• Replies 8 replies
  • Subscribers 29 subscribers
  • Views 125 views
  • Users 0 members are here
Options
Related
Hints and tips
  • To quote someone's message, first select/highlight the relevant text, and then use the Quote button that appears
  • To "mention" someone, type @ followed by the start of the forum name, and choose from the list; that person will get a notification of being mentioned

Fighting for support from CMHT for CPTSD doing more harm than good

Kirstie

Hello all, I was wondering if anyone has any advice or can relate. 

I am under the care of the CMHT with diagnosis of ASD, PTSD and GAD. I used to function quite well but in the last two years have completely lost functioning and been unable to work, study, lost friendships and become pretty much house bound. The CMHT accepted my referral and said I was in the right place to be treated but since then I  have just waited on a waiting list for 7 months with no treatment. I queried this and asked what I am actually waiting for and who is responsible for my care (as I have a care plan but no coordinator). This led to an assessment with a psychiatrist who clearly didn't understand Autism and focused solely on 'just autism' telling me I just need 'lifestyle changes' that 'painting is good for autism' and that I should be referred back to 'the autism specialist in primary care' I explained this does not exist and I am actually seeking treatment for PTSD not autism though it is a dual diagnosis ASD/PTSD which requires treatment to be tailored. I said to him I am getting increasingly frustrated with healthcare professionals not understanding autism and he said 'well, autism is hard to understand".

After the appointment I got a text for an online partner organisation offering 8 weeks of CBT framed as a choice to reduce my wait time???? This seems to be a step down bak to primary care and I also don't want CBT. I have bee through talking therapies numerous times which haven't worked. I paid privately for 5 years trauma therapy (which didn't work and made things worse as I didn't know I was autistic then and neither did the therapist).

I have asked to be referred forward to a specialist organisation or charity that offers trauma treatment to autistic adults rather then going backwards to primary care but fighting with the system is fast becoming a significant source of trauma making the situation worse. The CMHT makes me feel like I am faking illness, not worthy of support or not ill enough, but primary care says I am too complex.

I want to just avoid healthcare completely as its too stressful and seems to make me feel worse, but I also really feel my mental health is going downhill and self-help strategies are not working as  I feel too unwell to engage with them. 

What next? Does anyone have any ideas, and is this common? I have asked to choose a different provider under right to choose rather than moving back to primary care and involved NHS trust feedback team. Maybe something will come of this but I actually wanted support, not to exhaust myself further by having to fight a system and I don't even know what I am fighting for at this stage if the treatment doesn't even exist or you can't have it on the NHS.

Exhausted and confused. If the NHS won't treat PTSD then I wish they would just say that rather than messing me around. The recent NHS adverts advertising talking therapy if you are struggling with PTSD make me want to scream. Treat the people on the waiting lists before you advertise your non-existent treatments!!!

Parents

  • You.problems are likely mostly nervous system issues, threat and fear responses. These are fast and sit below you control.

    You can't think yourself out of it because your pre-frontal cortex is not controlling it, you limbic system is.

    So, you need to be calmer. What does this mean? Reduce pressure, reduce, stress, find ways to be more level. If you are overloaded, you need to reduce life pressures, put off, outsource or automate what you can. Stop stimulants like nicotine, caffeine, alcohol. Sleep better. Do some mild exercise. Eat well and fewer carbs. Have vitamin D tablets (D3+K2), you can get a years supply from nutrition geeks for £10.

    Once you get your baseline down and closer to normal things will not seem as overwhelming. This helps ASD . You can then work on anxiety through small exposures with help. You have to train your system to see nothing bad happens and it will see things as less of a threat.

    The PTSD is more tricky. Therapy in general is about managing emotions so you can process things. But in ASD the problem is not the emotions. They are secondary. You can have them because the thoughts trigger them. The issue is to address the thoughts, which may be distortions or just confusion. My trauma like systems were based around misplaced guilt and shame and general confusion from not understanding due to not being diagnosed. Worthing though all my memories has helped. I did this with AI as my mirror, which has allowed me to spend hundreds of hours, but it is peculiar to the way I think and interact with AI. But an hour a week for a few weeks does not go far. Doing it all alone is emotionally very distressing too. But everything is easier if you can sleep. The problem if course is what you do if trauna is stopping you sleeping. 

Reply

  • You.problems are likely mostly nervous system issues, threat and fear responses. These are fast and sit below you control.

    You can't think yourself out of it because your pre-frontal cortex is not controlling it, you limbic system is.

    So, you need to be calmer. What does this mean? Reduce pressure, reduce, stress, find ways to be more level. If you are overloaded, you need to reduce life pressures, put off, outsource or automate what you can. Stop stimulants like nicotine, caffeine, alcohol. Sleep better. Do some mild exercise. Eat well and fewer carbs. Have vitamin D tablets (D3+K2), you can get a years supply from nutrition geeks for £10.

    Once you get your baseline down and closer to normal things will not seem as overwhelming. This helps ASD . You can then work on anxiety through small exposures with help. You have to train your system to see nothing bad happens and it will see things as less of a threat.

    The PTSD is more tricky. Therapy in general is about managing emotions so you can process things. But in ASD the problem is not the emotions. They are secondary. You can have them because the thoughts trigger them. The issue is to address the thoughts, which may be distortions or just confusion. My trauma like systems were based around misplaced guilt and shame and general confusion from not understanding due to not being diagnosed. Worthing though all my memories has helped. I did this with AI as my mirror, which has allowed me to spend hundreds of hours, but it is peculiar to the way I think and interact with AI. But an hour a week for a few weeks does not go far. Doing it all alone is emotionally very distressing too. But everything is easier if you can sleep. The problem if course is what you do if trauna is stopping you sleeping. 

Children
No Data