- Mar 26, 2021
Unfortunately I live in the UK and adult mental health services are underfunded and short staffed. To get an appointment with a psychiatrist you have to jump hurdles and getting regular reviews is difficult. Lithium seems to work, I am just concerned about the severe side effects. But if I would request a med change I am not sure they would agree and if they do agree they tend to forget about you once you are on the medication unless you complain and phone Pals which is the place you complain if you are unhappy with the services provided. I don't want to bad mouth NHS but unfortunately this past year I have been let down after they put me on Lithium and the dose was not in the therapeutic range and nobody bothered to request a blood test or check the levels. So I am reluctant to ask for a different review because I am worried that if it doesn't work I will be left hanging or should any side effects arise it will be hard to chase them.Do you have access to your psychiatrist for another med review? They could probably change things up to address the mixed states, anxiety (?), depression, and psychosis risk you face.
I'm a tricky customer because I have a complicated mix of symptoms, so my psych. and I have had to work closely to manage mixed states, hypomania, depression, severe anxiety, ADHD, insomnia, depression, and probably other stuff I've forgotten. The meds have made each set of symptoms better and we've made tolerable tradeoffs.
Until tomorrow when I could go off the rails .