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Originally Posted by Frankbtl
Hi ToeJam, the IAPT sounds like a really positive move!! And the CBT should be a little more "structured" for you, so maybe that will be a bit easier in getting across how you're feeling, it may in some ways be a bit less "intense"?? I'd say go for it!!
Plenty of really good backing out there for how CBT can help some people with depression, but just take things at your own pace with it (shouldn't be any pressure remember!!) and bit by bit...........
Really good that your G.P is so invested in supporting you so much with what you're going through........so maybe a possible that if the urges come on/things are hard you WILL contact him in between times???!!! 
Alison
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The IAPT plan 'might' be beneficial this time round... will be using it (when and if I get an appointment... wait time is long, once I waited 3 months) in conjunction with the T I'm seeing (gp actually suggested this).
Problem I had with them before was the bad consistency... went through 3 different T's as they don't generally stay at any given surgery long enough to complete treatment. Was told each time it would be up to 20 appointments... and the max any stayed was... 8. So a lot of upheaval, restarts... and for me at the time did more harm than good.
As for my GP.. I can't argue, he is great... I'm my own worse enemy and it's something I've got to try and overcome... I just find it hard to keep going back and giving him more bad news... each time before I go in I feel soul destroyed and in addition to that... being honest when it comes to what's actually going on is easy to write here... not easy for me to say in real life.
I find it weird how open I am here... when I'm so very guarded with virtually everyone that knows me (exception of wife... and very minimum info to two people I work with, just because they have to know

), hell even to my Mum. None of my friends would even suspect... if things are bad, I generally don't socialise unless I really have to.
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Originally Posted by Rohag
This is also my situation.
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It's horrible... I don't know if you find this or not? But for me, I know that if that impulse in it's worse sense just went full out, I'd be screwed... and it's scary because I know that I don't always feel that way... that if I held on, the next day wouldn't be as bad.
This is why I am infuriated by the badly cut mh service... that 99% of the time, I'm able to 'fend for myself' as I put it above... but that 1% could cripple me and any help to prevent it is out of my reach.
That probably sounds melodramatic.... but I've gone all out before... and I was lucky.
**** it, don't mind me... just bit down about it all at the moment.
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Wow - honesty and insight (and that in 25 minutes)! I'm glad you presented him with the note - by that you cut through all sorts of potential murkiness. It appears he took it seriously.
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The honesty is good and I appreciate it... it's always preferable when people give it to you straight. Part of that conversation irritated me... but that was not his issue.. was mine. Essentially he insinuated that the only way the crisis team would take me on would be if I let go of my self-control and did what I'd written in the note.
Pissed me off to be frank, as I know he was not endorsing to do any such thing... just wish he hadn't said it.
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Thank you for reporting here on this meeting with your doctor.
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Thanks... sometimes I wonder what use it is to report... it's an experience I guess, and if others find it useful, probably more so for UK residents... then that's great.... but yeah, on a personal level it's helpful to get it written... it helps me as well to consolidate and in my own way ask advice... as well as check to see if I'm just being an idiot from the feedback I get.
Bleh... hard week...
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Independent Mental Health Advocate (IMHA): UK