NHS antidepressant fixation

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Training you will rotate around different areas within the Trust to get a better understanding/knowledge. As with anything the more you invest the more you'll get out of it. But I know, sadly, many that'll do just enough and no more. You can pick and choose what you want, it's your development, but as I said, far too many do the bare minimum.

 

[ageingpartyfiend]

Training you will rotate around different areas within the Trust to get a better understanding/knowledge. As with anything the more you invest the more you'll get out of it. But I know, sadly, many that'll do just enough and no more. You can pick and choose what you want, it's your development, but as I said, far too many do the bare minimum.

Gotcha thanks - I'm not sure if you're avoiding this (and ofc you are under no obligation to answer, no stress), but what I'm really intersted in is this question

"Can you tell me though - during the initial years of training, how long is spent specifically on mental health (I know it's not much...)"

One person who should probably know has told me that the answer is "two weeks". If that is true then it astonishes me that that qualifies someone to prescribe SSRI's etc (I'm quite easily astonished though, lots of shit blows my mind tbh!).

One may be inclined to think that only a psychiatrist should be allowed to prescribe such if the training is really that basic. Having said that my respect for psychiatry isn't exactly massive - the profession appears to suffer from a severe God Complex. Oh, hang on...I have a pill for that (I do actually, well, a blotter not a pill (only half-joking too, I think a strong psychedelic experience could be extremely beneficial for a lot of psychiatrists). In reality, we are only scratching the surface of understanding mental health - which is a truth that psychiatry appears to be unaware of

I do respect GP's though (in general, don't get all smug

 

[Zopiclone bandit]

It was DHC and / or codeine

What is DHC like compared to normal Codeine?

 

[GulpingBatteryLiquid]

Just remember it isn't the NHS that is at fault - it is successive Conservative governments that have ruthlessly stripped funding from the NHS, while generally advocating for a status-quo drug-phobic, prohibitionist, punitive position on anything harder than aspirin otherwise, which creates a multitude of barriers to the NHS which is already starved of resources being able to liberalise and rationalise it's policy on prescription drugs. Prohibitionist drug policies and substandard health healthcare are not disconnected issues, anywhere in the world.

I'm no fan of the Tories but the NHS receives funding roughly in line with other developed countries, relative to the population.

But yeah, the NHS pretty much flat out refuse to prescribe any decent painkillers. I had gout recently, the foot was sometimes so painful that I couldn't walk, and after multiple appointments I finally got one box of 15mg codeine tablets (Weaker than the OTC pills you can get)

 

[GulpingBatteryLiquid]

What is DHC like compared to normal Codeine?

It's a bit stronger.

 

[Zopiclone bandit]

the NHS pretty much flat out refuse to prescribe any decent painkillers.

100% Truth there.

I had to beg the Doctor & also admit to my level of tolerance for Opiates before he gave me Oral Morphine for a week.

"Anal abscesses can cause extreme pain"
"Pain from a perianal abscess can range from moderate to severe, and can be constant or worsen when you change positions"

We understand each other @GulpingBatteryLiquid as Google said this from the same site I took the above quotes.........
"Gout is a type of arthritis that can cause severe pain."

IMHO anyone who is in pain should have it taken away, no questions asked!!!!!!
My mom had both her knees fixed, she had the normal joint taken out & replaced with a metal one & she was given Codeine to deal with the pain!!!!!!!!

You couldn't make it up, I was after a Pinhead quote & I find him dressed up like a NHS Doctor with the quote I was after.
This is 100% fitting for the way Doctors treat you.

"What you think of as pain is only a shadow. Pain has a face. Allow me to show it to you. Gentlemen, I... Am... Pain."

 

[GulpingBatteryLiquid]

Yeah they seem to be incredibly worried about people becoming "addicted" to painkillers, as if taking 30mg codeine for four days in a row is going to give somebody Trainspotting style withdrawal symptoms.

Even if someone does become physically dependant on the codeine, you can just taper them off. I'm sure that the withdrawals effects you'd get from a medicinal dose of codeine every day would be much easier to live with than fairly intense foot pain as well.

 

[LoginNotSecure]

Gotcha thanks - I'm not sure if you're avoiding this (and ofc you are under no obligation to answer, no stress), but what I'm really intersted in is this question

"Can you tell me though - during the initial years of training, how long is spent specifically on mental health (I know it's not much...)"

One person who should probably know has told me that the answer is "two weeks". If that is true then it astonishes me that that qualifies someone to prescribe SSRI's etc (I'm quite easily astonished though, lots of shit blows my mind tbh!).

One may be inclined to think that only a psychiatrist should be allowed to prescribe such if the training is really that basic. Having said that my respect for psychiatry isn't exactly massive - the profession appears to suffer from a severe God Complex. Oh, hang on...I have a pill for that (I do actually, well, a blotter not a pill (only half-joking too, I think a strong psychedelic experience could be extremely beneficial for a lot of psychiatrists). In reality, we are only scratching the surface of understanding mental health - which is a truth that psychiatry appears to be unaware of

I do respect GP's though (in general, don't get all smug

There’s no minimum amount of hours, you have a list of scenarios you have to be checked off on. Some take longer than others, some you may have to move to another trust to get it checked off.

 

[Bleaney]

What is DHC like compared to normal Codeine?

Maybe it's a bit more of a 'proper opiate' as you can get a bid of a nod on sometimes, depending on the dose, as well as it sometimes being stimmy.

It's very unpredictable though, maybe I'm a poor or slow metaboliser or something. The last time I took it it did nothing all evening and I went to bed, only to wake up at 5 am with my mind flying high as a kite as the DHC had decided to kick in at that point

I cant quite figure it out tbh. Mind you I usually combine it with Soma which is equally as unpredictable!

 

[matt<3ketamine]

Pre/gab are shite ime. Can’t even give them away.

Stand in my city center and they'd be gone before you'd yelled 'FREE PREGABS!' Once they'd see the box design - their natural blacked out self would take effect and all you'd here is "Ey, 'ere mate, gis one'na those boxes of buds, g'wan mate".

They rival 'blues' here and i never knew why, i'd only tried it once before (few 450mg caps were gave to me), was helping put the washing in the machine and woops, on my arse, balance just went completely, then i started getting a weird awful feeling and hated that experience so left them in the drawer for ages.
There's a documentary about how crazy they were here and it was very 'light' in comparison to how heavy the use of them is, now, in that city center. But they weren't getting 450mg caps but 150's.
So, I thought a year or so later, nearly out of diaz - "ill see if what it's like at a lower dose, ill just empty half of one the caps out and see if it's less 'twitchy' for me" - about an hour later, i was basically boosts me into nodding, as it mixes 'too well' with my bupe, diaz and now this combo is my go-to if i wanna nod a bit again. Which became more frequent there.

So YMMV 100% on gaba's/pregab's. The lad i got the 450mg caps from, was eating them like sweets infront of me. Whilst 1 x 450mg had me like i'd a ten glass of whiskey and a line of ket in me the way my legs were going and speech slurring - definitely looking like a new-born bambi.
My sweet spot is around 200-300mg, but 300mg will have me wobbling a fair amount and give me that unique 'twitchy/pregablin come-up' feeling lightly just, nothing like the 450mg cap experience

 

[sadasaulna]

I'm no fan of the Tories but the NHS receives funding roughly in line with other developed countries, relative to the population.

Have to agree. My dad used to be on a NHS governance board. Just before the Tories first got in, the board were told "We're expecting and planning for a net 5% budget cut regardless of whether Labour or the Tories win." Doesn't matter who you vote for you get the government.

 

[Bicycle Tripper]

Just curious if you have an update on how it’s going getting off AD? Have you tried St John’s Wort when you need a mood lift? As for diet, is it possible that your brain is starved of B vitamins and healthy fats? I went down the carnivore diet rabbit hole, and although I did not end up adopting a strict carnivore diet, the information they presented has me fully convinced that the brain needs animal protein and fat to function properly. My brain comes to life when I eat more steak, for example. Things a GP will never suggest. If my brain feels sluggish, St John’s Wort and Gingko Buloba really help me. I’m about to try Methylene Blue for the first time, it’s something worth looking into for energy/focus and mood.

sorry for the slow reply, I've been off them since June now, doing the taper over 3/4 months was the right thing to do and I didn't have many withdrawal symptoms. In general I have good and bad days whereas on antidepressants I just felt flat and neither good nor bad. I haven't been good at sticking to a good diet and a couple of weeks ago was ready to call up my doctor and ask for another prescription for antidepressants. In the end I ate some magic mushrooms (not a big dose probably just above a micro dose) and had a sunday where I laughed and felt motivated enough to clean the house. It got me out of that funk for the time being but I really need to sort things out before the winter which is always more difficult for my mood.

If I had a healthy diet I think I would be in a far better position but it's a difficult thing for me to get on top of, probably due to un-diagnosed adhd (awaiting assessment) that leaves me generally unable to think ahead or focus on my diet.

It's interesting that you mention meat as I was a vegetarian for 7-8 years up until March, I was definitely depressed before then so I can't say that caused it but diet definitely has a huge part to play in it. I was never vegan so had assumed I'd get enough B12 from the dairy I ate.

I'll have a read about st johns wort, thanks