It’s not only trauma people are healing from, but the ways people treated them when they asked for help.

Unrealistic expectations for treatment is not the same thing as unreasonable. The former reflects on the dire reality of mental health services, not on patients. Never let them make you feel like you're asking for too much.

I wonder how many lives would be saved if mental health services learned to recognise the subtle signs of an impending suicide. Y'know, like, when someone goes to them for help & says "I feel suicidal" or "I want to die" or "I'm going to kill myself".. #WorldSuicidePreventionDay

Many folk who contact professional mh crisis lines are hung up on. On #SuicidePreventionday let's get a committment from NHS crisis team staff not to hang up on patients. Nursing leadership must recognise this problem and proactively address it on national scale John Baker

“EUPD traits” is not a diagnosis it’s a dog whistle

The lack of NHS resources has now hit catastrophic levels, as a shortage of available words forces otherwise lovely staff to call patients "attention seekers" & "manipulative", as they no longer have access to nicer, more expensive descriptions.

Nearly 200 patients responded that nhs mh professionals had hung up on them in crisis. #CrisisTeamFail #SuicideAwareness

There's a lot of discussion currently about the inquest of our dear friend Rachel Fluctuating levels of despair 🎠🌻🏳️‍🌈 so I thought I would just share what I know, to keep people up to date. Rachel's inquest was yesterday (Friday 13th) & took place as a documentary inquest, meaning it was entirely 1/

My god. I despair. The dehumanisation of neurodivergent folk runs so deep in academia. So much so that the realisation that autistic people have feelings is a ‘revelation’.

Reposting this today, thinking about how many of us who have been harmed by social care/mental health services, get pushed into the position of believing that an inquest is the only forum we have left for truth and justice. psychiatryisdrivingmemad.co.uk/post/justice-w…

TW: abuse 🧵Some thoughts on dissociative identity disorder not being perceived as "relatable", "palatable", or "the right" response to complex trauma: 1/20

Things you can do in psychosis services (well, at least EIP) that you mysteriously can't do in 'PD' ones: - adjust the therapeutic frame and boundaries to the person - spend months on engagement - support the patients belief system even if you disagree - not force diagnosis

(I am not saying psychosis services are brill by the way, just pointing out frankly wildly over-the-top reactional patterns around PD that would be instantly seen as overt bad practice elsewhere).

"Self-harm is not a psychiatric diagnosis.." Lol yeah maybe not in theory. However, for most of us who self-harm, we know that in practice, self-harm is synonymous with BPD. You don't need to meet *one single other diagnostic criteria* & they'll slap that label on you for life 👍

If palliative care was fully funded, access to it universal, pain relief controlled by patient, mental health a key component of care, how great would be the need for #AssistedDying? Need to know this because otherwise we are talking about AD as the solution to a flawed system.

1 in 4 women screens positive for a 'personality disorder' in young adulthood, yet this rate halves in later years. Attributing these profound difficulties to 'personality'—a supposedly lifelong trait—not only contradicts the data but reflects a misogynistic framing. #TraumaNotPD

Emotionally unstable personality disorder. Once a patient gets diagnosed with that the mental health services here seem to give them the boot.

New from Royal College of Psychiatrists : “Autistic people are sometimes misdiagnosed with personality disorder. This is because these two diagnoses share some similarities. Healthcare professionals should consider this when making a diagnosis of autism or PD”. #AutismNotPD tinyurl.com/4kt6z6tm

this quote really sums it up for me and makes me unbelievably angry. the conflation of capacity with safety and risk. no one should be told that risk doesn’t matter because they have capacity to make decisions to harm themselves. why don’t MH services realise this?

I’m not sure who needs to hear this, but denying patients discharge paperwork and medications because they’re self discharging is cruel and harmful. They might be acting against advice, but we should still make their discharge as safe as possible.