Treatments, health professionals and therapies

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NMTB A Pragmatic and Positive step by RANZCP
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E-cigarettes and vaporisers – new RANZCP position statement 26 November 2018 The Royal Australian and New Zealand College of Psychiatrists has recently released a new position statement in support of the legalisation and regulation of nicotine-contai... View more

E-cigarettes and vaporisers – new RANZCP position statement 26 November 2018 The Royal Australian and New Zealand College of Psychiatrists has recently released a new position statement in support of the legalisation and regulation of nicotine-containing e-cigarettes and other vaporised nicotine products. People living with mental illness are more likely to smoke tobacco, and they smoke more heavily than the general population. They are less likely to succeed during a smoking cessation attempt. Tobacco smoking is the leading cause of the poorer health and mortality outcomes suffered by this group. E-cigarettes and vaporisers may provide a less harmful way to deliver nicotine to those who are unable or unwilling to stop smoking tobacco. The RANZCP therefore supports their use as harm reduction tools for people living with mental illness. Tobacco harm reduction is an essential component of any strategy to improve health outcomes for people who smoke tobacco. Harm reduction strategies are designed to reduce rather than eliminate the harm associated with particular activities. However, there are still significant gaps in our knowledge about the effects of long-term vapour inhalation on people’s health. Further research is required, including research to ascertain the effectiveness of vaping for smoking cessation, and whether it may provide a novel route into smoking initiation.

Camembert Can anything be done for acute anxiety/attacks?
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Hello! So I'm not sure if I've used the correct terminology in my title, but I hope you can get the drift of what I'm saying anyway. I am on a medication for anxiety/depression that I take every day, and I think it has helped overall. But what about ... View more

Hello! So I'm not sure if I've used the correct terminology in my title, but I hope you can get the drift of what I'm saying anyway. I am on a medication for anxiety/depression that I take every day, and I think it has helped overall. But what about more acute panic attacks? My Dr told me that I should do some breathing exercises to help with attacks, but they don't really do anything for me personally. I asked if there is any medication that I can take when I get an attack, but she said no. Is this true? Wouldn't it be nice to be able to take a pill when you first feel the symptoms of an attack (for me, breathing problems!!) coming on, to make it go away!! Does this exist? Should I ask my Dr again if medication could help for these more acute situations? Thank you Camembert.

Belle32 Melbourne support group for depression
  • replies: 2

Hello does anyone know of any support groups for people with depression? id like to meet up and talk with people going through the same thing to supplement counselling

Hello does anyone know of any support groups for people with depression? id like to meet up and talk with people going through the same thing to supplement counselling

Evaporating Background How to step up treatment?
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I’m having a pretty severe round of mental illness at the moment. I’m seeing a psychologist regularly (about monthly), and I probably can’t make that more frequently. I’ve been looking at getting back onto some mild non-SSRI antidepressants as soon a... View more

I’m having a pretty severe round of mental illness at the moment. I’m seeing a psychologist regularly (about monthly), and I probably can’t make that more frequently. I’ve been looking at getting back onto some mild non-SSRI antidepressants as soon as possible to try and relieve my symptoms, but I’m stuck for how to arrange a prescription. My Mental Health Plan was created by a GP who I don’t have much faith in (I went with them because they were the only one I could get into at short notice at the time), and they have pretty poor reviews on Google for this stuff. I see another GP sometimes who seems more receptive, but they aren’t the one who my plan is with. Any suggestions for what I should do?

lilykitten People pleasers support?
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I'm a people pleaser. Yes I know it and I hate it but how can I get help? It is destroying me and my kids and any chance I ever have for happiness. I was brought up strictly but have turned my own kids into unhappy brats by never saying NO. My husban... View more

I'm a people pleaser. Yes I know it and I hate it but how can I get help? It is destroying me and my kids and any chance I ever have for happiness. I was brought up strictly but have turned my own kids into unhappy brats by never saying NO. My husband left me for 2 reasons. Firstly I was resentful and passive aggressive " Don't worry honey I will bring home the income for 15 years you don't have to work" and secondly because I was distant never enjoying his company because I was always thinking of what I should be doing or organising. " No you go out Hon, I'll stay home and clean the kids room and we will even save money without having to pay for me". The most idiotic symptom I suffer is full-blown panic attacks (nausea dizzyness tight-chest pins and needles) when I organise fun family events, so I never get to enjoy them. My coworkers and boss walk all over me but still have no respect for what I do for them. My kids reward my efforts by being increasingly grumpy with me and say they are depressed as their escalating demands take over their lives. What should I do? Who do I turn to?

indianna86 Misdiagnosis and CTO
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I have recently been an involuntary patient in hospital and believe I have been seriously misdiagnosed. I'm now on a CTO and receiving treatment against my will for bipolar, instead of the acute anxiety disorder that I have experienced since I was 12... View more

I have recently been an involuntary patient in hospital and believe I have been seriously misdiagnosed. I'm now on a CTO and receiving treatment against my will for bipolar, instead of the acute anxiety disorder that I have experienced since I was 12 years old. Basically, I'm receiving the incorrect treatment for my condition and I want my medical record and CTO changed. I'm desperate for advice on how to get my diagnosis changed so that I receive the correct treatment. Should I get a second opinion and then take this to a lawyer?

pinkkookaburra99 Self-help books/guides for depression?
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Does anyone know of any decent guides or books for someone dealing with depression (and anxiety if possible?) I’ve come to realise the only person I can rely on is myself. I’ve found clinical psychologists to be very unhelpful and certainly not worth... View more

Does anyone know of any decent guides or books for someone dealing with depression (and anxiety if possible?) I’ve come to realise the only person I can rely on is myself. I’ve found clinical psychologists to be very unhelpful and certainly not worth the money. Medication did not work for me either.

Leets Pre Menstrual Dysphoric Disorder
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Hi just wondering if there is anyone else here that's heard of Premenstrual Dysphoric Disorder I am pretty sure this is what I have so every time I ovulate and then the week leading up to that time is when my anxiety kicks in the ovulation time is th... View more

Hi just wondering if there is anyone else here that's heard of Premenstrual Dysphoric Disorder I am pretty sure this is what I have so every time I ovulate and then the week leading up to that time is when my anxiety kicks in the ovulation time is the worst I really cannot rationalise my thoughts. I have started an over the counter behind the counter medication (I don't need a script for it) it's the strongest I can have is a all natural and takes six weeks at least to kick in, I have nearly done week 2. My doc says he wants to see me go through 2 to 3 cycles before referring me to a specialist I'm hoping this works and would love to hear from anyone else with this same problem. I'm sick of thinking I've got an incurable torturing terminal illness!!!

MakeTheWorldABetterPlace Navigating mental health services
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I feel like I've been slighted yet again. Am I 'not sick enough' to be deserving of attention? I'm not currently in the Emergency Department. I have just booked an appointment with a psychiatrist for 2.5 months time. WTF?! Admittedly, the Acute Care ... View more

I feel like I've been slighted yet again. Am I 'not sick enough' to be deserving of attention? I'm not currently in the Emergency Department. I have just booked an appointment with a psychiatrist for 2.5 months time. WTF?! Admittedly, the Acute Care Team yesterday felt comfortable enough to close my case (I was admitted to hospital for an overdose last week). Still, psychiatrists are obscenely expensive and barely available. This does not bode well for continuity of care. Plus how are they supposed to get to know me? It's just not possible unless you are exceedingly wealthy. Psychiatrists may cry poor as a specialist but they're still getting for the first consult about what someone on DSP gets to live on for a week. It's disgusting and shameful. Because I have to work within the situation as it is I can expect to be treated with an added degree of caution and suspicion. This is just going to make my life harder than it needs to be. Like GPs have become more available, affordable and accessible (at least in my experience where my medical centre now bulk bills), psychiatrist's need to become more available, affordable and accessible. We need to increase the supply of psychiatrists despite likely resistance from vested interests. Working within the status quo... Does this simply mean that psychiatrists are actually just rarely engaged with? I guess this is the outcome that results. Still for medico-legal issues (e.g. claiming insurance benefits and claiming government benefits) these are the people who are held in high regard and yet would probably not know you that well. It's frustrating and I'm well aware I'm probably in a better financial situation than many people. I'm getting an inkling as I navigate through my own mental health roller coaster that my GP is someone how will be my more immediate and regular advocate or source of support. At my medical centre there has been a very high turnover of GPs until just recently. Things seem to have stabilised... I haven't really had much to do with them until now. But now I seem to be there a few times a week. I'm keen to hear how others navigate treatment etc...