Posts Tagged ‘A&E’

Being in a crisis.

There are a number of basic support networks available in every part of the country for when a crisis arises, A&E, crisis teams, duty at cmht, cpn, out of hours and hospital.

Places of help and support

Usually the person diagnosed with BPD will present themselves at one of the above, are then assessed and if needed referred to the crisis tea the crisis team will then assess again and decide on the best way to treat. Mostly this is community based intensive care, visits and calls everyday. If there is a significant risk to life then hospital is usually used, but only as a last option.

Police help and section 136

Some people diagnosed with BPD become so distressed that they don’t want help they want to go through with their plans and some times this is in a public place. The police are usually called and if they deem the person to be suffering from a mental disorder as defined in the Mental Health Act they have the power to take the person to a place of safety under the provisions of section 136. Usually the person is taken to a 136 suite at their local psychiatric unit, if that is unavailable then A&E can be used or the person is taken to cells to be assessed formally by two section 12 doctors and a AMHP.

Difficulties with a crisis team.

When a person diagnosed with BPD is seen many times by the crisis team they relationships between certain staff members and themselves are stretched, especially if some staff don’t really want to speak to you, tell you to distract and use DBT skills if they know you have done the program.

My experiences with the crisis team.

Personally i have been under the crisis team in my area more times than i care to remember for suicidal thinking and for psychosis. I found when they were treating me for psychosis they gave me more compassion and understanding, when i was suicidal they weren’t as nice and treated me rather poorly. In 2008 i made an serious attempt on my life, the few days prior my husband had been asking them to admit me because i was not safe and i was going to do something but they didn’t think i was in considerable danger. The afternoon after i had taken an OD they arrived and were rather curt with me and treated me really poorly. After i was treated by ICU i was seen by the crisis team who finally admitted me. Hospital in my area was a dismal place, thankfully the unit i was in was closing and a new one was being built. Ive had some bad experiences with the crisis team and now refuse to be placed under their care as i don’t feel they will help me.

What you can do in a crisis

Work with your teams, if you are placed with the crisis team be honest with how you feel, be honest with how you think they can help you. If it helps write a letter to them detailing all the things you’re not able to say. If you’re admitted to hospital, work with the staff, if you’re having a particularly difficult time then ask for some extra help, prn to help you through, go to ward groups, not only do these curb the boredom that occurs on the ward but can be beneficial too. Lean out for support within your personal support network. You don’t have to go through a crisis alone.


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