I’ve been journalling my experiences with bipolar and the South African public health sector here, with a hiatus recently, thanks to bipolar depression. I’ve now finished my six months free CBT as a case study, but I’ll still be seeing the trainee psychiatrist I refer to as shrink two for treatment. As things stand now, I’ve just had my fluoxetine increased to 60mg and olanzapine is at 15mg. I’m waiting for shrink two to discuss with her department head, whether or not I’m going to have ECT. Shrink one, back in the private health sector, reckons it’s the best option.
So I’m just waiting and it strikes me that waiting is exactly what the government health system is all about. It’s the same almost everywhere, I believe, the waiting lines are long. You arrive as early as you can and you queue. I’ve become accustomed to it to a certain point – an hour’s delay feels like absolutely nothing, but three hours feels like forever. I constantly try to remind myself that I’m still in the privileged segment of society, that the huge majority of mental health patients in South Africa aren’t receiving any treatment at all, but the truth is that I really hate it. As I’ve said before, I’ve got no complaints about the quality of care, it’s the waiting in horrible rooms crammed with people talking and sniffing and so on. I’m not phased by the manacled prisoners anymore and when there’s someone freaking out, I only feel anxious if they get too close.
Hopefully by my next post I’ll have an answer about ECT.
Sadly gaps in the system are widespread in many countries. I do hope you get the answers you need. I’m on your side. It’s just the 16,000kms that keep me from being by your side.
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Damn those kilometres
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The waiting times can be a while here in the UK, but generally once you have an appointment the wait is minimum. Sorry to see you are so low. Disappointment can fuel an anger that fuels the depression, I find anyway. I get so outraged by something then feel utterly undeserving and the conflict between those poles intensifies the sadness. It’s Shit but we know it will pass, in time…..So difficult to subjectively assimilate though. Have you tried ECT before? I’ve seen it work well with some folk, but it does affect the memory. How has the CBT gone? Is there anything that could be practiced more frequently? Stay strong! Thinking of you and willing the depression away!
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No, I haven’t had ect before. The CBT hasn’t helped, I go through the motions and none of it feels even vaguely real. Thanks for your lovely comment.
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I’m with you there, right now, that unreal sensation is really (!) Unpleasant. for me I think it’s associated with change, I take so long to adjust to anything new. What helps sometimes is going to the gym, blasting at a exercise class or having a big walk outdoors. All takes huge motivation of course, and available time. You’re not alone, even if we’re all far away in distance you are held in this communities thoughts and hearts. Take care x
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Thanks lots
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CBT or DBT or whatever therapy wont help for bipolar, that’s to address certain behaviour, whereas bipolar is usually defined as a chemical imbalance.
ECT is like using a nuke to kill a cockroach, sure it might work but you’re destroying a lot of good in the process
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I’ve just had 6 months of CBT, haven’t been the DBT route thus far. When you talk about destruction, what exactly do you mean? Thanks
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Blah knows how much ECT helped me; my memory loss was minimal and it saved my life. I’m doing better now than I have since my bipolar dx in 2007. For info. about my experience you can read my article:
http://www.huffingtonpost.com/dyane-leshinharwood/how-electroconvulsive-therapy-ect-helped-me-survive-to-battle-bipolar-depression_b_9455412.html
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I just read your column again, it made me feel better about things.
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I’m so glad; I’m rooting for you big-time!
Give S. my love 🐕 — I’m not sure if my hugs would be welcome. Lucy seems to like hugs, but I read an article saying most dogs dislike them! 😨
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Hi! I’m very curious as to know HOW one goes about getting Mental Health treatment from the public health sectors in South Africa? I do recall the horrendous waiting times in the awful conditions, but that is simply how SA is run. If anyone has any idea and could shed some insight, please let me know.
This has been an interesting read, thank you.
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I was referred by my shrink in private practice, then had to go open a folder (register) and after that, just the waits and conditions that you already know about.
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So you need to have access to private health care first before you can be treated by government health care? And once you are able to make us of the Public Health sector (besides the awful waiting times and conditions), what is the quality of the medication -are they generic? And how much does it cost you, roughly, to be treated each month?
I know I have bombarded you with questions but I really am interested to know =) Thank you!
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No, anyone can go, I was just telling you my route. The meds are generic and free. It doesn’t cost me anything. I’m more than happy to answer questions, thanks lots for your interest. The crappy thing is that an estimated 75% of mentally ill people in SA receive no treatment at all.
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Yes, thanks for telling me your route. I appreciate it, because I really have started thinking I may need to see a professional (one of the 75% receiving no official treatment) but it’s so costly. Generic meds are fine, they do the same job… Where do you receive psych treatment? At a government hospital?
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Ja I go to a psych outpatient ward at a govt hospital. Strongs for your journey, I hope you find some good help.
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Ah, thanks for the input! Always good to have info for if it’s needed. Good luck on your journey, too =)
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Reblogged this on blahpolar.
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You can feel lucky that you receive treatment and be upset by the wait times and conditions. I think that is just normal. No one wants to wait in rooms where the conditions are poor to try to get themselves treatment to feel happier. It makes no sense.
My next treatment is going to be Lithium and if that doesn’t work I’m going to seriously consider ECT. If you can, keep us posted on how that goes.
It’s really good to “see” you again Blah. I’ve missed you.
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Thanks, I do feel lucky. I really hope lithium works well for you! I am going to keep posting here, and I’ve just heard that I’ll definitely be having ect. Thanks for the lovely comment.
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Good luck with the ect. I’m really interested to hear how it goes.
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Thanks it’s only happening in a couple of weeks
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Not a lot of time to wait. Just hang in there.
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Thinking of you….it always lifts my spirits to see you posted, especially after a hiatus. Sending you & S. my love.
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Thanks lots
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Retweeted this post on Twitter
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Hope that ECT helps and that you need not wait too long for it. In the US, most psychiatrists do not accept Medicare, the public system here.
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I’m having it at the end of the month. I think our biggest problem with psychiatrists is that there are only 350 in the entire country and 60% of them work in the pvt sector.
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Terrible! HUGE need for more in SA. Even in USA, we need more, especially in rural areas.
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It’s waiting here too. But I have to admit, the waiting rooms are different than here, at least in public buildings. I really hope ECT will be a breakthrough for you. I’m very interested in your experience with it.
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Thanks moom
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I don’t know where I’ve been or where you’ve been or if we’ve just been MIA at different times, but it certainly is good to read you again. Following your progress closely and hoping/praying for only good outcomes. And PS: I’m in Canada where we have a public health care system (not even an option for private, I do believe ) and the wait times to see a shrink are easily up to 1 year…thus the reason I am staying with mine who is about 80 years old and who still doesn’t know my name…pretty sure he doesn’t know what he’s doing sitting in that office all day. I think someone guides him in there at the beginning of the day and guides him back out at the end. Again so glad to catch up with you.
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I haven’t blogged properly in a couple of months, too depressed. Thanks for the lovely comment, it’s good to hear from you again. Sorry your shrink is such a waste of space.
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Thinking of you! G-uno
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Thanks lots
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Sorry to hear you had bipolar depression; I know it sucks! It must be quite frustrating dealing with all that waiting. I hope they find a treatment that works for you. Best wishes :)
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