Wednesday, September 8, 2010

Lessons from my team ( Early intervention in psychosis- EIP Nottingham)

Strugglng to write any personal posts. So much has gone on. I am in the processed of being transferred from my team for being 'difficult' and I have had many questions over diagnoss which is reconfirmed as rapid cyling Bipolar.(to teams dismay). I will get rounnd to writing something but for now I have to reflect on what has come from my time with my current team (15 months) have learnt much, mostly how not to behave as professionals.

Lessons my current psychiatric team – The Early Intervention in Psychosis team (E.I.P) Nottingham City have taught me:

1. Never admit to anything you have said/done the term ‘that’s not how I remember it’ and getting a colleague to( bare faced lie) agree with you helps here. If the patient is (being difficult ) is able to see your contradictions point out they are merely confused, perhaps it’s their medication.

2. Pass patients back and forth between team members as suits the team. After all the client is ‘mad’ and not expecting consistency, and doesn’t DESERVE consistency

3. Promise to help patient with finances/jobs/study etc - particularly just before CPA review or during said review. Then hurriedly forget all about it. If patient dares to ask for said help or bring it up. Point out that client never asked for or accessed help. Or help is not appropriate. If this fails quickly note in file ‘patient not compliant with CPA’ and is stunting recovery.

4. If you have a really difficult patient who will not play game then quickly discharge them to Primary services. If their diagnosis or CPA level will not allow for this then a quick discharge to any other team that will have them is in order.

5. If the patient dares to complain, quickly diagnose a personality disorder. Borderline works well but Narcissistic or paranoid could probably work. This will ensure no one ever takes their concerns seriously or listens to said patient, who is just manipulating the system and wanting attention. If the symptoms don’t fit make them up perhaps the patient has ‘repressed childhood trauma/abuse’.

So Thank you Early Intervention in Psychosis Nottingham you have taught me something ;-) Mainly that anyone should seriously consider any referral to your team.


NOS said...

It sounds like being discharged from your team is not the worst thing in the world. It doesn't seem like they treated you very fairly or wisely. I'm sorry. Are you going to look for a new team?

Wishing you well,

Anonymous said...

Thanks for sharing the link, but unfortunately it seems to be offline... Does anybody have a mirror or another source? Please answer to my post if you do!

I would appreciate if a staff member here at could post it.


La-reve said...

NOS- thanks you are right. I think I am sick of being messed around by services. complaints are in process now we will see.x

Anonymous- What link? I don;t understand please clarify I will help if I can. x

Differently Sane said...

Maybe the new team will actually be of some use...

Oh and I thought that being female was a PD, at least that's the impression I've been given by "services"... (Bitter, little moi?)

Sorry to hear you've been messed around so much.

Take care,

Rielouise said...

Pass patients back and forth between team members as suits the team. After all the client is ‘mad’ and not expecting consistency, and doesn’t DESERVE consistency

This seems to be how all CHMTs are operating at the moment.