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"Rejected referrals"

About: Mental Health Services / Adult Mental Health Services

(as a service user),

My GP continuously referred me to psychiatric services within NHS Lanarkshire and every time my referral was denied on the basis that I was not a priority and I was functioning.

My GP tried to get me seen multiple times and every time it came back as rejected. Although functioning, I was experiencing a mental health crisis of panic attacks, emotional disregulation, brain fog, binge eating, severe intrusive thoughts, poor social skills, poor communication skills in workplace and personal life, hyperactive tendencies etc.

I noticed that I would talk to myself and rehearse conversations before they happened. I didn't really fit in and tried to copy how people around me acted. I have done this since I was a child. I was told I had anxiety and depression. Eventually it got so bad I decided to see a private consultant psychiatrist. I was worried I had a personality disorder or something wrong with my brain as I was struggling with an existential crisis as well and have always had concerns over the world/the planet etc.

However, after months of assessments and screening, talking in depth about my childhood, having family members fill out questionnaires, deep diving into my brain and how I see the world I eventually was given the correct support and put on medication to help me regulate my thoughts. I also was given an official diagnosis of Combined Type ADHD Moderate Severity and Austim Spectrum Disorder (ASD). It would've been previously known as high functioning autism.

I now have a sort of shared care approach in place, however. The fact this was missed is very concerning. From age 18 I was phoning the GP telling them I do not feel very well mentally due to anxiety and they were referring me and coming back to say the referral was rejected. I was able to function alongside my difficulties as a female due to a term called masking, which is a performance females can do in order to fit in with society. Anyway - the fact this was missed is shocking. 

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Responses

Response from Rose Walker, Governance Support Manager, NHSCP, NHS LANARKSHIRE 5 months ago
Rose Walker
Governance Support Manager, NHSCP,
NHS LANARKSHIRE
Submitted on 02/12/2024 at 12:07
Published on Care Opinion at 12:08


Good afternoon Sunset22,

Thank you for taking the time to post your comments, I am sorry to hear about the difficulties you have experienced and would be happy to discuss the situation. I can be contacted on 07890525905.

Thank you,

Rose

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Response from Michael Taylor, North Lanarkshire Health & Social Care Partnership 5 months ago
Michael Taylor
North Lanarkshire Health & Social Care Partnership
Submitted on 10/12/2024 at 14:27
Published on Care Opinion at 15:00


Good Afternoon Sunset22,

Firstly, I'd like to apologies for the delay in responding to you due to not having the correct permissions for response to this on Care Opinion site.

I'm sorry to hear of your difficulties. The decision to decline the referrals are made by the Community Mental Heath Team (CMHT) clinical team based on the information contained within the referrals received. I am therefore unable to comment on this particular clinical decision though would urge you again to discuss this with your G.P who will have received communication from the CMHT regarding the rationale of their decision and for considering if a further referral is required that meets their criteria.

thanks

Michael Taylor

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Update posted by Sunset22 (a service user)

I would never go back to my GP and ask for a mental health referral after what I have went through for the last 3 years.

None of the NHS services being offered were equipped to deal with the issues I was experiencing. I was 17 and a half stone at 22 years old and asked for a referral to someone who could help me as I had an endless pit in my stomach and food was on my mind 24/7. I was going to gym and not losing weight as I was continuing to binge to extreme measures. Referral was made to weight management. The multi disciplinary team suggested I download an app or attend a sort of AA like meeting for people struggling with portion control.

What I was dealing with was impulse eating to control stress and anxiety caused by undiagnosed ADHD and undiagnosed Autism. I explained I am unable to take part in group like activities as being around people in this context makes me feel uncomfortable and I do not want to look at other overweight people when I already felt absolutely disgusting in my own skin - referred back to GP.

Binge eating continued until I was over 19 stone, and my GP advised that Psychiatry not accepting referrals as I was functioning and able to go to work; I was advised to go private or put in a complaint due to being referred so many times. I eventually went private and that's where things are now looking up for me.

I was appalled by the service from NHS Lanarkshires CMH Team. How can an opinion of someones mental state be based off a 5-10 minute conversation with a GP? How on earth I was left to get into the state I was in mentally and physically is concerning.

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