Set to fail

by Rick Johansen
Until now, I have resisted what was a virtually non-existent urge to ‘go private’ in my quest for some form of effective mental health treatment and to seek an ADHD diagnosis, something recommended by numerous therapists over the years. It is not something I feel good about doing. I believe in the NHS with every fibre of my being and I know that under Boris Johnson we have a government that wants to get rid of it, initially by a deliberate strategy of stealth. But what can I do?  Just look at this example Mr Google has found for me regarding bog standard depression therapy:
Private Patients
Online Initial Consultation 1 Hour £350
Online/Telephone Follow-up Consultation (15 minutes) £100
Face to Face Initial Consultation (1 hour depending on location) £350 – £395
Face to Face Follow-up Consultation (30 minutes to 1 hour depending on location) £175 – £325
Repeat Prescription £30

 

I’m simply not going to spend that kind of money on depression therapy if it’s going to be the same kind of thing the NHS has previously offered me. The various therapies did their bit in the short term, but soon, I’m back where I was before. Put simply, I am not going to spend money I haven’t actually got in the near certain knowledge it wouldn’t work and it would be money wasted. I suspect that during privately funded treatment, I’d be fretting so much about the cost that I might get even worse. So it’s not going to happen. I’m not going to spend north of two and nearer to three weeks wages for nothing. That, from the point of view of treatment for my severe clinical depression is over. It’s up to me now. The ADHD bit is even worse.

I wrote to a private practitioner whose reply made things even more confusing. It went along the lines of this: if I was diagnosed with ADHD, would I want prescribed medication? If I did, it would need to be prescribed by a specialist psychiatrist, who “may want to carry out their own assessment”. Then came the magic words: “I cannot recommend anyone in particular.”

My first thoughts were these. I have no idea whether I’d want, or need, to be prescribed more drugs? Given my GP has already said I’m on the maximum dosage for my depression, could they prescribe still more? And if an expert in the field can’t recommend anyone in particular, how on earth could a non-expert like me find one who was affordable and any good?

As things stand, I am inclined to not bother to pursue the private route and just struggle along the NHS waiting list in the hope that I might get a specialist appointment before I die, or simply go mad, whichever comes first.

If I ever doubted the disdain the government has for mental health services I certainly wouldn’t now.

I don’t have the mental strength to navigate an alien system, alone or with the support of family and friends.

It seems to me that the mental health side of the NHS has been set up to fail and in that sense the plan is succeeding admirably. The rest of the NHS will soon follow and then everyone can share in the misery mental people like me have put up with for many years, in my case most of a lifetime.

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