Schizophrenia and discharged to GP

[On Fire]

Hi.
I just wondered how many posters on here with a diagnosis of psychosis or schizophrenia have been discharged to their GP? Or are you all under the CMHT?
I was discharged to my GP from the local Early Intervention in Psychosis service against my wishes (I wanted to go to the CMHT). This was some years ago, but I was re-thinking about it. I recently tried to get referred to my CMHT, and did speak to the CPN, but they would not have me, because I described myself as very well!
I take Aripiprazole 15mg/day for my psychosis and it keeps it well under control.
In 2020 Britain they will not keep me under the CMHT despite my having autism and psychosis. In the NICE guidelines for treating psychosis and schizophrenia it says that it should be a patient choice to be discharged to the GP, but this is not my experience.
Thankfully my GP where I now live is really good. But where I used to live the GP was not good, and it made more of a difference not being under the CMHT.

 

[natalie]

Hi On Fire,

Well, I am different, I am all for flelxiblity and freedom, meaning, I did not like to be couped up in mental health hospital unit at all. I was in fact, making steady progress for 2 months, overall, and the Physchartirst it was said I could be discharged back to the GP services. Phew, I am happier with fleixiblity and more f reedom.

Also, in the former usual way of things, meant I could go out to volunteering, take my my meds for phsycosis and schziophrenia daily, and attend fitness groups, Also, I felt and I still feel do happier, just under GP care services.


I'm glad that you now have a good GP where you live now. I am going back to 2004, when I was in mental health hosptial unit, overall for 2 months, from February, that year.


Best regards.

 

[Takingmybrain]

Its because they are really hitmen and their real job is to make us die but no one will believe me.

 

[GhostOfLenin]

Hi.
I just wondered how many posters on here with a diagnosis of psychosis or schizophrenia have been discharged to their GP? Or are you all under the CMHT?
I was discharged to my GP from the local Early Intervention in Psychosis service against my wishes (I wanted to go to the CMHT). This was some years ago, but I was re-thinking about it. I recently tried to get referred to my CMHT, and did speak to the CPN, but they would not have me, because I described myself as very well!
I take Aripiprazole 15mg/day for my psychosis and it keeps it well under control.
In 2020 Britain they will not keep me under the CMHT despite my having autism and psychosis. In the NICE guidelines for treating psychosis and schizophrenia it says that it should be a patient choice to be discharged to the GP, but this is not my experience.
Thankfully my GP where I now live is really good. But where I used to live the GP was not good, and it made more of a difference not being under the CMHT.

Not had cpn or social worker for a long time. GP's are generally very knowledgeable and very caring.

 

[On Fire]

Hi On Fire,

Well, I am different, I am all for flelxiblity and freedom, meaning, I did not like to be couped up in mental health hospital unit at all. I was in fact, making steady progress for 2 months, overall, and the Physchartirst it was said I could be discharged back to the GP services. Phew, I am happier with fleixiblity and more f reedom.

Also, in the former usual way of things, meant I could go out to volunteering, take my my meds for phsycosis and schziophrenia daily, and attend fitness groups, Also, I felt and I still feel do happier, just under GP care services.


I'm glad that you now have a good GP where you live now. I am going back to 2004, when I was in mental health hosptial unit, overall for 2 months, from February, that year.


Best regards.

Thanks for your reply. I too like the flexibility of being under the GP service. I did not mean being in mental hospital, although I have been twice, in 2016 and 2017. I just meant being under the local Community Mental Health Team CMHT.
I mostly worry about if my benefits will renew or not, because I am considered well enough to be under my GP, will they also consider me well enough to work (I am not well enough to work, and stress of paid employment ruins my life and gives me psychosis).

 

[Takingmybrain]

There is a new service which is primiary mh team which is between gp and community mh whichnis secondary services. Could u ask ur gp if ur area has a primary mh team?

 

[On Fire]

There is a new service which is primiary mh team which is between gp and community mh whichnis secondary services. Could u ask ur gp if ur area has a primary mh team?

Thank you. Yes we have two mental health practitioners shared amongst our local group of GP surgeries. I regularly see them, or rather have phone conversations with them due to not being able to see them because of Coronavirus. They are very good. Glad that you have this primary MH team too. They were able to increase my Aripiprazole from 10mg/day to 15mg/day at the start of this year without me having to see the CMHT.

 

[natalie]

Just to clairfy, I was just under cmht, from mid 2004 - 2008.


Best regards.

 

[Lab rat]

@On Fire if you are too unwell to work, it should mean that. Period. It shouldn’t matter who your caregiver is. That’s my opinion. My opinion also is that the system is set up wrongly

I’m under a cmht. I never was discharged from my shrink, but was discharged by my cpn in 2015 when I went back into full time work. I was laid off in March and seeing a new cpn from April. A pattern? Methinks? Anyway, I’m going to go back into full time work again ASAP after Xmas, so I would imagine my cpn will discharge me again.

so what is different when I work that I don’t need a cpn? Nothing. And I mean mh wise, nothing changes. I just don’t have anyone to talk to about it. When I work, I put in long hours and just come home when I’m tired, I work 7 days. There are reasons for this behaviour, but I won’t go into them, I don’t want to bore anyone.

but that’s what my treatment is, I see my pdoc once every 6 months or so, unless I’m unemployed and my brain seems to go off the rails every other week.

 

[On Fire]

@Lab rat Thanks for your post. I am glad working works for your mental health. You must have a really amazing work ethic to put in 7 day working weeks. I wish I could do the same, but work is such a struggle, it completely takes over my life, I feel exhausted, and then get ppsychosis. I was only doing 4 days a week last time I was working (in 2016), and got such bad psychosis, then my wife divorced me.

 

[On Fire]

@Lab rat Thanks, yes you are also right it should not matter who care giver is in the work capacity test, although they do ask. They are right bastards. I only passed last time because of a statement from my CPN of the time, next time I will get a statement from the mental health practitioner at my GP surgery.

 

[On Fire]

@Lab rat Partly I think I am just upset that I am not considered a valid enough case to be under a CMHT, and I don't know why I am upset about that. Maybe it is attention seeking behaviour on my part.

 

[Lab rat]

I just prefer being at work to being at home, so I choose to spend my time there. Sorry to hear about your wife and your benefits situation. If you feel unwell then there is no earthly reason to force you into work. I think that is so wrong. I blame the media for this situation! Especially programs like benefits street, poverty porn! The problem is that newspapers paint everyone as scroungers and that’s not the case.

I have been on benefits since March, and haven’t enjoyed a single day of it! Going to work helps me, but if truth be told in this economy, I don’t know how long it will take to actually FIND a job and get hired, it may be summer time before I find something. I have plans to work for myself around summer next year, I’ll just have to see how that one pans out. There has been so much damage to the economy that I’ll probably be retired before it is healed.

be well

 

[On Fire]

@Lab rat You seem to have such an active brain. Good luck with getting back to employment.

 

[Lab rat]

I don’t think being under the gp is considered any less serious than being under a cmht.

if it helps, a friend of mine who has sz far worse than I do was discharged to his gp. He had a total meltdown. Ended up in prison, discharged into hospital and still isn’t under a cmht. So I doubt it’s the severity of the case that decides who your caregiver is, I think it’s a financial decision. And I wouldn’t be surprised if in the years to come, all but the most acute cases are under the gp.