This morning i called up my doctor’s surgery to get a much needed appointment with a GP. For most this is a task that needs little if any thought. For me however it can be a potential minefield.
What’s more when i called up i was informed that my appointment would be with a new doctor, not one that i had met before or had any experience of. Accepting the appointment, was for me, a pretty big gamble.
I’ll explain. I have had mental health problems to some level or another for most of my life and i have been using mental health services for coming up to nine years now. I have almost endless experience of all sorts of medical professionals from psychiatrists to nurses and everything in between.
Obviously as a UK resident my first port of call when it comes to health (both physical and mental) is my GP. GPs often feel like the gatekeepers to other services and organisations and i have always felt that it is vital to have a good working relationship with them.
However when it comes to mental health nothing is ever so simple. I would like to say that i have had predominantly good experiences but this is not the case.
I think the problem comes, to some extent from a combination of two factors: the fact that this is mental health and that i am a young person. Apparently these two things mean it is often harder for me not only to access the treatment i need but also to have problems recognised at all.
I wish i could say that i was alone in this experience but unfortunately that is far from the truth. I have spoken to countless other service users young and old about their experiences of GPs and they very much mirror my own. I wish i could tell you that young people weren’t told that their conditions were “a phase”/hormones/attention seeking/manipulative. Eating disorders are seen as a fad or a diet gone to far, depression dismissed. And if you were told this after opening up about something deeply personal that you may have not ever shared before, do you think you would go back or try and get a second opinion? I know i would think twice. I know it is a hard fact to stomach that some children and young people suffer from severe mental health problems but we can’t ignore or it deny these people help because it makes us uncomfortable.
All the evidence shows that a huge proportion of adults that have a mental health condition report symptoms starting in adolescence and the power of early intervention, as shown especially in EIiP (Early Intervention in Psychosis) services, cannot be denied.
And yet we still struggle to get our voices heard and to be taken seriously.
GPs need training not only in how to spot the warning signs of mental distress in children and young people but also need to be educated on atypical presentations (we don’t all neatly fit into diagnostic boxes) and a more holistic and open approach to young people.
Luckily today was a positive experience. In spite of all my anxiety in the run up to the appointment i was seen by a doctor that listened to me, took my opinions and preferences into account and made me feel relaxed.
It is just unfortunate that i can’t say that more often.