Does
not select just anybody : it affects everybody at least once in their
lifetime
Mental Health sadly is still a stigma
despite much research backed by evidence. We still separate general health
from mental health, and yet, our bodies work in tandem with our brain. Our
brain can be used to the detriment of others in being the most powerful
weapon in the world i.e. whose idea was it to destroy the Twin Towers
using aeroplanes and innocent people? But, it can also be used to our
advantage i.e. Bill Gates designing the internet. In other words, we have
the capacity to do anything if we put our minds to it i.e. mind over
matter. However, it is imperative we take into account our emotions. Our
brain instructs our muscles but only because our emotions provoke a
reaction. All done at lightening speed, it is difficult to work out who is
the cause of what?
Cognitive Behaviour Therapy
looks at causes [triggers] and
effects, and then looks for evidence. In other words, if you feel or think
things, take out the emotions, and look for the hard evidence.
[Expect up to 16 sessions]
Interpersonal Therapy
looks at relationships and
you. It is a very empowering therapy and constantly circumnavigates you as
the individual dealing with others.
[Expect up to 12 sessions]
Counselling
is reflective. In other words,
sit and talk to a mirror. The counsellor often repeats what you have
stated so you can hear it. It does not solve problems but helps to
identify them.
[Expect up to 6 sessions]
Sadly, we are fast approaching the time
when most services we need have to paid for out of out own pocket. The
cheapest route will be through medical insurance, as we have seen with
dentistry.
Your, GP should be able to offer you the
opportunity to be referred to a mental health specialist. He/she would
assess you and signpost you to the most appropriate agency. This could be:
i. Psychiatrist
for Prescribed medication to those with
chemical imbalances [Chronic depression. bi polar depression, drug induced
psychosis, schizophrenia]
ii. Psychologist
to test and quantify results affecting
behaviour,
iii Psychotherapist
to do long term therapy invariably
dealing with childhood issues
iv. Counsellor,
who allows - the time and space to
ventilate your thoughts and feelings to make sense of them OR
v Psychiatric Nurse
Psychiatric nurses are better known for
their role within the secondary care [Acute admissions, elderly rehab, and
community care as the extension to the hospitals]. Dotted around the UK
where there is money made available for primary care, you will find Link
workers who work from GP surgeries. Not every county has them.
The emphasis is very much patient focus
to allow as much control as possible to the patient rather than the NHS.
If that is the case, professionals should always refer to their patients as
CLIENTS. If you are a client and negotiating your plan, it requires a two
person team as a minimum. Not all professionals in health will agree with
this. Psychiatric nurses have always been encouraged to listen and talk
with their clients to teach the clients tools to aid better mental health.
The overall aim is to allow the client dignity and empowerment. It is sad
then, those clients within primary care have few choices to help
with their mental ill health, and are left to deteriorate. In other words,
you need to be chronically ill over a long period of time, or exhibiting
at risk behaviour to yourself or others to be admitted to hospital.