Tag: social care

A much bigger loss than they realise

When I signed up to the programme of treatment I am in at the moment, it was to include weekly group MBT therapy, fortnightly individual therapy, monthly care coordination and support available from a duty team.

With no warning, monthly care coordination has been stopped and changed to quarterly. Having expected to see my care coordinator yesterday as we’d previously booked, this was cancelled and my next care coordination is not to be until the end of September, which will be about 4 months since my last appointment.

I could write a lot about how badly the actual communication of this decision has been handled. Actually I did but I deleted it. It probably doesn’t do anyone any good, not me or the service or anyone else, to shoot off into an angry tirade. I’ve been trying to process this through since we (ie all of us in the therapy programme) got letters telling us a few days ago. My emotions are pretty out of control and shooting to extremes at the moment independent of this which is making things harder – ironically, partly because there is so much going on all across my life and I can’t hold it all together; I could have really done with some help from my care coordinator. I’m trying not to just rant in anger here. However, I do think that some of my feelings are shared by other people in the programme and I do think this reduction in appointments is a much greater loss than the hospital realise. There is a huge gap in care here and it’s getting wider.

We weren’t involved in the decision. We were informed afterwards in an impersonal letter. We were informed that this would be best for us. There was nothing personal about the decision. Surely everyone’s needs in terms of care co-ordination may be different, at different times in their therapy, according to what’s going on in therapy, their health across the board, and all areas of their life? The approach being taken isn’t responsive. It’s just a blanket decision.

My views are certainly being influenced by what I observed and experienced when I worked in mental health services in the same mental health trust in which I’m now treated, but I wonder if the source of this reduction in appointments is actually largely to do with funding cuts and staff shortages? Conversations I’ve had with my care coordinator have given me more than an inkling that my suspicion is correct. If this is so, it would have hurt a lot less if this explanation had been given plainly, rather than it being couched in claims that the service think it’s better for us to have less coordination of our care.

Leaving this aside, nobody actually discussed the matter with us whilst deciding what would be best for us. We didn’t get to give any input about why care coordination is important for us, the help we need, the effect this withdrawal of support would have, what our needs are and how they might best be met. We committed to the therapy programme expecting one thing and now this has been changed. We’re expected to stick with the programme and commit to it but they are free to change it how they choose. This is by no means the first time this has happened and what we have trusted in has been changed or taken away. Support we desperately needed, which was insufficient anyway, has now been withdrawn further.

All these things combine to make us feel hurt and powerless and unheard by those we should be able to trust and undeserving of support. I posted yesterday about how when I discussed the changes on the phone with my care coordinator (after I’d chased several times for any explanation of how the decision was made and what’s happening in practice with my appointments going forward) he told me the service thinks this is the best way to challenge us to be more independent, and how much this hurt and how little the service we should be able to trust actually appreciate what we are facing.

Separate from the emotions this brought up, the withdrawal of these appointments doesn’t just affect the appointments themselves; by the very nature of what care coordination is meant to do, it will have an impact on our wellbeing across the board and I think this is where the proverbial baby well and truly has been thrown out with the bath water. It seems the clinicians who have made this decision do not realise what a loss this will incur.

First, on an immediate practical note, it will have a knock on effect on our therapy appointments. We have been told that the clinicians have decided it is most appropriate for us to get help in therapy appointments rather than care coordination. The focus of a care coordination appointment is utterly different from a mentalisation-based therapy appointment . Therapy appointments focus on emotions and interpersonal situations, looking in depth at particular relationships and specific interactions, our emotions and thoughts and our understanding of what is in our own and each others’ minds. It’s not so much about events and information and our circumstances as focussing in depth on our emotional experience and thought patterns. This is totally different from what is covered in care coordination – such as building a care plan, reviewing mental and physical health, looking at input that may be needed from other health professionals or support workers, looking at social and financial problems and stability, monitoring risk and safety issues, communicating with the range of professionals and others involved in someone’s care… the list goes on. If this is now to be squashed into the therapy appointments, either the time for therapeutic work will be greatly reduced or the problems we needed care coordination for won’t be addressed.

This is all the more important since the length of time for which one can be seen in the service is now strictly limited. The service was set up to be a lifelong service, recognising the fact that we may likely need help outside of particular therapy programmes across many years. Now this has been stopped and after we have completed a particular therapy course we are discharged whether or not we are coping or safe or recovered. When time is limited and so soon we will find ourselves alone again or at least without specialist support, whatever state we are in, it’s all the more important that whilst we are with the service we can get help pulled together across all the areas of our life that our mental health affects and that affect our mental health.

And these areas are broad.  Several of us in my therapy group, myself included, have multiple mental and physical health diagnoses. Most of us have many unmet needs at any one time.  Some of this is because of rules that you can only be seen in one service at one time. I’ve posted before on how unfair that can feel – for me one thing this rule means is I’m not allowed any help with my PTSD and trauma following the abuse I’ve been through, because I’m being seen in the PD Service. I know other people who were forced to choose between being treated for their life threatening eating disorder or their personality disorder. Multiple mental health diagnoses are often closely related but I, and I’m sure many others, have had big difficulties trying to find the way through the care and treatments they need and I’m regularly promised help that is then the next minute taken away. Someone needs to pull all this together and make sure communication happens and that help promised is actually delivered. It is too hard to do this on your own when you’re seriously ill and all too often you are bounced between different services, each telling you that another service is meeting your needs when actually nobody is.

Physical and mental ill health tend to cause disturbance and instability to a lot more than health. Just a few examples from my own experience – and all these are shared by other members of my therapy group – are losing your job, being made homeless or having to move from your secure home, having nowhere stable to live, having no money to meet essential expenses of food and rent and bills, falling into debt, trying to navigate the system to claim sickness benefits or help with housing costs whilst working part time – and being met by mistakes and delays at every turn and waiting weeks on end to receive any money, consequent trouble with utility companies, landlords, over or under payment of tax and Benefits, filling out form after form, having less and less contact with friends and having no resources (financial, or in terms of emotional strength) to keep in touch with the little positive things that can keep you well, relationship breakdowns, addiction, crises, losing control and ending up in trouble with the police or other involvement from emergency services… I could go on and on.

It just isn’t possible to sort out all of these things on your own especially when you’re struggling with the daily pain of the BPD itself. You desperately need someone to get you access to help and guidance, to be familiar at least to some extent with the systems you’re struggling through and to know what help is available and refer you there. This help has never come, for me, from the PD Service, and with so little care coordinator input going forward, it’ll be even scarcer.

Yes, a lot of these things are parts of everyday adult life but the fact is by the time most of us eventually get seen in a specialist service like mine, we have struggled without the help we need for years upon years and are very near the end of the road. (Potentially, very near ending our lives, or already having reached that point because there is nothing but pain, dark, utterly spent, utterly trapped, self disgust, I could go on…) Yes, we have to be able to function independently. But we are silently screaming how right now we can’t. We need help. We desperately need to be heard that we need help. Every time we have tried the very hardest we can and there’s yet another loss, obstacle, more and more piled on us, our risk increases and we are less and less able to be independent and more and more locked into our compulsions to overdose and self harm and try to numb and control the utter desperation and silence the painful scream for help inside us. If someone hears us, guides us, gets an understanding of what is happening across our lives, pulls the pieces together and gives some continuity, as our care coordinator could, then we can start to gain strength and start to find some kind of stability that might eventually allow us to heal.

I am incredibly fortunate that I have a support worker (from a local social service, not from the NHS) who is helping me with so many things that I’d have hoped my care coordinator and/or support workers from the PD Service would have done. The response from the PD Service was to brush me off saying everyone has to deal with these things and I did not qualify for any help and one appointment with a care worker who did not know anything about most of the areas in which I needed help. Thanks to my current support worker, I have not been evicted by my landlord, I have been helped to fill in the complex application forms for disability benefits, I have had support to go to assessment appointments, I have had help learning to budget, I have been able to access the correct advice and information from all the services involved (housing benefits, the council, the Jobcentre, disability services etc), I have someone on my side who understands the difficulty I’m going through at the moment in the police investigation into my abuser, and I have some social support which will help me use my time constructively to keep getting better and eventually learn how to get back into work.

In no way did the lack of recognition, lack of coordination and lack of support I received from the PD Service make me better or more able to function. In no way has having a support worker made me less independent or worse. I am now self harming much less and have not overdosed for weeks. I’m able gradually to do a little bit more and then more, because I have some sense of stability and safety and someone who believes me. With his support I’m not alone going through the things that distressed me to the extent that I couldn’t cope and could only hurt myself.

This support is desperately needed. It is very sad that it is so hard to find. Given that the therapy programme is so good, and I know it is such a privilege to be able to undertake it, it is sad that the support towards staying safe and being well and stable, is so lacking. It is much harder to grow and make use of the therapy from a place where you don’t feel safe or heard.

Perhaps I’m overreacting. Perhaps I’ve had an unusually bad experience with my care coordinator or when I’ve been in crisis. Perhaps I’m incredibly dependent. (Well, I think I definitely am.) Probably I should focus more on the fact I have the support I do. I know many services have much less support available. It just seems to me like a big and widening gap and that things could so easily be different.

If I recover enough to ever work or volunteer in this field, I’d like to work on trying to bring together patients’ access to the support that’s out there and bridge the gap of all the unmet needs that are stopping us from having a stable life whilst we’re working through our therapy programmes. I’m sure this would increase people’s security in their recovery.

Ginny xxx

Thoughts too close to the edge

I really don’t know if carrying on with therapy is a good thing or not at the moment. I am more broken now than before I started this route and know more certainly that I’m on my own in it. I can’t keep trying to fight through day to day, to go to work and to keep going to therapy. I’m starting to wonder if it wouldn’t be better to just push everything back down again and live in my imaginary world. I functioned better day to day when I was anorexic and numb to everything. There isn’t enough support outside therapy to keep it going.

I keep on hanging on to things desperately, for them to be snatched away. The only times I’m not alone are when I’m faking it, even if I’m doing a bad job of that. When I can’t do it, when I am on the point of taking my life, when I am cutting, when I am terrified by the flashbacks, I’m on my own every time. Apparently I’m not allowed anyone there. Apparently I “wouldn’t qualify” for any social care support, and no family or friend wants to be a carer for me. I know they have no responsibility for me but that still really hurts.

I am thankful for my friends. I am not trying to be ungrateful. They do much more than I could ever ask. I know they can’t be there. I know often they are there when I can’t possibly believe they would still want to know me, after I’ve lost it and screamed and snapped.

Trying to keep going used to help. But now I get closer and closer to complete breaking point every day.

I’m going for another appointment at the hospital tomorrow for my 1:1 and I think I’ll tell her I’m thinking about not carrying on therapy. Things feel very very dangerous and close to the edge right now.

Victim roles – holding on tight and falling faster

Victim roles – holding on tight and falling faster

A couple of posts ago I said it is very hard not to be bitter. This week it continued to feel like a twisted game someone is playing. God, perhaps, and I have to keep looking back at the Cross to remember my God is not vengeful, twisted, scornful or delighting in our hurt.

This last week, things continued to snowball and I clung harder and harder to the smallest things. I felt completely alone and the importance of every tiny possible bit of help or hope increased.  The pattern repeated relentlessly that every time I counted on something, inside I built up to, “if I can just hang on to xyz, maybe then I can just manage, maybe then there will be help, maybe then I won’t die” and just as that had started to give me some security, whatever xyz was would be snatched away.

Whatever xyz was didn’t matter so much. I went to the Housing Benefit office to try to get some questions answered. I got some answers but also found out my Benefit will be suspended for weeks because of a 2-hours-per-week change in my working hours, likely putting me further in debt with my rent. I got another 3 page long form to fill out and supplementary statements to write. The time I’d counted on to rest to be able to work the next day was then filled with more anxiety over debt and more form-filling. In pieces losing it I phoned the hospital. We agreed that I could cope with telephone support until my care coordination appointment on Friday. 30 minutes later someone else from the hospital phoned to say that my appointment was cancelled (second month running) because my CPN is on training. I insisted I needed to see someone else.  My friend cancelled our meet-up for the second time within a week (not really for any fault of hers). But I snapped at this point.  The last thing I was hanging on to had been snatched away from me and I couldn’t take any more. Then Friday came and the day of the “replacement” appointment to try to talk about support I needed to cope with finances, Benefits, the threats from my landlord, the mountainous paperwork that needed to be completed and numerous telephone calls, and the effect all the confusion, delays, stress was causing to me, to the point that I was overdosing and cutting several times per week. I admitted that I’m not safe on my own, especially at night, and can’t manage simple things like cooking or keeping my flat in order, because the strain of trying to keep working, therapy, then all the financial problems, combine to be too much and leave me with nothing to go on with. The first person I was speaking to appeared to understand and suggested that there would be help available to me and that we could look at whether more social care support could be available. She asked one of the hospital social workers to see me straight away. The social worker came in and said I wouldn’t qualify for any help, that nobody gets anyone to intervene on their behalf or do forms etc for them, that I wouldn’t qualify for personal independence payment as they don’t recognise BPD and I’m working, and that I’m just “in a bit of a pickle” and that everyone has to deal with problems with benefits, tax and so on. She had no conception whatsoever of the extent of my distress, my self-harm, the danger I am in. I lost it totally and walked out.

At that point, yes it was a twisted game. In my mind, someone was delighting in my hurt, laughing at me, seeing just how far they could push me before I broke totally. And they were going to win that day. I was going to take an overdose or maybe I’d walk onto the train line because that was it and they had finally won. They’d had everything they wanted of me and there was nothing left. Everything had gone beyond possible to absolute desperation and this was the end. Everyone who was “supposed” to help me or whom I tried to rely on, was doing me the most harm when I had most hoped and could least take more hurt.

Obviously, I didn’t go and end it,  because I’m here writing this blog post. I can’t really remember exactly how I didn’t, though I’ll write another post about that later.

Something hit me today.

Vengeful. Ridiculing. Laughing at me. Hurting. Snatching from me. Hitting me when I’m most vulnerable. Rejection when I most need help, by those I most trusted. Scornful. Delighting in hurt. Delighting in making everything my fault and taking no responsibility. That’s what I find I meet with when I most need help and they push me to self-harm and suicide.

My abuser was all those things. Now the world takes that role to me and I am in the same position of being hurt. I’ve got away from my abuser, physically (though not in my head), but now the world takes that role to me and I am trapped and still its (her?) victim, not allowed to be saved. I got away (bodily) from her when I walked out, shut the door, got on the train, hung up the phone. That was hard enough and took over 20 years. Getting away from this abuser’s force in the world is going to be much much harder and the leaving I must do this time is going to take much much longer, I think. I don’t think it’s leaving, exactly, but changing something in me so as to receive something other than abuse.

Ginny xxx (Very confused)