No mental health support in western trust

I have autism and borderline personality disorder. I have been managing okay without meds for the last year or so but have been having regular check ins with a psychiatrist since my diagnosis of bpd. I had 5 consecutive miscarriages and it got to the point where I was struggling with my mental health 90% of the time. Got seen by a specialist who helped us get and stay pregnant so my mood has been extremely positive for the last few months as it feels like a literal miracle. I was in the process of being assigned a key worker to support me after baby was here as we were all expecting my good mood to drop drastically and probably really struggle due to the hormone drop, such a big change, tiredness ect. I moved house to be closer to family which meant my trust changed. Got assessed today by a mental health nurse and told me everyone has autism and bpd is a name for reckless teenagers. Completely dismissed my struggles, and went on to say I don't need any of their services. I told them about my fears and worries about when baby is here and got told everyone has baby blues... I had to really fight to get the supports in place to support me, and I thought I was finally in a good place but it turns out I've been completely dismissed. I've been on and off medication for years, and not medication a gp can prescribe either if that says anything but hey ho they don't think I need any help. How did I go from seeing a psychiatrist every 8-12 weeks, being assigned a key worked to check in twice a month, to being dismissed from the mental health team completely by changing address?! Starting to really stress myself out, because if I start to go down hill it's a rolling ball that's nearly impossible to stop. I won't have the time to sit and wait for years for a referral, the damage will be too much. We knew how badly we wanted a baby, and knew how tough it was going to be, and if I knew I had zero support incase things started to go wrong we probably wouldn't be pregnant now. I'm not saying I'm insane or anything like that, but my lows can get very low. Normally I can sense when my moods about to drop, and I can lift the phone and get the supports in place before the drop hits, so it's manageable for myself, but with zero supports or structure in place in case of a drop means it's going to be as severe as it can get.
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I have Borderline PD too and felt dismissed about postpartum depression too, I didn't experience a hormone drop thankfully but I usually am up and down anyway because of the PD. I never had anyone telling me everyone has autism and bpd is for reckless teenagers. Three words: Complain, complain, complain!!! I guarantee they will assign you a key worker then because they do not like complaints being logged at all. I'm so sorry you experienced this. What hospital was this?

You can request to be referred to the perinatal mental health pathway through your hospital that you are having a baby

@Stephanie prior to pregnancy I was up and down like crazy, I've actually stabilised a lot while being pregnant. We don't really have a great support network of family and friends here (better than it was where we were living previously) so when my partner goes back to work it's literally just me, myself and baby. I think if I was assessed by a different nurse or at least an actual doctor then the outcome would have been very different but in this nurses eyes there's nothing wrong and clearly they are thinking of the now and not the when. It's not even if it happens, it's when it happens. It's the hospital in Omagh

@Alice in the process of changing over teams, my gp put a referral in for the perinatal mental health team and a few days ago I got a letter through saying the service isn't suitable for me and they are dismissing my referral.

I would challenge that because they have to provide support during that prenatal and postnatal mental health period. It might be because they saw you are open to other mh teams but if you ask your gp to speak to them on your behalf

Goodness that is awful! Next time you have a midwife appointment in hospital, discuss your concerns with them and they should flag you to the perinatal mental health team.

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