Category Archives: Mental health

Depression: when a bad day becomes a nightmare, and a wish list for youth mental health

To mark World Mental Health Day, two bloggers with experience of mental health issues share their thoughts on action. Here, campaigner Lol Butterfield writes about the fine line between “a bad day” and something more serious, while below, youth mental health campaigner Carrie Holroyd shares her 10-point wish list to boost youth mental health.

Lol Butterfield, Social Issue blogger, mental health campaigner
We all have mental health as well as physical health. They both work in correlation, two sides of the same coin. It’s World Mental Health Day today and I wanted to explore the question of when our mental health become mental ill health? When does having a bad day become a living nightmare? If our having a ‘bad day’ becomes more frequent, as sure as night follows day, we have reached what I call “my dark place”, clinical depression. It is a fine line between having the “blues” and clinical depression but once you have crossed that emotional line, you know where you are.

My own experience of depression seven years ago would have been not different to many other people’s experiences. Maybe the difference was that I was in denial for most of my decline into severe depression? With the benefit of hindsight now I was probably no different from many other men in that aspect, denial was my coping mechanism, I masked my symptoms thinking it would all go away. If only (it’s worth pointing out though, that often people do of course seek help when they experience the initial symptoms, men included).

There are a range of common symptoms associated with depression such as difficulty sleeping, poor concentration, not eating regularly or over eating (comfort eating) Our thoughts become very negative, we feel guilty over our words and our actions, we worry unecessarily. With depression the world around us becomes very dark and seeing the ‘light at the end of the tunnel’ as the cliché goes is far from easy. In fact it is nigh on impossible to see any light when you have reached the stage of severe depression, darkness is everywhere. The world feels like a dangerous place, it gives no quarter and does not take prisoners.

If you experience the above symptoms, or others such as becoming over emotional, irritable, having panic attacks, then seek help. Thoughts of self harm, or even suicide, will set alarm bells ringing louder than St Paul’s Cathedral. These are warning signs that help is required – and required quickly. Unfortunately when it comes to mental health men have a tendency for self denial.

As a consequence we have twice as many women then men visiting their GPs for mental health concerns even though both experience the same problems. With men it is often the outdated and totally ludicrous “big boys don’t” cry attitude. If more men had cried, and sought help sooner, we would have fewer cases of male depression. And frankly men would now be living meaningful lives instead of dying without hope as a consequence of taking their own lives, particularly young men. This is the tragedy.

So where do men seek help? The GPs surgery, as has been well-documented, is not frequented as much by men as women so we have to be creative in seeking alternatives. There are many different projects looking at mens health in particular around the country, these are usually organised and run by Primary Care Trusts. These will focus on “wellness” and “wellbeing” and promote eating a healthy diet and exercise, alongside checking blood pressures and weight. Again the important link between good physical health and mental health is being recognised.

Locally where I live on Teesside we have a Mens Health Day once a month at the Riverside stadium, home of Middlesbrough football club. These sessions are free. Men are more likely to go to an environment they feel comfortable with such as a football club, or even a social club, to discuss mental health issues because of the shame, fear and stigma.

As for me, part of my recovery involved attending my local gym. This is something I would recommend to anyone. The exercise combined with the social aspect of meeting friends and talking significantly lifted my mood and confidence level.

I would liken acknowledging you have depression to carrying an umbrella in a rainstorm. By acknowledging you have this problem you are prepared and protecting yourself from its effects. You are accepting it is there and needs to be addressed. You are proactively dealing with the problem. There are certain things we can all do to protect ourselves from poor mental health such as eating healthily, having a good regular sleep pattern, social contacts with friends, and physical exercise. These are all protecting factors against depression. And what I would see as probably the most important is sharing our worries, our feelings, with others close to us.

As the old adage goes “A problem shared is a problem halved” – in the case of depression this cannot be reinforced enough. I have survived to tell the tale, but sadly many others don’t.

***********************************************************************


Blogger and mental health activist Carrie Holroyd
My 10 wishes for youth mental health, by Carrie Holroyd
1. The government should increase access to and availability of psychological therapy for young people with mental health problems. Prescribing psychiatric medication may be a quick and cheaper solution but doesn’t always help young people with complex problems.
2. More support in schools; with three children in every classroom having a diagnosable mental health problem, I believe there should be more in-school counsellors and training for staff on how to best support young people with mental health problems.
3. Empower us! Being young and having a mental health problem can be very disempowering, involving us in our own mental health care and increasing participation can make a huge difference.
4. Not everything is a symptom. When you have mental health problems everything you say, do, believe in can be inappropriately construed as a symptom of your illness. Having friends, family and professionals scrutinise you constantly can get very frustrating.
5. Don’t lower your expectations. Just because I have a mental health problem doesn’t mean I can’t work, study, socialise and have a fulfilling life. Things may be a bit more difficult for those of us with mental health problems but it doesn’t mean people have to lower their expectations of what we’re capable of. Many of my peers have been told by friends, family and professionals that they can’t pursue a certain career or study because of a mental health problem. Imagine how horrible it is to be told that at a young age.
6. I’d like to see people ‘open up’ about mental health problems. Don’t be so afraid to talk about it, it’s not as scary as the media can make out.
7. Don’t believe everything you hear. There are many myths surrounding mental health problems that are frankly ridiculous and increase stigma. Read up on mental health and educate yourself.
8. Early intervention is important. So many people find they don’t receive adequate support until they reach crisis point, this has to change. Early intervention can cut down on hospital admissions and prevent problems escalating into more severe forms of mental ill health.
9. Bridge the gap between child and adult services. In some parts of the country young people must leave child and adolescent services (CAMHS) at 16 and cannot use adult services (AMHS) until they reach 18.
10 . Treat young people who present at A&E for self-harm with respect and dignity, don’t dismiss them or deem them “attention seeking”.

Fundraising: how to make friends and influence people

Given the dire state of funding in the charity and public sector, fundraisers (and by that I mean staff and volunteers – not chuggers) are working overtime with some fantastically inspiring and engaging events, some of which I’ve featured on this blog. One caught my eye, not least because its title sounds like a cross between a very fine record and a throat spray.

The Largactyl Shuffle is a series of regularly-held and increasingly popular guided walks, the brainchild of the brilliantly creative user-led charity CoolTan Arts which clearly has its tongue in its cheek and its feet in its walking boots. The charity’s event is named after the anti-psychotic drug, Largactyl; the medication’s possible side effects can include a distinctive shuffle.

A piece of CoolTan art

The guided stroll on Saturday October 15th is being held to mark World Mental Health Day, which is on the previous Monday (October 10th). The five-mile guided sponsored hike is from the Maudsley Hospital, Denmark Hill, south London, to Tate Modern, Bankside. The walks are gaining a reputation for being very social, entertaining events that bring together campaigners and raise the profile of mental health issues. The organisation was founded in 1990 by a group of artists who squatted in a suntan factory, which is how Cooltan Arts got its name.

An artistic walker at a previous Shuffle event

This year’s walk is entitled No Health without Mental Health and explores the history and social impact of the NHS since its inception in 1948. There will be breaks, poetry readings and other events along the route.

Comedian and broadcaster Arthur Smith, whose family and friends have experienced clinical depression, is the event’s patron this year. Smith’s fellow patrons at the charity are artist Maggi Hambling, TV chef Rosemary Shrager sculptor Sokari Douglas Camp, writer Ali Smith and novelist and Guardian columnist Clare Allan.

Advocating that mental wellbeing is enhanced by creativity, the arts and mental health organisation is run by and for people with mental distress. Its numerous workshops at its centre in Southwark’s Walworth Road include visual arts, batik, digital arts, video, poetry, and performing arts. There are also regular exhibitions, public art projects and websites which help break down the stigma of mental distress and the gallery and performance space offers other community projects a place to exhibit. The charity also runs volunteering schemes.

CoolTan Arts Largactyl Walkers at a previous event at the Maudsley Hospital

The walk, suitable for people with disabilities and wheel chair users, finishes with a reception and refreshments at Tate Modern.

• If you’re interested in taking part, download a form from www.cooltanarts.org.uk or call 020 7701 2696 or email info@cooltanarts.org.uk walkers must bring a packed lunch and drinks, wear suitable clothes and sensible footwear. The non-refundable registration fee is £5 unwaged or £10 waged.

“As a child, I didn’t know what stigma meant – but I certainly knew how it felt”

Guest blogger Lol Butterfield, a mental health campaigner and qualified mental health nurse, explains his involvement with a national drive to tackle the stigma suffered by people with mental health issues. The campaign is driven by service users. Butterfield, who lives in Teeside, has written an autobiographical book which describes his experience of growing up with a mentally ill parent.

Lol Butterfield, Social Issue guest blogger, mental health campaigner
“He must have been insane to have done that!” Sadly, an all too familiar response following reading about a particularly vicious assault or murder, in the newspapers. The reality is usually different though and, statistically, 95% of serious crime is carried out by people who do not have a clinical diagnosis of mental illness, those who are not therefore “insane.” They are “bad not mad”. So why do we discriminate?

People experiencing mental illness are more likely to be the victim, rather than the perpetrator, of a serious crime. This criminalisation, mainly through the media, was one of the reasons I became involved in Time to Change and its Lived Experience Advisory Panel (LEAP).

LEAP is an advisory group of 12 people who shape the Time To Change programme, England’s largest mental health anti-stigma campaign. Time to Change began in 2007 funded through the Big Lottery and Comic Relief with £20 million of investment. Us “Leapsters” have extensive experience and knowledge of mental illness and a passion to put the record straight. We act as campaign ambassadors and spokespeople. With a diverse mix of expertise and good links to service user and carer networks, we work towards ensuring that service user and carers needs are at the heart of the campaign.

Over 30 years I’ve spent time working in mental health services as a qualified nurse. I have seen daily the stigma and discrimination faced by those who experience mental ill health and their families.

I’ve also been on the receiving end of this stigma myself. I experienced mental illness myself when in 2004 I had to take time off work with severe depression. I have worn the shoes of the nurse, and the patient. I can empathise with the one in four of the population who have also found themselves mentally unwell at some point in their lives.

My father also experienced mental illness and as a small child I recall the stigma surrounding this growing up in a small mining village in the north east. As a young boy I did not understand what the word stigma meant but I certainly knew how it felt at that time.

I have spoken to people who have been laughed at on the bus or been called names because people know they have mental health conditions. I know of those who have ever been told to sit in other areas of a pub, who have not applied for jobs because they fear being rejected when they disclose their mental health background. These people are vulnerable to abuse because their mannerisms. Ironically these mannerisms are often caused by their medication rather than the condition itself.

I became involved with LEAP because I saw an opportunity to positively and constructively use my experience, as both a nurse and someone with experience of mental ill-health, to make a difference.

I have presented at conferences telling my story and promoting the campaign message. I’ve taken part in TV and radio interviews, visited schools and colleges to raise awareness. Until recently, I was writing a bimonthly column for the local newspaper where I live in Teesside with the aim of tackling the negative stereotypical coverage we see all too often.

Three years ago, I decided to write Sticks and Stones, my autobiography, as another way of spreading the anti-stigma message. my childhood memories of growing up with a father who experienced mental illness and the stigma my family faced and I myself felt as a child. For me writing the book was also about encouraging others to follow my lead by using myself as a positive role model (ie someone who is trained as a mental health nurse and has experienced mental illness. I am very open about this in order to promote more acceptance from others)

Individually as well as collectively we can and will make a difference no matter how small. With imagination and creativity we can impact in those areas of society that discriminate and stigmatise.

It has not always been easy. The work I do can be stressful because often it is real people with real experiences at the core of what we do as a group, and I do as an individual. I have at times to be mindful of my own limitations and avoid pushing myself into the “dark place” of clinical depression again. That said my work gives me so much satisfaction and pleasure. To know my words and actions have made others think differently around mental health, and act differently in their treatment of those who are unwell, is reward in itself.

The work of LEAP has made a difference in that dedicated time and effort has ensured that the message is being delivered in many creative, diverse ways that otherwise may not have been. As Leapsters we cover all parts of England to touch as many people in as many regions as possible. Touching hearts and minds, promoting tolerance and understanding of mental ill-health. I believe we are teaching the next generation to act and behave differently, changing attitudes for the better.

Dilnot: reaction round up

Today the Dilnot commission on social care published its conclusions in its Fairer Care Funding report. Among its findings are that care costs should be capped and the means-tested threshold increased under major changes to the funding of adult social care in England.

The report is a chance to finally fix a shattered system, there will be widespready reaction and analysis later today and beyond to what Dilnot himself calls a once-in-a-lifetime chance to overhaul social care but for now, here’s a selection of today’s responses which I’ll try and update throughout the day.

Sue Brown, Head of Public Policy at the national deafblind charity Sense: “Sense welcomes the Dilnot report, and in particular the key finding that additional public funding for adult social care is urgently required. But we are concerned that the media focus is only on older people which obscures some critical aspects. We believe the report clearly shows that not only can the Government afford to support disabled people of all ages, but crucially as a society we can’t afford not to. It is now up to the Government to fund adult social care so that it gives disabled people of all ages quality of life. For deafblind people social care means communication and mobility support, not just personal care.”

Julia Unwin, the Chief Executive of JRF and the Joseph Rowntree Housing Trust (a non-for-profit provider of housing and care services): “Today marks the most concrete and credible step for years. I believe that the proposed reforms have the potential to bring about a radical step-change in how we value social care, how we think about disability, and how we all – as individuals and as a society – plan and prepare for longer lives.
It is positive to hear commitments from all the main parties to set aside party differences and consider the Dilnot report with the consideration it clearly warrants.
The JRF now urges the Coalition Government to abide by its promises to deliver a White Paper in the next six to nine months. It would be a tragedy for this, one of the most pressing and defining issues of our age, to be kicked, yet again, into the long grass.”

Jeremy Hughes, Chief Executive, Alzheimer’s Society: “Today’s welcome report could bring to an end the scandal of the colossal Dementia Tax where every year tens of thousands of families are left to pay all their care costs whilst other diseases are paid for by the NHS. The government mustn’t miss this opportunity to right a wrong that is destroying lives. In a new system we must end the postcode lottery that gives different support depending on local authority. The Dilnot Commission has given the coalition government the opportunity to show that it is a caring government. Pending implementation they must also show they care, protecting social care spending in the way they are doing for health.”

TUC General Secretary Brendan Barber: “The TUC welcomes the increase in funding for the care of the elderly over the next few years, and the news that social care will be free for those who become disabled before the age of 40.
“The introduction of a national eligibility assessment should avoid a ‘postcode lottery’ and make it possible for those receiving social care to move around the country without losing their care provision.
“The TUC believes that social care should be provided free for those who need it, and funded from general taxation. The Dilnot Commission’s proposals could, however, be transformed into this NHS model by continually reducing the level of the cap on care costs. The government must not set too high a cap – a level above £50,000 per person would mean that families could still face losing their homes to pay for the vital care they need.”

Gordon Morris, managing director of Age UK Enterprises: “The Dilnot commission report delivers a clear call to action to the financial services industry to work with government to develop the innovative products needed to fund long-term care. Existing products, such as equity release and annuities, could present a solution, but far more has to be done to build flexibility into these products to increase access and ensure these products evolve to meet changing financial needs.”

Stephen Burke, founder of social enterprise United for All Ages: “Under the commission’s regressive proposals, the winners would be richer families whose inheritance will be relatively protected, while most families will face a more confusing and potentially costly care system. The proposed cap on care costs will still result in some older people being forced to sell their homes to pay for care and related costs.
“The proposals aim to reform the current inadequate system for funding care. But they would lead to a more complex, fragmented and confusing care system … This could be seen as a care ‘poll tax’ for the so-called squeezed middle.”

An interesting reaction from by social workerSarah Smith“: “It is local authorities that take the hit from policies devised by central government, and we can only hope that all parties are brave enough to act together for the country’s interests rather than consider of their own chances at the ballot box. We deserve much better than that.”

Labour leader Ed Miliband: “The last thing Britain needs is for Andrew Dilnot’s proposals to be put into the long grass. We three party leaders are of similar age and the same ­generation. This is a once-in-a-generation opportunity which our generation must address.”

Which? executive director Richard Lloyd: “Consumers tell us that long-term care is their top health care priority* so we welcome these recommendations and urge the Government to act sooner rather than later. If private insurance is to play a part in funding long-term care, then we need to learn lessons from the past, where products have either failed to meet people’s needs or have been mis-sold. This will be a new market with a clean slate so it’s important that strong consumer protection is in place from the start.”

Michelle Mitchell, charity director at Age UK, tells the Guardian that the report set out “a clear blueprint” for sustainable reform. Production of a white paper by next spring was ambitious but achievable, Mitchell said. But she warned: “Delay beyond Easter would be indefensible.”

Mark Goldring, chief executive of learning disability charity Mencap, said: “Now is the time for monumental change and it is vital that the government does not bury social care reform.”

John Adams, Voluntary Organisations Disability Group (VODG) general secretary: “Today is about more simply demanding more money – vital though additional funding is – it is about urgent reform of a broken system. The Dilnot commission has taken great pains to build cross-party consensus; ministers now need to match the warm rhetoric with which they greeted today’s report with swift action. The government must find the courage to put its money where its mouth is, succeed where previous administrations have failed and exploit what Dilnot himself describes as a “once-in-a-lifetime opportunity” to create a fair and sustainable system of social care.”

Senior Fellow at The King’s Fund, Richard Humphries: “The budget deficit should not be used as a reason for inaction. This is a long-term issue and questions of affordability go beyond the current economic situation. The additional public expenditure needed to fund these proposals is less than 0.25 per cent of gross domestic product – this should not be too high a price to pay for providing a care system fit for the 21st century….Where they have failed in the past, politicians from all parties must now seize the best opportunity in a generation to ensure that people can access the care and support they deserve in later life.”

Su Sayer, learning disability charity United Response’s chief executive: “The report’s recommendations are the first step towards creating a better system which ensures that people in need of care receive it, funded in a way that is not only fair, but seen to be fair….Whether viewing this economically or morally, we cannot afford to ignore these recommendations, which is why we urge all political parties to work together towards a better social care system for all.”

Guy Parckar, acting director of policy, campaigns and communications at Leonard Cheshire Disability: “The system as it stands is creaking at the seams, with more and more people missing out on the care that they need. This report must be seen as a clear call for action. All of the political parties must come together with one agenda and that is to agree a fairer settlement for social care. We cannot go on with disabled and older people missing out on care because of a system that simply cannot cope with the demands placed upon it…Too often disabled people with significant social care needs can be charged into poverty by our social care system. People are unable to work, unable to save, unable to buy a home as any income or assets will simply be taken to cover the costs of care. This is a critically important recommendation that could make an immense difference, and it is absolutely imperative that the Government acts on it.”

Domini Gunn, Chartered Institute of Housing (CIH) Director of Public Health and Vulnerable Communities: “In reforming the funding of social care, we urge the government to follow Dilnot’s recommendation to review the scope for improving the integration of adult social care with wider care and support system. This must include housing, and housing support, providers and could help drive a more preventative approach, incentivised through funding arrangements.”

Sir Stuart Etherington, Chief Executive of NCVO: “This review makes major strides towards identifying how we can achieve an affordable, sustainable and fair funding system for all adults in the UK. The challenge now falls to all parties to resist turning the review into a political football and to prioritise responding swiftly and decisively. It is the most vulnerable who will suffer if we cannot seize this golden opportunity to improve the funding of adult social care.”

No voice for the vulnerable

Can you imagine being so desperate for affordable legal advice that you go on an eight-hour, 300-mile bus trip just to get help? I came across such a case seven years ago; a Welsh man facing eviction from his council-owned cottage when the area was being redeveloped found that the only housing legal aid lawyer willing to take on his case was in West London. So desperate was the man to stay in the cottage he had been born in and so great was his fear of homelessness, he made the trip.

Although this tale is from 2004, it highlights the vital safety net legal aid (when the state pays all or part of the legal costs for those who cannot afford them) provides to society’s most vulnerable. The number of solicitors who carry out legal aid work have been falling in recent years (hence the Welsh man’s 300-mile journey) thanks to uncompetitive pay rates, hours of unpaid work and red tape. But now, under government plans to cut the legal aid budget by £350m, the situation could get worse for those wanting to access affordable legal help. It is estimated that around 500,000 people could lose out on legal advice amid the planned cuts as the government wants to remove clinical negligence, family law, education, non-asylum immigration and housing cases from legal aid’s scope.

Today is Justice for All day, with marches and petitions planned by a coalition of 3,000 charities campaigning against the cuts and you can also oppose the cuts at social action campaign site 38 Degrees.

The Law Society, which represents solicitors in England and Wales, has also launched Sound Off For Justice, a campaign for alternative reforms that it says will save more than the government’s own proposals and protect legal aid funding. The campaign encourages the public to demand the government reconsider its plans and look at the alternative measures which it says would save £384m in the next 12 months. You can record a voicemail for Justice Secretary Ken Clarke against the cuts here. The campaign is supported by, amongst others, housing charity Shelter, the Refugee Council, lone parent charity Gingerbread and housing association Eaves.

Here’s the campaign’s latest video:

There’s something rotten going on when an endless glut of super-injunctions protect the privacy, reputations and careers of the super-rich but a lone parent, for example, is denied basic access to his children because he simply can’t get the afford the advice.

Is Cameron’s ‘big society’ reserved for the rich?

A school-based performance of The Homophobia Project, by Peer Productions, a Surrey youth arts group supported by local philanthropy

Local philanthropy and volunteers have driven the ‘big society’ in Surrey for years. So is David Cameron’s flagship project only viable for affluent communities? England’s well-heeled home counties are the natural habitat of Cameron’s “big society”. The combination of a time- and cash-rich population and minuscule pockets of deprivation is more conducive to citizens becoming involved and running services than in more deprived areas. Click here to read the piece in Society Guardian today.

The cuts: the worst is yet to come

An authoritative analysis in today’s Society Guardian of the deepest spending cuts in a generation, which start from Friday. The special issue inludes some sector by sector breakdowns of savings and job losses, including pieces I contributed to the in-depth coverage.

The cuts – an alternative

For those who’ve not already seen it, this powerful film presents an alternative to the government’s devastating cuts agenda. It features community groups and anti-cuts campaigners along with Bill Nighy, Radiohead’s Ed O’Brien and Zac Goldsmith MP. Worth watching ahead of this weekend’s demo in London against the cuts.

It Cuts Both Ways…The Alternatives from Oonagh Cousins on Vimeo.

Digital switchover boss pledges help to the hardest to reach

Peter White must be the only chartered accountant in the country with a corporate slogan that could belong to a social exclusion charity – “Nobody left behind” – a clutch of charity partnerships under his belt and a network of neighbourhood activists whose grassroots knowledge helps him do his job. Read my Society Guardian interview here with Peter White, the head of the BBC’s digital switchover scheme who is trying to ensure nobody is left with a blank TV screen.

The reality behind the mental health strategy rhetoric

Carrie Holroyd, writer and mental health activist

As someone who has experienced mental health problems since childhood I was elated to discover, on February 2, deputy prime minister Nick Clegg waxing lyrical about the importance of mental health on breakfast television. It was the new mental health strategy in England, No Health Without Mental Health, a cross-governmental approach to mental health and wellbeing, putting particular emphasis on talking therapies, early intervention and children/young people’s mental health.

£400 million is being invested in mental health services and I applaud the move to improve access to psychological therapies (often described as a ‘Cinderella service’) such as Cognitive Behavioural Therapy (CBT), a type of therapy which works to gradually change a person’s negative thought patterns and behavioural responses over a set period of time.

These types of therapies have been proven to work extremely well for people with mild mental health problems, such as short-term reactive (caused by an external trauma, such as a bereavement or job loss) depression and anxiety. Allowing people access to this type of support at the first onset of symptoms can prevent mental health problems spiralling into more severe forms of mental illness and, if it works, will save the government money as mental health problems are estimated to cost £105bn a year, according to the Centre for Mental Health.

I am pleased children/young people’s mental health is at the forefront of the strategy. Mental health service provision for young people is woefully inadequate, despite research showing half of all people who develop a lifetime mental health problems start to show symptoms at the age of 14. I can attest to this and perhaps with early intervention my mental health would not have deteriorated. Not mentioned, and something which is close to my heart, is how schools can assist with early intervention by training staff in mental health and employing in-school counsellors. My mental health problems were exacerbated by the deficit in knowledge about mental health in my school and as such I feel schools need to be included in discussion on early intervention and preventative measures.

As my elation waned and cynicism set in I pondered some questions: what about those with severe or enduring mental health problems? A short course of CBT is rarely enough when your problems are embedded or not easily identifiable, and I can’t stress enough how difficult it is to get sustained support. Regrettably for the government mental health problems are complex and unwieldy; they can accost you unannounced, be rooted in indescribable traumas and take years to recover from or even manage on a day to day basis. They are highly subjective and as such what is required is a subjective approach, there is no therapeutic panacea.

Talking to other young people, who like me have had mental health problems since a young age, there is a worry psychological therapies will be skewed in favour of CBT over other forms of talking therapies such as psychotherapy, art therapy and group therapy, to name a few. There are myriad treatment options out there but it can be extremely hard to gain access to many of them; perhaps they are not available widely in your area, are expensive or you’re simply told you’re not ‘unwell enough’ yet. The latter can be especially disheartening to hear when you have been physically unable to function for months on end and are desperate for even a semblance of support. There is not one cause for someone developing a mental health problem and while CBT works for many people it is important to note it does not work for everybody and there needs to be access to an array of psychological therapies if these proposals are going to work.

Another question I had after reading about the strategy was about how it can possibly succeed with council cuts affecting mental health services the way they are. In my last blog post I expressed concern about how cuts are affecting voluntary sector mental health services and I come back to this point now. With day centres closing around the country, jobs being lost and the lack of psychiatric beds available mental health provision is not in a good place and I’m left wondering how the government think the NHS can compensate for all these crucial losses.

As a resident of Leeds I was dismayed to hear of the decision to close the Leeds Crisis Centre, Leeds’ only instant access counselling service for people needing immediate support. The rationale behind this is that the service itself isn’t unique and is duplicated within the NHS. With GPs and mental health professionals regularly referring people deemed too ‘high risk’ for NHS services they have come out in force to support the crisis centre and postpone the decision until a rigorous consultation has taken place. I have to wonder how serious the government is about helping people suffering mental distress. Will the rhetoric become reality? Or will, as has become the norm, those of us with mental health problems be left floundering about desperately searching for any kind of support?