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      Depression, Mental Health and Crisis Support   06/04/2017

      Depression, Mental Health and Crisis Support   Depression and other mental health difficulties are common amongst people on the autistic spectrum and their carers.   People who are affected by general mental health difficulties are encouraged to receive and share information, support and advice with other forum members, though it is important to point out that this exchange of information is generally based on personal experience and opinions, and is not a substitute for professional medical help.   There is a list of sources of mental health support here: <a href="http://www.asd-forum.org.uk/forum/index.php?showtopic=18801" target="_blank">Mental Health Resources link</a>   People may experience a more serious crisis with their mental health and need urgent medical assistance and advice. However well intentioned, this is not an area of support that the forum can or should be attempting to offer and we would urge members who are feeling at risk of self-harm or suicide to contact either their own GP/health centre, or if out of hours contact NHS Direct on 0845 4647 or to call emergency services 999.   We want to reassure members that they have our full support in offering and seeking advice and information on general mental health issues. Members asking for information in order to help a person in their care are seeking to empower both themselves and those they represent, and we would naturally welcome any such dialogue on the forum.   However, any posts which are deemed to contain inference of personal intent to self-harm and/or suicide will be removed from the forum and that person will be contacted via the pm system with advice on where to seek appropriate help.   In addition to the post being removed, if a forum member is deemed to indicate an immediate risk to themselves, and are unable to be contacted via the pm system, the moderating team will take steps to ensure that person's safety. This may involve breaking previous confidentiality agreements and/or contacting the emergency services on that person's behalf.   Sometimes posts referring to self-harm do not indicate an immediate risk, but they may contain material which others find inappropriate or distressing. This type of post will also be removed from the public forum at the moderator's/administrator's discretion, considering the forum user base as a whole.   If any member receives a PM indicating an immediate risk and is not in a position (or does not want) to intervene, they should forward the PM to the moderating team, who will deal with the disclosure in accordance with the above guidelines.   We trust all members will appreciate the reasoning behind these guidelines, and our intention to urge any member struggling with suicidal feelings to seek and receive approproiate support from trained and experienced professional resources.   The forum guidelines have been updated to reflect the above.   Regards,   The mod/admin team
AdamJ

Dialectical Behaviour Therapy (DBT)

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AdamJ   

I'm on a waiting list to receive DBT through my local NHS mental health service. In the meantime, I'm signed off work with depression and acute anxiety. My employers are aware that I'm awaiting DBT and as far as they're concerned, I won't be fit to return to work until some time after my DBT begins. My employers appointed an independent occupational health specialist to assess my fitness to work and that is the conclusion they gave to my employers in December.

 

Here is my problem. Nobody seems able to give me even a rough idea of when I might begin receiving DBT. And the longer my absence from work continues, the more I worry about job security.

 

To avoid the waiting list, I've looked into getting DBT privately but I'm struggling to find any local, private DBT services. The MIND website says there is no formal association for DBT practitioners, making it even harder to find a practitioner with credentials. Also, I understand that part of the DBT approach is to have group therapy sessions. It seems to me that this would be practically impossible for a private practitioner to facilitate.

 

I know DBT isn't very common but if there is anyone here who has experienced it, whether through the NHS or privately, I'd be very grateful to hear any views about it. At the moment, I don't know whether I should (1) keep my employer waiting, or (2) put myself in the hands of a private practitioner with unknown credentials, or (3) forget the whole DBT thing and instead tell all parties concerned that I'm fit to return to work immediately.

 

Thanks.

 

Adam

Edited by AdamJ

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Tally   

Do you believe you are well enough to work at the moment?

 

I had DBT quite a few years ago now and although it was in a group, all the things we did could have been done 1:1. We didn't talk about ourselves very much in the group, it was very much about being taught coping skills. I think if you could find a private DBT therapist you could well benefit from 1:1 sessions as much as group ones.

 

There might not be an organisation specifically for DBT therapists, but there is the BACP who accredit therapists and counsellors generally. They may be able to give you contact details of someone who can use DBT techniques with you. If you can talk your issues through with a therapist, they may also be able to suggest a different approach that might help instead.

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AdamJ   

Do you believe you are well enough to work at the moment?

 

I had DBT quite a few years ago now and although it was in a group, all the things we did could have been done 1:1. We didn't talk about ourselves very much in the group, it was very much about being taught coping skills. I think if you could find a private DBT therapist you could well benefit from 1:1 sessions as much as group ones.

 

There might not be an organisation specifically for DBT therapists, but there is the BACP who accredit therapists and counsellors generally. They may be able to give you contact details of someone who can use DBT techniques with you. If you can talk your issues through with a therapist, they may also be able to suggest a different approach that might help instead.

 

Thanks, Tally, that's useful to know.

 

Whether I'm ready to return to work is a difficult question. Since being put on sick leave, I haven't been exposed to the kind of situation that brought on my anxiety attacks, so I've been feeling quite normal for a few months now. However, in those few months I haven't received any therapy or treatment so I can't point to anything that might have helped to strengthen my coping mechanisms. This fact is as apparent to my employers as it is to me so, regardless of my own feelings about it, my employers probably wouldn't allow me back until they have something concrete to show that I'm more robust now. That something is evidence of a course of DBT or at least the beginnings of a course of DBT, because that's what they've been given to expect.

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trekster   

DBT can be used for complex Post traumatic Stress Disorder or Borderline Personality Disorder/Emotional Unstable Personality Disorder.

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