In England DBT is patchily available.
In England DBT is patchily available. You'd usually have to be very ill, or persistant, to get it, and wait times can be too long. There has been a focus on CBT. That's great because for most people CBT is effective and short, but as this article says it doesn't work for everyone. Very recently there is a lot of work to improve access to other talking therapies. Patients now have more choice about where to get their treatment; maximum times for waiting are going to be introduced; "parity of esteem" with physical health is more important. (Although watch out: You may have to wait 18 weeks to have a hip replaced, so you may have to wait 18 weeks to start your psychological therapy.) One of the problems is that DBT needs experienced (expensive) practitioners, and tends to be used for people who are iller and who need a bit more support. So it's harder for health trusts to implement DBT programmes. Not trying to make excuses for them - I campaign pretty hard to improve treatment for people with a diagnosis of personality disorder and access to therapy is one of the main things. > And as imperfect as my D.B.T. practice was early on, I found that just taking anxiety down a degree or two gave me a measure of control over my decision making in the presence of intense emotion. The lesson was profound. I couldn’t eliminate anxiety from my life, but I could learn how to tolerate it, and cope without making the situation worse. This is a really nice point. It's an iterative process. You work at it.
Posted by DanBC on May 17, 2015, 2:20 PM
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Raise real-world problems, find people facing the same issue, and discuss solutions.6,500 issues0 comments
pricing (Healthcare)
I love Americans making arguments against things like paper ballots or health care on the basis of "it's too expensive for such a large c...
People hate it when faceless bureaucrats decide that some health care expense is too expensive for the large faceless bureaucracy to cove...
> I will never understand why people think ACA was so great.
Turning oneself in doesn't absolve one of a crime.
All that we know is that the doctor carefully guided the patient out of the intervention, flashing a value that nobody had introduced bef...
> Is that what we want?
If we're gonna stick with private insurance in the US, we should detach it from employment.
>Putting the entire population on vitamin D supplements would be too expensive for the country’s national health service, he told me.
In England DBT is patchily available.
In England DBT is patchily available. You'd usually have to be very ill, or persistant, to get it, and wait times can be too long. There has been a focus on CBT. That's great because for most people CBT is effective and short, but as this article says it doesn't work for everyone. Very recently there is a lot of work to improve access to other talking therapies. Patients now have more choice about where to get their treatment; maximum times for waiting are going to be introduced; "parity of esteem" with physical health is more important. (Although watch out: You may have to wait 18 weeks to have a hip replaced, so you may have to wait 18 weeks to start your psychological therapy.) One of the problems is that DBT needs experienced (expensive) practitioners, and tends to be used for people who are iller and who need a bit more support. So it's harder for health trusts to implement DBT programmes. Not trying to make excuses for them - I campaign pretty hard to improve treatment for people with a diagnosis of personality disorder and access to therapy is one of the main things. > And as imperfect as my D.B.T. practice was early on, I found that just taking anxiety down a degree or two gave me a measure of control over my decision making in the presence of intense emotion. The lesson was profound. I couldn’t eliminate anxiety from my life, but I could learn how to tolerate it, and cope without making the situation worse. This is a really nice point. It's an iterative process. You work at it.
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