarfrndly


    PMBC wrote: »
    A similar thought entered my head this morning but don't know if I was correct.
    Do you have (even approximate) numbers of suicides versus road deaths?

    There was 165 road deaths in 2015. I believe there is on average about 500 suicides per year, give or take.


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭Shint0


    PMBC wrote: »
    A similar thought entered my head this morning but don't know if I was correct.
    Do you have (even approximate) numbers of suicides versus road deaths?
    It would be hard to know the real figure as some suicide cases may seem 'accidental' as in single occupant vehicle crashes so it might never be determined as to what the driver's state of mind was at the time.

    I have also seen cases where the family death notice reported place of death as the hospital where the body was brought to afterwards where it would have been local knowledge that it was a suicide and the family are in denial.


  • Registered Users, Registered Users 2 Posts: 1,801 ✭✭✭Dubl07


    I suffered from reactive depression over a decade ago and the gp referred me to local services. Some group therapy, some art therapy, a few one-ones with nurses. Some anti-depressants that made me feel peculiar. The sole time I had an appointment with a psychiatrist (as an outpatient), the clinic started 90 minutes late. When the doctor turned up, it was a young registrar. She cried for the entire fifteen minutes of my session because she hadn't been scheduled to cover the clinic that day, hadn't been told where to go and had no idea which rooms to use. Hadn't ever seen the patient files. I passed her tissues as she wept. Then I made an appointment with a private counsellor.


  • Registered Users, Registered Users 2 Posts: 12,775 ✭✭✭✭Gbear


    percy212 wrote: »
    Different "doctors" every visit.

    That's a problem I found.

    I was seeing a psycholgist for a bit - councelling, mindfulness, that sort of thing. Then there were a few appointments with an occupational therapist or something like that, and overseeing all of this there'd be the consultant, who I'd see once every few months. I had a overwhelmingly positive experience with them, chiefly because I got to know them.

    However, the person prescribing the medication and dealing with me the most on the medical side of things would be some new guy every time I needed a prescription refilled.

    Eventually you get bored telling the same story, stonewall them and just go through the motions to get your drugs.

    I doubt it's intentional, and maybe it can't even be improved, but at the very least it doesn't strike me as efficient.
    If nothing else it wasted both of our time. I didn't need to be sitting in a waiting area for 90 minutes or spent another half an hour waffling. I could've walked up to a hole in the wall, told them things were stable enough and been on my way.

    At any rate, I think the whole thing is a sticking plaster.

    To fight obesity, we need to improve diet and excercise. I don't think anyone thinks we should be focusing on surgery or drugs.

    I don't see what throwing money at the HSE will do about it. Some stuff from your treatment stays with you but the immediate treatment is there to stabilise you. Ultimately, getting better requires you doing stuff on your own and I don't know what we can expect the healthcare sector to do about that.

    Of course those are just my own experiences and that was on the fairly mild end of things.


  • Moderators, Computer Games Moderators, Social & Fun Moderators Posts: 19,071 Mod ✭✭✭✭Kimbot


    Gbear wrote: »
    However, the person prescribing the medication and dealing with me the most on the medical side of things would be some new guy every time I needed a prescription refilled.

    Eventually you get bored telling the same story, stonewall them and just go through the motions to get your drugs.

    I don't see what throwing money at the HSE will do about it. Some stuff from your treatment stays with you but the immediate treatment is there to stabilise you. Ultimately, getting better requires you doing stuff on your own and I don't know what we can expect the healthcare sector to do about that.

    Of course those are just my own experiences and that was on the fairly mild end of things.

    I have to say I agree with you on a lot of this. Its been 16 odd months since I started dealing with the HSE for my depression. Initially the work of the staff in the hospital was superb. They got me on the right meds that suited me and helped me. Once I was stable enough I was referred to their outpatients clinic and for the most part they have been brilliant but when it comes to medication they seem to be at odds with each other over it.

    I was told that if my condition improved over the summer that when I went back to see them in November they would look at reducing my meds. November rolled around and I was in fantastic form and had been for months, went in an a new Dr. seen me, asked me how I was and then straight away told me "Fine, this is the first time I have seen you so you can stay on your full meds for another 6 months". I told him about what plans the other Dr. had for me etc and he just shrugged it off. I was back in to them in April this year with the promise of reducing my meds again. Went in and another new Dr and he said the same thing, 6 more months on meds as it was the first time he had seen me. At this point I was seriously annoyed so I piped up and told him that enough was enough. The meds I was on were literally turning me into a zombie and due to work etc I needed to get reduced or even new meds. Thankfully he reduced some and that has made a massive difference.

    There has to be more training across the board in the HSE but what I have seen in the last couple of years first hand has shown me that they really are trying their best to tackle the issues and hopefully they improve more soon enough.


  • Banned (with Prison Access) Posts: 1,019 ✭✭✭stuar


    Psychiatric nurses to begin industrial action

    The Psychiatric Nurses Association is to begin national industrial action today in protest at what it says is the understaffing of mental health services across the country.

    http://www.rte.ie/news/2016/0629/798845-psychiatric-nurses/


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