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Q1: About 12 years ago when I was 50 I set up home with a man I had known for some ten years. True I knew he was a bit of a control freak but basically we got on well and, well,
everyone has there faults. After a few years together he became manipulative and started treating me cruelly physically, sexually and mentally. He was at this time highly respected in the community.
I thought I was going mad with all the trouble he caused me especially the rifts between me and my friends, neighbours and family by telling them lies about how bad I was and how good he was.
So now he has stopped doing these cruel things but I can't forget what has happened, especially the loss of my family. It's no good me trying to talk to them because they believe everything he said to them about me and still think he is a saint.
Every day I keep reliving in my mind what has happened and I wake up thinking about it and go to bed with it racing around in my head. I have spoken to my GP who tried to get me psychiatric help but this has been turned down twice so now I spend time crying a lot and trying not to think about the past but never succeeding. Name and address withheld.
A1: Obviously without having you as my patient and knowing your own and your family history I can't and shouldn't reply in detail to your problems.
It is also always important to meet the other person concerned in any relationship troubles. Agony aunts for a variety of very good reasons usually accept correspondents' account of a situation as being the full story. In the real world, in which doctors have to work, it is usually found that although the majority of the difficulties have arisen because of the action of one or other partner the other's contribution, although less important and possibly not the root cause of the trouble, is more substantial than they supposed. Uncovering the relevant facts that led to the tensions and disharmony that is either causing or the symptoms of an unhappy relationship is made even more difficult because frequently both sides are doing their best and are telling the truth as they understand it, but are misunderstood by their partners.
You are wise to see your GP. The first port of call for everyone with physical or psychological problems should be their local practice. If you are still depressed and preoccupied by the past it would be as well to see your own doctor again to discuss appropriate psychiatric treatment for your symptoms. It might well be that counselling from an organisation such as Relate would help. You need to discuss with your doctor the likely effect any suggestion of counselling would have on your partner.
Q2: I have suffered from stress and depression for over twenty years, culminating in November in my taking an overdose and ending up in hospital. There, a doctor gave me the telephone number of the local crisis team. The following week, I spoke to someone at the local mental health authority, and was told that I’d receive a letter telling me what treatment they proposed.
When nearly two weeks since the overdose I had heard nothing further, I telephoned the local mental health authority. During this period, I had received no counselling or change in medication. They promised each time I phoned that someone would call me back the same day. It was twenty-four hours later before anyone contacted me. In desperation, I phoned the crisis team twice only to be told to phone the authority. The so-called crisis team turned out to be merely a couple of people answering the phone with no doctors or nurses there; outside normal working hours, there is NO cover by the local mental health authority.
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I am 64 and in 2004 I had a triple bypass. In November 2005 my doctor diagnosed pluerisy, but two weeks later I had a pulmonary embollism which damaged one of my lungs. Since then I have trouble sleeping. I fall into deep sleep but two or three hours later I wake and find it hard to go to sleep again. I have resorted to sleeping pills but do not want to take them long term.
Is my medication to blame. I take Ramipril,Bisoprolol, Simvastatin, Fenofibrate and Aspirin.
Michael , Hednesford, Staffs, England
Update from Depressed of Surrey
I found a counsellor who is authorised to do NHS work, and have begun counselling sessions with her. Unfortunately, my local health centre is not prepared to contribute towards her charges.
My doctor wrote to the local mental health authority and, as a result, an appointment with a psychiatrist has been arranged for mid-January.
Owing to a cancellation, the counselling sessions arranged by my own doctor have been brought forward to February, i.e. three months after the overdose instead of six.
Depressed of Surrey, Surrey,
Update from Depressed of Surrey
I found a counsellor who is authorised to do NHS work, and have begun counselling sessions with her. Unfortunately, my local health centre is not prepared to contribute towards her charges.
My doctor wrote to the local mental health authority and, as a result, an appointment with a psychiatrist has been arranged for mid-January.
Owing to a cancellation, the counselling sessions arranged by my own doctor have been brought forward to February, i.e. three months after the overdose instead of six.
Depressed of Surrey, Surrey,
i depressed of surrey
Im sorry to say that i dont think your experience is out of the ordinary - a couple of years ago (im a teacher) I had a student who had taken an overdose and was suicidal. I tried to get her help without success and was amazed at how callous those i met in psychiatric services were. In the end i ended up taking her to a&e one day as i was so very worried that she was going to kill herself - she was patched up with pills but had no ongoing support of any kind. To make matters worse it was felt that id got 'over involved' and i faced alot of criticism.
Ive since moved on from that particular college and we have an excellant counselling service (though with no emergency service for those in desperation) Some of the best support ive seen offered has been from third sector organisations (women's centres/mind etc) and alternative therapists who seem to have some empathy. I feel for you and would suggest that you try these sort of services in your area while you wait.
Jane, leeds,
Mexican Senorita
Your letter could have been written by me when I was your age.You ARE depressed. You are lonely the way I have been whenever I split up with anyone and that's why you cry.
Time will heal and quizas one day you will meet someone else whom you like.
If the man you knew is still single+eligible (wasn t married, wasn t cheating on you,wasn t stingy, wasn t selfish , wasn t ...etcetc you see how fussy I am too) is there ANY chance of patching it up ?
If that's impossible..perhaps one day Mr Right can still come along. Try to get out+meet new people+opportunities
I have a partner now and about 2 years after we met ,we moved in together and began to Quarrel . My mum told me that the problem was caused because he and I had lived a single life for too long and had each become set in our ways , not having had to learn to give and take when young enough to be easily adaptable. We ALL must learn to give and take.I'm still learning Buena suerte
a, UK,
Depressed of Surrey, please, tell me who are those geniuses who sent you a letter stating that you don't need to change medication. I didn't know some people have a crystal ball and can visit you by letter and suggest the best treatment for you. Next time I have a brain cancer, aids or cyrrosis instead of going to my GP/Hospital/specialist I may send them a letter asking to put a magic pill inside that would heal me...
By the way, regardless of how good or bad are today's standards in the so-called 'authorities', nobody has the right to treat you that way and such behaviours should by no means be tolerated. Lack of funding isn't an excuse, as early treatment is cheaper. If somebody is not convinced and still blames resources, take a look at the so-called authorities' so-called leaders' wages!!!!!
If those people and their dogs cannot deliver a service, it's better to save money and close the 'service'. Who do they think they are? Are we going to let them get away with it much longer?
Me, Hull,
I'd just like to say to 'Depressed of Surrey' how sorry I am that they have been treated that way by the psychiatric services; it is truly criminally negligent. I hope 'depressed' gets the help he/she needs because i'm sure the neglect of the system is adding to his/her misery. my heart goes out to you and i hope you find some help and comfort.
lottie, christchurch, nz