Tag Archives: IAPT

If

Yesterday’s phone call made me angry. But anger is good, I needed to feel angry. Without anger I wouldn’t have acted. Had that call come on a bad day it would have been catastrophic.

I could have so easily have been left with a feeling of real despair, and believe me it was bubbling under the surface and fighting to take over. They can’t help me. No advice, no plan for what to do next, nothing. They simply turned me away in a single breath.

Rather than crawling back into bed, hiding from the world and feeling alone with no one on my side I called my GP and made an emergency appointment for this morning.

‘IAPT won’t help me. I need help’ I told my doctor after over an hours wait in a crowded, sniffling waiting room. He didn’t understand. I had got to him before they had sent through the notes from our conversation. He deduced that it must be down to me scoring too highly.

There is a fine line, he said. They can’t help you if you score to low or if you score too highly. ‘I was just honest’ I said.

They didn’t tell me I am beyond help, or in fact offer any explanation at all as to why they have firmly crossed my name off their list.

‘I’m going to refer you to the mental health team’ my doctor said, typing quickly and not looking up. He told me that they’re the next step up from IAPT, that they will work more closely with me, that it’s anther route to help and that I should be assigned a key worker.

I filled in another two forms, marking myself out of ten all over again. I answered his questions, saying things out loud that cause a hot, sweet lump to form in the back of my throat. It makes them real. It makes me sad.

My medication has been increased again. Tapping away at the keys my doctor explained that as I have already been unresponsive to two other types of antidepressant this is my last chance. If these higher dose tablets do nothing for me then medication is ruled out.

He asked how the tablets make me feel, whether they make me drowsy like they should do. I’m to take these new ones at 7pm when I should feel spaced and not of this world until they kick in properly at around midnight and make me want to sleep. I will then have the hangover to contend with, in the same way that I do now.

Nothing wakes me, no alarm clock, no loud protests from Beans over the monitor. The husband has to psychically shake and shake me until I slowly come round. It’s true, he videoed me once, fast asleep and unresponsive to being used as a one year olds climbing frame, oblivious to shouts and music and voices.

The hangover from the new meds will be worse. It will last longer and possibly make it harder for me to come around once I am actually awake.

I’m resigned to feeling normal only for the few hours a day that the tablets allow, at least on a bad day I will only have to deal with a small chunk of reality. I am glad that I am being referred to someone else.

My doctor explains that I will need to go through another assessment with the new team before any plan of action is drawn up. It is possible that they could refuse to help me too.

The thing that is resonating though is how much everything that I have is balanced on a knife edge. Yesterday I was told that I was not ‘unwell enough’ to receive help. Everything could have come crashing down; it left me feeling so alone, so unheard and uncared for. So lost. Today I am told that I am ‘too unwell’. No one really knows because no one listens.

I don’t have much more fight left in me.

Take Care!

“Hi! We’re calling because you had an appointment tomorrow but we’ve had a cancellation so if you’re free for 20 minutes now…”

“Ok, sure.”

“I just need to ask you a series of questions. All you need to do is score yourself out of 8. 8 being ‘every day’ and 0 being ‘not at all’”

“Ok.”

“Do you suffer from low mood, anxiety or negative thoughts that make it hard or impossible to carry out normal daily activities such as cleaning, social activities, child care etc?”

“8.”

“Do you suffer from extreme levels of tiredness, struggle sleeping or sleeping too much?”

“8.”

“Do you have thoughts of self harm, injuring yourself, hopelessness or a feeling that it would be better for everyone if you weren’t around?”

“8.”

“Do you want to kill yourself Clara?”

“5.”

“And what is stopping you”

“My daughter, I want to be a good mummy. I don’t want to let her down.”

“Why do you think you are suffering with postnatal depression and anxiety?”

“What do you mean?”

“Well, you say you have these things, how do they manifest? What makes you say that?”

“I have panic attacks several times a day, I am totally incapable of looking after my daughter. I don’t enjoy her. I don’t do things for her. I don’t feel as if she is mine. I can’t do anything, I stay in bed all day sometimes. I feel guilty and a total failure.”

“Ok, lovely. Bear with me while I put that all into the system.”

“Alright.”

“You mention your daughter along with the depression, she is a tiny baby for you to have these feelings…?”

“She’s one. This has been going on for a whole year.”

“Hold please.”

“Thank you so much for answering all my questions and for your help in filling in the forms. What I am going to recommend is that you visit your GP to asses your current medication. This doesn’t mean that you can’t call us again, say 6-12 months down the line, if you still feel that you need our help.”

“So…?”

“I’m afraid that we are unable to offer you anything at the current time. You are not displaying any form of illness or condition that we can help you with at the moment. Like I say, perhaps pop back to your GP and you’re welcome to keep our number for use at a later date.”

“You can’t help me at all? There’s really nothing you can do, CBT or therapy of any kind? I’m really struggling and my husband isn’t working. My baby is one for christs sake. I need something.”

“Well if you go to your GP they will be able to give you some information on self help and also review your medication.”

“Right.”

“Thank you again for speaking to me today. Take care!”

Say It Out Loud

I always do it, get myself overly worked up about something that turns out to be nothing. I wait and wait until my blood is about 95% adrenalin and then the release never comes. Instead I am fuelled by my own anxiety for days, nervous and twitching and waiting for a way out. No wonder I have panic attacks.

Two weeks ago I filled in all the forms to refer myself for therapy and sent them off, wanting someone to take my outstretched hand and help me.

On Friday I had a phone call from the service, I missed it. This morning I settled down with a big mug of tea and the phone. I would phone them myself, I wouldn’t wait for if and when they planned on calling me back. And then the adrenalin kicks in.

It said in the covering letter for all the forms that this would be an assessment phone call. Thirty minutes of questions and answers to ascertain whether or not I am deserving. This is not something I relish.

I find it extremely hard to open up to people at the best of times, let alone over the phone. Without body language and physical interaction talking becomes harder for me, especially with a total stranger.

I sip my tea and I try to second guess what they will ask me, clutching at straws and trying to reassure myself that I have the answers and won’t be reduced to a sobbing wreck as soon as they start to probe. Not being able to articulate myself properly really worries me, I need to be honest but at the same time I have never had to say certain things out loud. It’s a huge leap of faith for me to do that.

Half way down my mug of tea and suitably anxious I dial the number. It rings.

I sit on hold for fifteen minutes. My thumb hovers over the end button on the phone, twitching to press it every thirty seconds. I don’t want to do this, I don’t want to say things out loud, I don’t want to admit to it all.

Click.

‘Thank you for holding, can I take your name?’

The rustle of papers is audible as the woman on the end of the phone searches for my notes.

‘Ok, you need a telephone assessment. The earliest available time is on Wednesday 8th February, can you do that?’

Hang on, this isn’t the thirty minute phone call I had built myself up to, this is just to make an appointment.

I hang over my lukewarm tea just like this is going to hang over me for the next nine days.