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Post by laura on Aug 28, 2009 16:41:10 GMT
good one andy its a shame they cant seem to do anything tho
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Post by .... on Aug 28, 2009 23:33:16 GMT
Thats actually a pretty comprehensive reply isn't it!
Shame the gist of it seems to be that 'help is coming' 'Estimated time of arrival 2013.'
And only via those GP's that subscribe to the principles of Clinical Excellence as laid down by NICE (Which isn't all of them from what I hear!)
I'm happy to see them trying to make improvements though.
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Post by boo on Aug 29, 2009 9:26:01 GMT
well if i read that right, it seems that nice publishes the guidlines and stops there, then it is covered by the other group (i knew i would forget ) care quality commission, to monitor that it is being adhered to? so is the next stage the care quality commission?
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Post by roland on Sept 4, 2009 0:38:41 GMT
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Post by andy12345 on Sept 4, 2009 13:39:52 GMT
Roland is unstoppable!!!!!!!!!
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Deleted
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Post by Deleted on Sept 4, 2009 17:35:27 GMT
No thats you andy unstopable like rambo only you kill chickens
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Post by andy12345 on Sept 5, 2009 2:36:37 GMT
No, I don't.
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Post by andy12345 on Dec 10, 2009 23:08:12 GMT
I'm bumping this cos it took me too long (3.5 minutes) to find it.
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Post by magicnick1990 on Dec 14, 2009 2:58:20 GMT
Ah, so it says there - If you were not diagnosed with it as a child, your GP should offer you an appointment with a SPECIALIST in ADHD.
I went to a general mental health place and had 20 minutes with an arrogant general physiatrist who admitted that he knows nothing about ADHD. Which was totally evident to me anyway. Yet he still arrogantly refuted my claim and said I didn't have it.
What can I do to get to a specialist!
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Post by andy12345 on Jan 6, 2010 15:45:33 GMT
Bump bump bump..
Note in the booklet that Roland references.
There is a difference of expectation between a NICE "technology" recommendation and a "clinical guideline" (If I understand correctly)
The ADHD is a clinical guideline, not a technology and technology apprasial has much higher priority and is expected to be applied MUCH quicker. (according to the booklet)
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jeff
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Post by jeff on Jan 10, 2010 13:19:06 GMT
Ah, so it says there - If you were not diagnosed with it as a child, your GP should offer you an appointment with a SPECIALIST in ADHD. So can GPs actually refer to specilists, like the Maudsley. Mine said he couldn't, buy I swear I've heard stuff on here that they actually can...
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Post by Deleted on Jan 10, 2010 15:50:46 GMT
The answer to that one is...........they can and they can't. Your GP can ask The Maudsley if they will take you on but it appears that they won't consider you without some convincing evidence or a referral from a psychiatrist. Eg I got my GP to ask them for an appointment directly (against the wishes of my local psychiatrist : and I was accepted, but I had previously had an unsuccesful referral some years ago (due to funding). So I'd say 'not normally'.
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Post by Deleted on Jan 10, 2010 19:46:29 GMT
hey jeff,
Your GP will normally send you to see a local mental health nurse first, (C.M.H.T.) -Then a general psychiatrist, -Then you'll be referred to a specialist psychiatrist, or specialist centre (such as The Maudsley)
i first asked my GP to refer me directly to The Maudsley, (because it's less than 10 miles from my house, i assumed this would be quite easy) -she said she would do, but then later said that they couldn't refer me, because my local heath authority didn't have a contract with The Maudsley.
The reason i mention this is because it seems to me that the system for referring people is different across the country. and depends on lots of local bureaucracy,
i know someone on this forum that got referred to The Maudsley from York, which must be 200 miles away, but i couldn't get referred from North London!!!
There are lots of challenges in this life, renowned for their complexity;
The Poincaré conjecture The Decipherment of rongorongo Successfully translating, The Rubaiyat of Omar Khayyam from the origional Persian!...
-But NONE of these are as complex as trying to understand the structure of the NHS!
so, good luck with it ;D
-matt
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Post by andy12345 on Jan 14, 2010 1:09:29 GMT
There are lots of challenges in this life, renowned for their complexity;
The Poincaré conjecture The Decipherment of rongorongo Successfully translating, The Rubaiyat of Omar Khayyam from the origional Persian!... (smart ass!!!!!!!)
Getting out of bed in the morning. Analysis paralysis resolution Getting someone to write a letter to PALS for liaison.
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Post by Deleted on Jan 14, 2010 14:09:23 GMT
Hahaha!... ;D
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Post by andy12345 on Feb 26, 2011 4:01:41 GMT
Page 1 better quality. Note that this may be out of data now that austerity measures (except for banks grrrrrrrrr) are being applied... even NICE is being disbanded I believe..... PLEASE NOTE THE ABOVE ^^^^ as time's are changing.......... Attachments:
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Post by andy12345 on Feb 26, 2011 4:02:26 GMT
....Page 2 Attachments:
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Post by phil on Feb 26, 2011 16:04:32 GMT
so i am basically wasting my time writing to these numpties ;D so basically i best revert to plan B tell my G.P he has been very offensive with his what do i know about ADHD rant that it's an american thing that effects kids ;D the shoe is on the other foot i can tell my G.P that i will play devils advocate and keeps is arse out of court if he reffers me to an adult ADHD who acctuly knows about adult ADHD ;D and sends me to a sleep clinic has anyone dealt with these pals if so what was the out come as they all work in the same system and my findings are they are they are as bent as a butchers hook up the revoultion i say if i thought i could sue the NHS drag my shrinks arse through the european court of human rights and get the police to arrest my shrink for holding me against my will as i was not sectioned then you could say i was delusional lol ;D the doctors and nurses moan about getting assaulted but make people so fustrated that they have no choice to give them a knock on the head in the vain hope it will knock some sense into them
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Post by Deleted on Feb 26, 2011 16:15:36 GMT
Hi Phil,
Sounds like quite a tale! Your GP is obviously clueless and worst of all isn't interested in informing himself. I seem to be missing some parts of the story. I can't see your orignal email or any other info. Got any links to what you've posted on it before?
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Post by phil on Feb 26, 2011 23:48:38 GMT
Jah i cant be arsed lol in a nut shell i was told i would spend a week in a shit nhs hospital as i had epilepsy they could not chemical kosh me with happy pill's i witnessed lack of care for other paitents i had shit on my curtain where my head would have rested i had to change the curtains around. my week ended up as a forthnight as i was not sectioned at this time yet i was not allowed to leave i guess this would be kid nap would the police do anything would they fuck the people involved would say i'm delusional and who would believe me over a shrink? on my last day at the hospital i was interrorgated for hours the shrink kept asking me if i had delusions of grandure lol i had a court case looming over me and he said he would play devils advocate and if i said i had delusions of grandure he would make sure i got probation or pevert the course of justice in the room i was interrorgated in it had like a shed or lean to with blacked out windows lol i don't know if they was taping me or it was full of police ready to pounce on me if i chinned the shrink? he wanted me to say i was delusional lol ;D so if i was to mention about the bloke on suicide watch going walkies all the time that would be delusions lol or if i mentioned about the 15 year old girl in a adult hospital that had been a victim of rape who had a bacon bonce ogling her chest all day and the staff seeming to be oblivious to this that would be delusions again
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Post by phil on Feb 27, 2011 0:07:41 GMT
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Post by phil on Feb 27, 2011 2:03:16 GMT
i wanted to see professor throme in swansea on the N.H.S but my G.P can't reffer me only a shrink can and like my shrink is going to do that lol i was supposed to see a dr Jawad in cardiff but i saw some other doctor called menton that was aware of adult ADHD lol i was tested and i had to bring someone with me who knew me so i took my mother i was one end of the spectrum she was at the other in terms of results of tests we did! she told me i did not have ADHD i have a personality disorder lol then she told me there is 2 types of adhd inatentive or hyperactive lol i told her there is 3 and what about combined? she replied there is no combined lol
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Post by sue on Feb 27, 2011 4:27:43 GMT
my son has been recently diagnosed and prescribed quetiapine because it is a drug that he can be prescribed in prison but i dont see it listed as a medication for adhd ?
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Post by kakema on Feb 27, 2011 7:22:58 GMT
Hey, Sue - we're not docs (well, there might be one or two, who knows?) but my quick google suggests that the psych has prescribed something for a personality disorder, rather than one of the ADHD drugs. I see, however, that it has some action on dopamine receptors, which are one of the problem areas with ADHD, so it may be that he picked this drug because he thought it would deliver a double benefit. Two types of ADHD medication are controlled drugs, but there is a third, which is basically an anti-depressant (atomoxetine), that should be no more problematic than quetapine. No idea why the psych didn't pick that one - may be that he thinks your son has multiple issues and thinks that the personality disorder is the one to focus on if prison's likely. But you should always ask doctors to explain what they are doing properly to you, until you feel you understand properly, so ask him for more info.
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Post by Deleted on Feb 27, 2011 10:39:10 GMT
phil Ok. Unfortunately, I have some experience of the levels of care at one of our wonderful psychiatric establishments. Have you tried to get legal advice about what happened? Might be an idea if you qualify for legal aid.
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Post by phil on Feb 27, 2011 11:54:31 GMT
I think I need a diagnosis first so basically I'm stuffed lol The only way is to get a private DX get someone to fund it then look into legal proceedings to sue the NHS which I should not have to do
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Post by Deleted on Feb 27, 2011 12:35:23 GMT
my son has been recently diagnosed and prescribed quetiapine because it is a drug that he can be prescribed in prison but i dont see it listed as a medication for adhd ? Hi Sue I know of several ADHDers being prescribed Quietapine (aka Seroquel etc) but it's not a mainstream choice. As others have pointed out the usual treatments can be used to get stoned so they have gone to one of the marginal treatments. It's not a drug to be used lightly - there can be withdrawal problems - and the other main non stimulant treatment (atomoxetine - trade name Strattera) can precipitate self harm in the depressed/anxious so it's use in prison is obviously not a good idea. Hopefully your son is getting regular check ups and good counselling - make sure he does - when he gets out he should probably swap to one of the regular meds.
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Post by phil on Feb 27, 2011 12:56:46 GMT
It's not just that I was hyper and could not sleep and needed a cigarette on the way to the smoking room I was apprehended by a nurse sonia who accused me of being on amphetamine so I was made to pee in a sample bottle for the lab lol I pissed in it but on the depokote my urine was clear so then I get accused of running the sample bottle under the tap lol
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Post by phil on Feb 27, 2011 13:13:06 GMT
Well according to the BNF or doctors bible lol Atomoxetine is used for ADHD and needs to be initiated by a specialist physician experienced in managing the condition there is loads of side effects including mania I believe people have ADHD and these types of pills induce bipolar disorders ssri's too
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