u/biggobcantstop

“Mirror mirror on the wall whom is the sickest of them all”
“Raising awareness by sowing stigma and reaping stupid prizes”
What is going on in the House of Commons with the UK based mental health community on TikTok? It’s terrible.

- Do you have any treatment resistant mental health condition? Have you considered guaranteeing yourself a diagnosis of autism and ADHD by going through the right to choose scheme (publicly funded diagnosis at private clinic)?
- TikTok pays prolific attention seekers to make content including content that displays dangerous behaviours that waste emergency service time.
- Live stream from hospital wards/ A&E departments, recording staff and other patients without consent. Bonus points if you set up a ring door bell in your bedroom in order to film police looking for you. Even more bonus points for verbally abusing staff and or live streaming whilst in restraint.

- Repeatedly posting suicide threats ‘suicide theatre’ and not removing the post even after the crisis has ended. Posting fresh SH wounds. Cryptic clues about your latest relapse ‘please message me if you want to know’.
- Deliberately taking trips out of area and then acting out because mental health services are more likely to detain you if they don’t know you
- Evil doctors have diagnosed you with EUPD when in reality you have CPTSD which is a completely different diagnosis (CPTSD isn’t in the DSM, some doctors think it’s a form a EUPD and even if it isn’t, CPTSD shares many over lapping symptoms with EUPD).
- Complaining about all of above when you engage in such behaviours

I don’t have a serous mental disorder. I have diagnosed mild depression.
Nootropics are extremely idiosyncratic.
100mg of quetiapine is my single nootropic.
Yes it is a low dose antipsychotic.
Yes it’s changed my life for the better.
No I get no side effects.
It improves my energy levels, it makes me more productive and helps me concentrate better. It makes me more social and more connected with life.

Good luck in your search for nootropics.

I have L1 autism. I am not eligible for any support directly related to my autism. A lot of support in the UK doesn’t require a formal autism diagnosis anyway.
The problem:
I cannot get help for my mental health difficulties because the NHS finds a way to tie every single symptom back to autism.

I want to mask better because I hate the social side of being autistic. It’s literally the worst most lonely thing ever. Humans are an inherently social species. My autism is a curse. I used to be angry at my mother for giving birth to me. I cannot cope with the repeated social rejection. It hurts so much. Being autistic has lead to them also diagnosing me with BPD. I don’t really believe I have BPD. This pain is a rational response to my presentation of autism.

I apologies for this but I feel deep resentment towards autistic people who can easily make friends.

The rest of my autism really isn’t that bad. I don’t have sensory difficulties and although the psychiatrist obvious thought that I have restricted and repetitive behaviours/ interests to a clinically significant degree it doesn’t distress me at all really.

Can someone explain to me how this works like I am 5? I work with someone who has autism (diagnosed in adulthood) but has such excellent social skills that he tutors people on soft skills. I am not calling him a liar. In England there is something called right to choose whereby the NHS will fund autism and ADHD assessments at private clinics. Some clinics allow self referrals for NHS funded assessments. I’ve heard it say on the grape vine that right to choose assessments come back with ADHD/ autism diagnoses the majority.

My understanding of high functioning autism is that it makes it difficult to intuit other people’s emotions, social rules and expectations. It is possible for children with autism to learn social skills however this happens more slowly than for their peers. How is it possible for an autistic person to develop excellent social skills? Some autistic people are able to mask ie. pretending to understand social nuances by mimicking people (and suppressing other traits common in autistic people) but at the end of the day you don’t know what you don’t know so I just don’t really understand how someone with autism could have excellent social skills. There are other psychological disorders that involve intense feelings of discomfort around other people.
I ask quite genuinely, is there something I misunderstand here.

Another type of autistic person that confuses me are people who are first diagnosed as ADHD then get put on a stimulant and then finally receive a diagnosis of autism on the basis of the stimulant uncovering autism. I thought that any given psychiatric condition can only be diagnosed if it couldn’t be better accounted for by something else. So surely if you develop ‘autism’ after taking a stimulant that’s the fault of the stimulant and not autism.

‘People with BPD experience Mania and Depression’
‘Mania is not a part of BPD’
‘Yes but I have BPD and bipolar’
‘Yes but my experience of BPD can be distilled into into discrete episodes of euphoria and depression’
‘Yes but BPD is the same as bipolar except everything occurs on a shorter time frame’
‘Bipolar is always worse overall than BPD’
‘BPD is the most painful mental illness in existence’
‘People with bipolar 2 don’t know how lucky they’ve got it compared to bipolar 1’
‘No actually bipolar 1s don’t know how lucky they have it compared to schizo affective bipolar type’
‘Everyone with a bipolar 2 diagnosis secretly has BPD’
‘Everyone with BPD is actually autistic’
‘Everyone with bipolar 2 actually has autism’
‘Everyone with autism actually has AUDHD - stimulants for everyone yay’
It goes on and on and on…

I hope you are ashamed of yourself and I hope your mother is ashamed of you too.

Someone has vandalised the NHS sexual health services signs. It’s called the SHAC. But a no good nitty has graffitied on top of it so it now reads the SHAG!

Autism and ADHD are complex disorders that take qualified clinicians hours to diagnose.
I’ve never personally witnessed people with any other psychiatric diagnosis act like this. People with anxiety/ depression/ bipolar/ OCD/ EDs/ schizophrenia in my experience do not go around flippantly suggesting that strangers have the same disorder.
Flippantly diagnosing strangers with ADHD is the absolute worst because their so many commonly occurring things that can superficially look like it including: depression, hypomania, anxiety, sleep problems, menopause, certain physical health problems, substance abuse, psychotic disorders.

In my unprofessional opinion autism has more reliable vibe. But still it can be confounded by: psychotic disorders, personality disorders, anxiety OCD, EDs and substance abuse.

But none the less, autistic and ADHD traits exist on a continuum. Why do strangers think they can distinguished between quirky personalities and actual mental disorders within minutes?

I’ve been thinking about this and it makes little sense to me.

I thought that the primary diagnosis determines appropriate treatment first line treatment.

So for someone with BPD who is experiencing transient paranoia the best treatment is usually DBT not antipsychotics to combat the paranoia.

In the case of bipolar depression the best treatment is usually mood stabilisers or antipsychotics not an antidepressant to lift the depression.

And for people with depression/ anxiety who have concentration problems the preferred treatment is an SSRI not a stimulant to help them focus better.

In case of BPD and CPTSD sometimes professionals avoid making the diagnosis because of stigma among mental health professional. However all clinicians know what symptoms coincide with those conditions. And if they never diagnose it those who share superficial similarities/ vibes with BPD will never be able to disprove that they have it spreading the stigma around more.

Can I have a note added to my medical record stating I DON’T CONSENT TO AI SCRIBES OR ANY OTHER AI TOOLS to be used in conjunction with my care? Can this be legally binding?

Do you guys think they are using AI written scripts (yet)?

Essential I believe that I have something approximating bipolar 2 (maybe medication induced bipolar disorder 2?, much less symptomatic when I am not on antidepressants) and EUPD. Everyone says I don’t. I don’t believe them and I don’t trust them.
I never directly talk about it. Ever. I feel deeply ashamed.

Sometimes I’ll come up with reasons why it can’t be true as a cope to myself:
- mostly linked to medication so hopefully if I don’t take it I won’t experience it
- sleep and appetite changes aren’t directly linked
- perhaps I’ve forgotten what feeling normal is like

Sometimes I am a little more honest and drop hints about it:
- talk about possible symptoms but refer to them as normal ie. Lights look extra pretty but it’s a sign of normal mood.
- talk about how antidepressants make me feel

At my most ridiculous I will openly say that I am trying to manipulate medications out of health care professionals to feel euphoric.

People with diagnosed autism and adhd often seem very comfortable with suggesting to other people that they may either have autism or adhd when they barely actually know the person.

At work I am repeatedly getting the feedback from colleagues that fundamentally don’t know me that I have adhd primarily because I always talk fast and am fidgety. I’ve never had an NHS mental health professional suggest ADHD to me.

I have fairly severe BPD and high-functioning ASD.
I spent 2 years in psychiatric hospital when I was a teenager. I score 4 points on PIP for mixing with other people, I used to score 8 points. Due to my trauma I am very wary of other people. I often interpret things in a negative and threatening way. My partner provides me with a lot of social support. Because of my mood swings I am very erratic.

My question is: could I be eligible for the severe mental impairment discount?

I posted this on the other subreddit and I got conflicting answers.

Thanks for your time.

I have fairly severe BPD and high-functioning ASD.
I spent 2 years in psychiatric hospital when I was a teenager. I score 4 points on PIP for mixing with other people, I used to score 8 points. Due to my trauma I am very wary of other people. I often interpret things in a negative and threatening way. My partner provides me with a lot of social support. Because of my mood swings I am very erratic.

My question is: could I be eligible for the severe mental impairment discount?

Will medical cannabis for my CPTSD make it harder to get help for my mental health in the future?
I used to be seen by the mental health team and have experienced ‘really bad’ depression in the past.
The depression went away completely with medication.

If I get very depressed in the future will the cannabis prescription make getting any treatment out of the NHS less likely? (I don’t seem to be able tolerate SSRIs or SNRIs or mirtazapine and because of my risk history TCAs are a probably a no go.)

I also think I might have bipolar 2, although my LPN said I definitely don’t have it. I can’t give a clear cut history in support of such a diagnosis (according even to me). Would current cannabis treatment make it impossible to accurately diagnose?

Am I reading between the lines correctly here?

A cannabis clinic consultant psychiatrist wants my GP to answer these question:

“

1. Is this patient currently under the care of the local community mental health team?
2. Has this patient suffered with any form of psychotic mental health problem in the past?
3. Is this patient currently reporting significant mental health symptoms that require
   regular monitoring? (For example, mania, psychosis, and persistent self-harm/suicidal thoughts or behaviours
   “4) Do you have any significant concerns that cannabis use would adversely affect their
   current state of mind or wellbeing?”

Is question 4 completely unreasonable?

Now I don’t believe that the average GP knows a lot about medical cannabis because so I’ve decided to consult with a different clinic to avoid damaging my relationship with my GP.

I like Agustina’s content. She’s obviously very hard working and intelligent. However why does she hate to be perceived as what she is: upper class and very privilege even by western standards?

I am on low dose quetiapine (100mg). I haven’t been depressed since I started it almost 1 year ago.

My official diagnosis is CPTSD.

I believe that I am at a very elevated risk of postpartum mental illness because of certain characteristics I have. I believe that I may have bipolar 2 (might not though). Mental health professionals in the past say no.

Is it correct that there would be no targeted help available for me unless I became so unwell that it was extremely difficult to ignore?

This is something that I would do in 5 years time because I need to sort myself out first as well get a career.