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[Closed] Any mental health professionals on here tonight?

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[#1577558]

Have a situation and would appreciate some guidance. E-mail in profile.

Thank you.


 
Posted : 05/05/2010 8:58 pm
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Anyone?


 
Posted : 05/05/2010 10:12 pm
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ygm


 
Posted : 05/05/2010 10:14 pm
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Well, I've plenty of experience in Mental Health, if not the qualifications... 😯


 
Posted : 05/05/2010 10:24 pm
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millie - thank you, have replied.

Talkemada - really, what are we going to do with you? When are you coming to Swinley? The gorgeous Aleigh and I will take care of you 😉


 
Posted : 05/05/2010 10:31 pm
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YGM!


 
Posted : 05/05/2010 10:35 pm
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Some clues as to the situation would be helpful

Or is this just attention-seeking about you, and Talkemada-Fred, and aleigh, and millie, and Swinley

you are drunk

and attention-seeking

and probably not female


 
Posted : 05/05/2010 10:40 pm
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eldridge - this is not a subject I would joke about. Many people are affected by mental health issues and there are professional people on here, hence my post.

It's not hard to tell when I'm attention-whoring or "being controversial".


 
Posted : 05/05/2010 10:44 pm
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Well done eldridge, even by [i]your[/i] standards, that was an impressively moronic post.


 
Posted : 05/05/2010 10:45 pm
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Eldridge; she's just asking a question, what's the problem?


 
Posted : 05/05/2010 10:46 pm
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Thanks CG, I have emailed you


 
Posted : 05/05/2010 10:50 pm
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Many thanks to the professionals who have replied. There are a lot of good people on here. 🙂


 
Posted : 05/05/2010 11:01 pm
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Sincere apologies to everyone above. I had no idea about the seriousness of this. It's gratifying to see how much support is available on here for people in distress.

I have a situation too, and would also appreciate some guidance. This is not a situation I would joke about.

Could some of the "professionals" on here please help me too?


 
Posted : 05/05/2010 11:13 pm
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This all sounds a bit serious 😯 - Romster hopes everyones coolio!


 
Posted : 05/05/2010 11:16 pm
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eldridge - do you live in a perfect world? If so, you must be the only person that does. Don't mock, I hope you don't need to ask a similar question any time in the future.


 
Posted : 05/05/2010 11:45 pm
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Eldridge, lose the inverted commas round the word and some of the professionals on here might just come out of the woodwork.


 
Posted : 05/05/2010 11:45 pm
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Hmm, i remember a post of CG's not so long and can guess who this might be concerning. CG, I hope whatever it is gets sorted as straightforwardly and painlessly as possible for yourself and all concerned.


 
Posted : 05/05/2010 11:49 pm
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ask a similar question

I hope you don't need to ask a similar question

I've searched in vain for any question being asked in the visible parts of this thread

FFS what is the "situation" which started this thread?

What is the "similar question"?


 
Posted : 05/05/2010 11:57 pm
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It's not something I want to broadcast as it's not about me.

eldridge - I am continually amazed at the knowledge and empathy on here. People can struggle with situations and have no idea where to turn. Don't knock it.

HeathenWoods - thank you. 🙂


 
Posted : 06/05/2010 12:04 am
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Eldridge, what's with the inverted commas all over the place?

Looks like CG asked for some advice off the forum, briefly bantered with talkyfred (who i suppose is lending his moral support even if he admits not being best placed to supply the advice she seeks) and then thanked everyone for their input (i suppose so she didn't get a load more emails from people who subsequently see the thread). Except you popped in and got the thread all silly.

FFS what is the "situation" which started this this thread?

I think the rest is none of our business.


 
Posted : 06/05/2010 12:08 am
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Eldridge, don't play the fool any more than you are already. If you could use your empathetic gene I'm sure you could imagine a scenario where C-G would like some assistance without providing too much detail for the well-meaning but untrained to get in a lather about. Hence asking for a 'private consultation' as opposed to a free for all.

I've searched in vain for any question being asked in the visible parts of this thread

Try looking again at the thread title, and the first post.


 
Posted : 06/05/2010 12:11 am
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She asked for serious advice from a pro. End of


 
Posted : 06/05/2010 12:26 am
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I'm no expert but needed prof help for family in sometimes emergency situations a few times. My only advise until you have a plan is be a persistent bastard until someone takes some responsibility. In A&E their only objective is keeping someone ticking over - what happens next aint their problem. If it aint in A&E IME you're on an uphill struggle. You can email me for any further advice. Best wishes. Ron


 
Posted : 06/05/2010 12:49 am
 ro
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If any 'mental health professional' on here has offered advice by email which says anything other than 'Please, consult your GP out-of-hours service / Samaritans NOW' they deserve to be reported to their professional association and dragged before their relevant disciplinary body.

You do a huge disservice to the OP by acting in any other manner. And you know it.


 
Posted : 06/05/2010 2:10 am
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Lordy again, what's with the all the speechmarks?!

You either are a professional or not. Membership of a professional body makes it a very simple yes or no. No condescending "speechmarks" needed.

Ro, putting speechmarks round the word just infers a disillusionment with or lack of faith in the professional bodies themselves, and their own conferring of professional status on their members. Which profesional body/group is it you have a problem with?

Ro your answer is bobbins. Or you are very bored and enjoy baiting [i]everyone[/i] on here! You've no idea what she might have wanted to know. (Are you disappointed you couldn't offer your own advice?)

For example, if someone tells me they can't leave the house without checking the plugs twenty four times and washing their hands between each go, I am not going to start working on helping them over the internet much as some of us here might be quite able and qualified to do so at work. Niether would I if it was someone I met in the pub, a friend or familiy member.

However a very few well chosen questions and suggestions of who to ask locally about this (somewhat embarrrasingly, this is often referred to as the slightly cheesy 'signposting') off the forum is [i]in my professional opinion[/i] far more helpful to the OP than posting it in public and getting some of the sarcastic nonsense that pops up on here.

If someone asked me a simple one like 'I've just started taking olanzapine: will I always feel this tired?' I could give them a strightforward answer without a load of people on the forum wading in and saying 'oooohhh, I've just googled that drug and you must be mental' (fwiw its prescribed for all sorts apart from what you will find in the first five hits if you google it).

If someone asks me abouit Aricept however (used in dementia/alzheimers, not my corner of work at all), I will pass on it because I don't know enough about it.

Often people just don't want to cause unnecessary fuss and need some validation of their issue to make them feel entitled to go to the GP or back to the psychiatrist/CPN and 'bother' them again.

If any 'mental health professional' on here has offered advice by email which says anything other than 'Please, consult your GP out-of-hours service / Samaritans NOW' they deserve to be reported to their professional association and dragged before their relevant disciplinary body.

You missed out MIND and Rethink by the way.

A professional knows where the limit of their professional expertise is and operates within it. They do not give advice on stuff they don't know enough about and they do not embark on a conversation they cannot safely end. They do not undermine the advice given by another professional who more than likely gave advice on the basis a lot more informtion. All the same, if someone is determined their advice is wrong they will continue to ask different people until they hear a more satisfactory answer. That happens a lot here in all forms of problems, not just mental health ones. You get used to that and take it into consideration.

I suppose you could say all that about solicitors, physiotherapists, podiatrists and teachers on here to reading over that.

By the way I didn't reply to CG as a few other folk seem to have done so already. I am proper intruiged by the replies on this thread though!


 
Posted : 06/05/2010 7:39 am
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Blimey, that was a long post. 😳
Edited version would be
'Ro seems to have a chip on his/her shoulder about something.'


 
Posted : 06/05/2010 7:43 am
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CG, I sincerely hope you're fine. Whatever the issue is you can pull through. Good luck!
[url= ]Just for you 🙂 [/url]


 
Posted : 06/05/2010 8:34 am
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Hey Eldridge..... there's a thread over there where at least of two forum members seem to be sufferring from depression... I think your sensitivity is needed!

*shakes head in despair at the idiocy of some forum members*


 
Posted : 06/05/2010 8:44 am
 ro
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Sorry you don't like my use of quotation marks. I'm well aware that single quotation marks should only be used to signify a quotation with a quotation, but I like to use them - as you correctly deduced - to express a metaphorical raised eyebrow over their contents. Thus I would hope that any 'mental health professional' would have more sense than to respond to the OP with anything other than pointers towards mental health service providers.

Commenting upon possible drug side effects in an individual when you lack the complete patient history would just be plain stupid. And unethical. You already know this, so why do you choose to use doing so as an example?

The best, indeed the ONLY answer to a potentially serious medical question on any forum is simply, 'Consult a professional'. Stop pretending otherwise. It's free, it's what the NHS is there for and it works. And if the moderators have the best interests of forum members at heart they'd put a sticky to that effect on the top of each forum.

Ro doesn't have 'a chip on his shoulder' but he does enjoy pointing out idiocy when he sees it. And in the Land Of The Emperor's New Clothes, there's a lot of it about...

BTW, I'm writing this in a cafe in Vung Tau peering out over the South China Sea. How's it going in Broken Britain?


 
Posted : 06/05/2010 9:16 am
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ro - speaking, writing or referring to yourself in the third person can be an indicator of "certain mental health issues" - perhaps you should seek professional help? 😈


 
Posted : 06/05/2010 9:24 am
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How's it going in Broken Britain?

its still full of humour, happiness, spirit, cool people, cool places, flora, fauna and history

HTH


 
Posted : 06/05/2010 9:29 am
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Ro, I have worked in an out-of hours service just like the one you reccommend, where you do have to consider advice based on what the person ringing you tells you. That's your job and you do it with what you know and what your hear on the phone. This is not the complete patient history, it is what they tell you. Just because you have your work hat on does not make you have all the information at your fingertips.

Commenting upon possible drug side effects in an individual when you lack the complete patient history would just be plain stupid. And unethical. You already know this, so why do you choose to use doing so as an example?

Sorry but you are just plain wrong there. Like I said, you operate within your area of knowledge and expertise, and no professional can ever be completely certain they have the full picture, even when they are at work with 18 inches of medical notes stacked in front of them. If you have ever worked in health or social care you must have tied yourself in knots wondering about the 'right' or 'wrong'. All too often its a 'likely' or 'less likely'.

And you and I still have no idea what the OP wanted to know! I trust that those who answered her aren't embarking on a voyage of analytic discovery over the computer with her.

I'm not even going to bother with the smug café comment. How are your free-at-point-of use mental health services over there, Ro?


 
Posted : 06/05/2010 9:46 am
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Empathy's not your strong point, is it, Ro?


 
Posted : 06/05/2010 12:13 pm
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I think c-g's got what she needed and has gone now. No point in carrying on the squabbling now boys. 😀


 
Posted : 06/05/2010 12:21 pm
 ro
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Medical services in VN? Actually, they're pretty shocking, which is why I'm here trying to do something positive about it. But enough about me doing something useful for some decent people, while you cater to the wasters, the DNA's and the skivvers in the UK...

If you've worked in an out-of-hours service surely you had access to the electronic patient record? And surely you check it prior to offering advice?

I don't know of any patient who has '18" of medical notes'. Don't you have a junior doc prune your medical records? And have you ever heard of professional accountability, yunno that thing whereby you do make damn sure your medical advice is reasonable and defensible, even if it does mean ploughing through a patients chaotic notes?

You and I have NO IDEA what advice was offered to the OP, so don't assume the advice was ether relevant or harmless.

Your attitude is symptomatic of many of the ills of the NHS and its associated social services. 'Near enough is good enough'. Out-of-hours services are a poor excuse for access to your own doctor when you need them, and participating in such services lends legitimacy to a flawed concept.

I'd have thought more highly of your opinion if you'd simply agreed that the best course for the OP was to seek appropriate advice. You lost me when you sought to suggest otherwise.


 
Posted : 06/05/2010 12:23 pm
 ro
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Empathy's not your strong point, is it, Ro?

You'd be surprised, Talkemada, you'd be surprised...

But not with idiots, no.


 
Posted : 06/05/2010 12:30 pm
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this thread has deteriorated into something quite silly...

surely people working in mental health are all 'blind leading the blind' so the advice from a MTB forum, or a doctors surgery or even a drunken vagrant sleeping in a shop doorway in Katmandu are all of equal merit?

one mans idiot is anothers sage.. (and vice virsa)


 
Posted : 06/05/2010 12:34 pm
 ro
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based on the choices you provided, i think i'd go with the advice from the drunken vagrant sleeping in the doorway in katmandu.

and it's vice [i]versa[/i]. just for future reference, you understand.


 
Posted : 06/05/2010 12:53 pm
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why thankyou very much ro.. always a pleasure to improve on my spelling ability..

drunk in Katmandu for me too..


 
Posted : 06/05/2010 12:58 pm
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But not with idiots, no.

I'd disagree, you appear to be doing very well on that front.


 
Posted : 06/05/2010 1:00 pm
 ro
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I'd disagree, you appear to be doing very well on that front.

you want my babies, don't you?


 
Posted : 06/05/2010 1:06 pm
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But enough about me doing something useful for some decent people, while you cater to the wasters, the DNA's and the skivvers in the UK...

I'm sure if you stay in business long enough you'll find one or two at your end.

don't know of any patient who has '18" of medical notes'.

I've only been in the NHS 11 years but I can think of a dozen patients straight off the top of my head that were well into their 6th+ volume of notes. One was 17 years old. All very memorable they were too, for various reasons! 😆

And have you ever heard of professional accountability, yunno that thing whereby you do make damn sure your medical advice is reasonable and defensible, even if it does mean ploughing through a patients chaotic notes?

You seemed quite happy advising on someone the other side of the world from you on that running thread though. (rummages in stw...)

I believe the Edinburgh course was fairly hilly? Referred issues from your Achilles could be a factor. Do you stretch that area? It's unlikely to be PF, but I'd start incorporating PF-specific stretches into my warmup were I you, just in case.

New shoes, a three-to-five day course of your favourite anti-inflammatory, and a nice set of stretching exercises for a week should see you back on the road. Good luck.

I think you even nearly suggested him some medication there. Don't remember you referring him on to a local GP or specialist either. Perhaps its your own speciality, in which case well done for some sensible advice. I am sure if he had some really worrying symptoms you'd have told him to seek proper help before starting running again. Point is, you only know what he chose to share in his posts and you offered some simple advice possibly withing your field of expertise, rather than suggesting the GP. Which was fine! Honestly!

You and I have NO IDEA what advice was offered to the OP, so don't assume the advice was ether relevant or harmless.

I think where i objected with your wisdom up there was that the only advice you can give is to ask exactly the same question of someone else. Did I mention you not managing to do that up there^? It's mostly fine to ask about simple physical health problems on an open forum if you are willing to accept a rather huge range of advice and experiences from lots of people.

Sometimes you don't want things aired in public even if the question and answer may be very simple. So sometimes there may be some middle ground between 'Dunno' and 'probaly do know but too big or risky to comment on out of the umbrella of vicarious liablity so go and ask someone else.' Sometimes the question might just be 'I have no idea who to ask, suggest me somewhere sensible to look.' Sometimes just explaining to someone that the advice on the Royal College website is more sound than the slightly scary forum or just validating someone's problems and sending them off with ideas of who best to speak to is all it takes. Boiling it down to either saying nothing or referring to GP/out of hours/samaritans is just a bit too reductive.

Steaming into the thread with your size 9's on about disciplinary bodies in this case just seemed a bit 'hot'.

Out-of-hours services are a poor excuse for access to your own doctor when you need them, and participating in such services lends legitimacy to a flawed concept.

You were the one that reccommended it ^^.

And no, electronic records were in their infancy when I did OOH work. I do still sit on the electronic records steering group for our PCT (crikey its a dry old topic though!) and one the issue remains that you have to allow for the unknown even if it looks like you have a nice helpful and complete set of assessments, GP letters and managment plans in front of you. One of the most helpful pieces of advice I ever heard was 'Always hold in mind the possibility that you might be completely and utterly wrong.' I'd have thought the trouble with being a doctor is that there is just too much to know and not enough time to apply it to your list that day. Does the issue of the existence out of hours services (as opposed to free access to your own doctor) upset you more, or that they are not always staffed by doctors?


 
Posted : 06/05/2010 1:10 pm
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Commenting upon possible drug side effects in an individual when you lack the complete patient history would just be plain stupid. And unethical

Not really. I don't see anything wrong with saying something like 'most people experience X' or 'you may find Y' - that can be done without any notes surely.

RO - you seem to be suggesting that the majority of people in Britain are scum, and the majority in Vietnam are saints. Is that correct?

EDIT I think RO needs to assess the side-effects of his own self administered alcoholic medication before whipping up nasty arguments on STW 🙂


 
Posted : 06/05/2010 1:11 pm
 ro
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RO - you seem to be suggesting that the majority of people in Britain are scum, and the majority in Vietnam are saints. Is that correct?

not the majority of brits, but a significant and growing proportion, yes.

the vietnamese are a super people. hard working, willing to listen and learn, eager to do things for themselves, rarely complaining or negative, amazingly resilient and with a 'robust' sense of humour that puts his scotsman to shame. i love them.

they're everything we used to be as a nation, probably in the 50's, and never will be again.

does that answer your question?

Edit: i don't drink alcohol. sorry 🙂


 
Posted : 06/05/2010 1:22 pm
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Ro;

BTW, I'm writing this in a cafe in Vung Tau peering out over the South China Sea. How's it going in Broken Britain?

Still trawling an internet forum here though aren't you?

The 50's are your ideal vision of what Britain should be? 😀 For somebody who comes across as quite full of themselves,you are not very clued up on history.


 
Posted : 06/05/2010 1:32 pm
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