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Posts Tagged ‘Dudley PCT’

Referral

In Unforgiving Minutes on February 25, 2010 at 4:57 pm

Phone call from the doc today. Asking me whether I want to be referred to Maudsley Hospital in London or the Barberry clinic in Birmingham. I hesitated, not having much looked into the Barberry and doubting it a little since it is a new service. In my first letter I had specified the Maudsley hospital because it is a known centre of excellence and I didn’t much want to have to deal with another clueless doctor. The Barberry was, however, the centre I told the doctor about some months ago and which I asked to be referred to back then. I let him persuade me. I only now have to wait and see when they can offer me an appointment.

The PCT has only, this far, agreed to fund a first consultation. I’ll see how far that will take me.

GB

NHS Query

In Department of Psychology, Letters on February 24, 2010 at 9:43 pm

Dear Camille Administrativu [CMHT Duty Officer],

I have recently been given your name in connection with some enquiries I am making regarding the policy of Dudley PCT/Dudley NHS on referrals and treatment for adults with attention deficit disorder. The reason for these enquiries is that the treatment I have recieved at the hands of Dudley CMHT makes no sense to me and, I believe, makes no objective sense when the current understanding of adult ADHD is taken into account.

Let me first outline the treatment I speak of over the last 4 years. I will stick to the facts of referrals made and prescriptions given in order to minimise any expressions of anger and frustration that I find it hard to suppress when thinking of or discussing the human aspects of the last few years of my dealings with Dudley NHS mental health.

A referral was made to a local psychiatrist with a (perhaps vague) specialism in ADHD sometime, I believe, in 2006. I never heard from this again.

A diagnosis of ADHD was made. (I was not informed of this until 3-4 years later.) I presume this to have been made in 2006, but since I discovered this fact in late 2010 I cannot confirm this.

Stratera/Atomoxetine was prescribed sometime in 2006-2007. I took it for a few months. It was a particularly difficult and chaotic time of my (difficult and chaotic) life and for that reason the ability to gauge the efficacy of the medication was not optimal. Nevertheless, it is clear that the medication did not significantly reduce the restlessness, impulsivity, incidence of angry, constant and intrusive daydreams and “brainstorms”, disorganisation, inability to relax etc etc., that is the manifestation of my ADHD. This ought not to be wholly unexpected given as Stratera/Atomoxetine is generally agreed to be less effective in reducing the symptoms of ADHD than stimulant medications, and completely ineffective in a significant minority of individuals.

In addition to its ineffectiveness, Stattera led to a number of alarming (to me) side effects. Deep sleep came suddenly and unbidden at inconvenient times of the day. Since another part of my problem is asperger’s syndrome and a need for routine, this was highly disturbing to me.

In short, Atomoxetine was not suitable for me.

Following this wholly unsuccessful assay with Atomoxetine, it was as if we had exhausted all possibilities. My psychiatrist at Hill House repeatedly talked to me about the difficulties of diagnosis in adulthood and the difficulty of doing anything for me. He wrote to my doctor regarding the heartening absence of problems I did not at any point consult him for and referrals were, eventually made, that I then heard nothing about. Read the rest of this entry »