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Poll: Who Should Be Leader of HM Most Loyal Opposition?
This poll is closed.
Jeremy Corbyn 95 18.63%
Dennis Skinner 53 10.39%
Angus Robertson 20 3.92%
Tim Farron 9 1.76%
Paul Ukips 7 1.37%
Robot Lenin 105 20.59%
Tony Blair 28 5.49%
Pissflaps 193 37.84%
Total: 510 votes
[Edit Poll (moderators only)]

 
  • Locked thread
Breath Ray
Nov 19, 2010
Perth is not really a good example as it's by the beautiful warm Indian ocean. It's glorious there. In the outback it's too hot to live and no one does. However alcohol is quite dear in Oz. And those accents...!

Ive heard good things about Cork although it is very wet there. Another good alternative to Scotland is st petersburg which surprisingly has better weather in summer and nice deep snow in winter for skiing and skating. Lovely people lots of culture good size low rents excellent drinking culture the chance to talk to beautiful women...

E. 58. Theresa Mays likely majority in 2020

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Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!
So to move away from endless flapping our piss I have a question about mental health.

My housemate has bipolar. She's suicidal on and off (on at the moment) and is an alcoholic. This is too much for us to cope with - she's been like this before around a decade ago and it's all come back again. We went to a mental health charity and they referred us to our local hospital. That hospital has told us they don't have a mental health unit any longer, no crisis unit, nothing. They referred us back to the charity.
Could anyone give me some advise on where to go next? What to do? Where she can go and have people who can actually provide her the care she needs?

I live just outside Manchester.

learnincurve
May 15, 2014

Smoosh
She needs to go to her GP. If it's urgent then call NHS direct. If she needs to be placed in a unit or be provided with specialist care then a GP is the only person who can refer her - she will be sent out of area if yours does not have the facilities she needs,

jabby
Oct 27, 2010

What learnincurve said, with the proviso that if she is actively suicidal then she can go to A&E and she should not be discharged without mental health team review. Possibly your local A&E is terrible and you might need to try a larger hospital, but there should be an acute mental health team who can review her and decide if she needs admission or follow up.

If there's no immediate threat to life though try the GP. Unfortunately there are high barriers to mental health admission at the moment due to lack of beds.

How is she at the moment? Manic or depressed? Does she want to be admitted? On any medication? Who has managed her up until now?

Breath Ray
Nov 19, 2010
You might be interested in having her sectioned under the mental health act. There is a surprisingly good guide on wikihow

Cerv
Sep 14, 2004

This is a silly post with little news value.

forkboy84 posted:

Plus, Britain is much less racist than Australia and I'd tend to value something like that quite highly.

it's about the same really. it just takes different forms so it stands about more to you than the background noise you're used to

WeAreTheRomans
Feb 23, 2010

by R. Guyovich

Breath Ray posted:

Ive heard good things about Cork although it is very wet there.

I grew up in Cork, it's pretty nice, no wetter than London, kinda boring though (which is why I live in Dublin). No Brits allowed though, sorry :smith:

Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!

jabby posted:

What learnincurve said, with the proviso that if she is actively suicidal then she can go to A&E and she should not be discharged without mental health team review. Possibly your local A&E is terrible and you might need to try a larger hospital, but there should be an acute mental health team who can review her and decide if she needs admission or follow up.

If there's no immediate threat to life though try the GP. Unfortunately there are high barriers to mental health admission at the moment due to lack of beds.

How is she at the moment? Manic or depressed? Does she want to be admitted? On any medication? Who has managed her up until now?

WE took herto A&E and they said they haven't got anyone to review her. It's a pretty large hospital as well. She's depressed - although she is diagnosed with bipolar I'd say I've never seen her manic other than when she's drunk. I'm not sure if there's definitely threat to life because she's threatened suicide before but doesn't do anything about it (thankfully).

She is on medication and she's been admitted to the priory for a while but she doesn't have anyone actively managing her. She used to have healthcare through her work and went to a private therapist using that but the waiting list for one on the NHS is effectively forever.

forkboy84
Jun 13, 2012

Corgis love bread. And Puro


jabby posted:

What learnincurve said, with the proviso that if she is actively suicidal then she can go to A&E and she should not be discharged without mental health team review. Possibly your local A&E is terrible and you might need to try a larger hospital, but there should be an acute mental health team who can review her and decide if she needs admission or follow up.

If there's no immediate threat to life though try the GP. Unfortunately there are high barriers to mental health admission at the moment due to lack of beds.

How is she at the moment? Manic or depressed? Does she want to be admitted? On any medication? Who has managed her up until now?

LOL, many years ago I went to what was at the time the largest hospital in Glasgow to suggest I was actively suicidal and they more or less just said they couldn't do anything until I actually tried to kill myself so go to a GP in the morning. That was a lark. God bless the NHS but by jove my experiences with it are mostly to do with mental health and aside from getting a free prescription of SSRIs it's pretty much negative. A whole host of massive waiting times, which combined with a condition that has low motivation as a side effect, by the time you actually get an appointment to see a mental health professional the odds are that either the depression has gotten worse to the point where getting out of bed is an effort on a par with Atlas holding up the sky, or gone away to the point where I don't feel it's worth the effort, because the nearest hospital isn't in the catchment area for my GP clinic so I have to travel 40 minutes by bus to the west, and then 40 minutes to the east by another bus.

And if the experience of getting help for depression wasn't lousy enough, good luck being a 30 something male trying to get help for an eating disorder.

What I'm saying is that I have no useful advice, and that if I could afford it I would have little compunction about going private for mental health care, much as that idea in general isn't one I love.

Namtab
Feb 22, 2010

The following:
1. GP appointment, a gp is fully capable of managing anti depressants and it sounds like she needs a medication review.
2. Get all alcohol out of the house l, make her work for that fix
3. She's probably not sectionable outside of a voluntary basis if she's not acting on her suicidal ideation (how good are her coping strategies when this comes up)
4. The alcoholism is going to be exacerbating her symptoms, ask for a referral to a support service (insist on 1:1 support where possible, sometimes groups can turn into pissing contests over who used to drink the most)
5. She likely has capacity and is making unwise choices. This may sound callous but ultimately she has to want the help, don't make yourself unwell trying to deal with her issues. Look after yourself as well.

E: how is her medication concordance?

Namtab fucked around with this message at 13:43 on Mar 12, 2017

jBrereton
May 30, 2013
Grimey Drawer
Do not section people unless you really have to, it's pretty terminal to their human rights forever.

Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!

Namtab posted:

The following:
1. GP appointment, a gp is fully capable of managing anti depressants and it sounds like she needs a medication review.
2. Get all alcohol out of the house l, make her work for that fix
3. She's probably not sectionable outside of a voluntary basis if she's not acting on her suicidal ideation (how good are her coping strategies when this comes up)
4. The alcoholism is going to be exacerbating her symptoms, ask for a referral to a support service (insist on 1:1 support where possible, sometimes groups can turn into pissing contests over who used to drink the most)
5. She likely has capacity and is making unwise choices. This may sound callous but ultimately she has to want the help, don't make yourself unwell trying to deal with her issues. Look after yourself as well.

E: how is her medication concordance?

We already do that with the alcohol, but there's a supermarket a literal one minute walk away and she also has amazon prime now. It's not something we can stop her from getting without taking every electronic device away from her or cancelling her amazon subscription which isn't in our power to do.

A GP appointment works the same way as forkboy says, everything just takes loving forever and by the time it happens she doesn't usually go.

And I know about number 5. My other housemate is dealing with it mostly because I've done this with her already and it was draining enough a decade ago but what can you do when she's constantly drunk or just bursting into tears in the house when you live with her?

I don't know what you mean by the last one I'm sorry.

Namtab
Feb 22, 2010

Is she taking her medication as prescribed?

Namtab fucked around with this message at 13:56 on Mar 12, 2017

Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!

Namtab posted:

Is she taking her medication as prescribed?

As far as we know, yea. It doesn't help that it's given her enormous weight gain (six stone) so that makes her feel even worse.

Pissflaps
Oct 20, 2002

by VideoGames

Taear posted:

As far as we know, yea. It doesn't help that it's given her enormous weight gain (six stone) so that makes her feel even worse.

This all sounds like an extremely volatile situation.

Namtab
Feb 22, 2010

jBrereton posted:

Do not section people unless you really have to, it's pretty terminal to their human rights forever.

A wee bit hyperbolous, but yes you lose some rights for the duration of your admission.

Taear posted:

As far as we know, yea. It doesn't help that it's given her enormous weight gain (six stone) so that makes her feel even worse.

Another reason for a review, because there are alternatives.

Ultimately it sounds like you've done everything you reasonably can do for her, I think you and your other housemates need to have a formal chat with her and make it clear that she needs help and that while you'll help her arrange things she needs to actually pitch up at the appointment or whatever.

I'm going to catch some flak from the non-nhs staff for this next line, but if at any time you are concerned that she is actually going to act/is acting on her suicidal ideation you should call the police immediately as they can perform a short term detention to preserve her safety, and arrange for mha sanctioning as required. Obviously this is very much the nuclear option.

jBrereton
May 30, 2013
Grimey Drawer

Taear posted:

As far as we know, yea. It doesn't help that it's given her enormous weight gain (six stone) so that makes her feel even worse.
That's good old lithium for you.

If she's in a position to afford it, a low carb diet can keep weight down but low carb diets certainly aren't usually cheaper than the alternative.

Hope she gets well soon!

jBrereton
May 30, 2013
Grimey Drawer

Namtab posted:

A wee bit hyperbolous, but yes you lose some rights for the duration of your admission.
Even after, you lose certain rights like for example you can't be the head of a company, can't be an MP, can certainly get referred back into (involuntary) detention by anyone who's done a half day psych course, your car insurance is going to spike in price and so on. It's the last option.

Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!

Namtab posted:

Another reason for a review, because there are alternatives.

Ultimately it sounds like you've done everything you reasonably can do for her, I think you and your other housemates need to have a formal chat with her and make it clear that she needs help and that while you'll help her arrange things she needs to actually pitch up at the appointment or whatever.

I'm going to catch some flak from the non-nhs staff for this next line, but if at any time you are concerned that she is actually going to act/is acting on her suicidal ideation you should call the police immediately as they can perform a short term detention to preserve her safety, and arrange for mha sanctioning as required. Obviously this is very much the nuclear option.

She's already on her third lot. To be honest I don't think it's anything to do with the medication. She's bored so she's eating all the time. That might be the medication giving her renewed appetite but if all of them are doing it it seems surprising.

If you try and do that sort of thing she just goes off crying. When she signed off sick from work (and is never going back) we asked how she'd pay the rent and she ran off crying. She doesn't want to think about it and by extention the future. Last time this happened she moved away to work at an adventure park in lincolnshire when she "got better" but I don't think this is an option now.
I'm not blaming her for that and I do understand, but it makes it hard on us because of this.

And if the latter happened I don't think we'd know. She sort of has her own apartment in the basement and if she wanted to do it she could do it without us knowing it was happening without any issue late at night.

jabby
Oct 27, 2010

Taear posted:

WE took herto A&E and they said they haven't got anyone to review her. It's a pretty large hospital as well. She's depressed - although she is diagnosed with bipolar I'd say I've never seen her manic other than when she's drunk. I'm not sure if there's definitely threat to life because she's threatened suicide before but doesn't do anything about it (thankfully).

She is on medication and she's been admitted to the priory for a while but she doesn't have anyone actively managing her. She used to have healthcare through her work and went to a private therapist using that but the waiting list for one on the NHS is effectively forever.

Yeah, if she's feeling suicidal but hasn't acted on it then A&E is unlikely to help. She need to see her GP to get her meds reviewed. She also needs to quit drinking since that makes managing any psychiatric condition virtually impossible. Her GP might be able to point her towards some help but ultimately the motivation to stop has to be there.

Namtab is right on all points. If you've already tried making her a GP appointment and she doesn't go then there isn't much more you can do except try it again. It's a poor reflection on the system but unless her condition deteriorates to the point where she's an immediate threat to life she needs to make the effort herself to access treatment.

Breath Ray
Nov 19, 2010

jBrereton posted:

That's good old lithium for you.

If she's in a position to afford it, a low carb diet can keep weight down but low carb diets certainly aren't usually cheaper than the alternative.

Hope she gets well soon!

Interested in hearing more about this low carb diet (20 stoner checking in).

Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!

jabby posted:

Yeah, if she's feeling suicidal but hasn't acted on it then A&E is unlikely to help. She need to see her GP to get her meds reviewed. She also needs to quit drinking since that makes managing any psychiatric condition virtually impossible. Her GP might be able to point her towards some help but ultimately the motivation to stop has to be there.

Namtab is right on all points. If you've already tried making her a GP appointment and she doesn't go then there isn't much more you can do except try it again. It's a poor reflection on the system but unless her condition deteriorates to the point where she's an immediate threat to life she needs to make the effort herself to access treatment.

Yea stopping drinking isn't going to happen. She's an alcoholic, she can't deal with life without it now and as much as she tries it just happens again.

And it's absolutely rubbish that you can't refer someone until AFTER they try and kill themselves.

Namtab
Feb 22, 2010

Breath Ray posted:

Interested in hearing more about this low carb diet (20 stoner checking in).

Eat less, run more

LemonDrizzle
Mar 28, 2012

neoliberal shithead
Michael Green's got his knives out:

https://twitter.com/MichaelLCrick/status/840871400260919296

Nick Timothy is now May's chief of staff, so this could get interesting.

jabby
Oct 27, 2010

Taear posted:

Yea stopping drinking isn't going to happen. She's an alcoholic, she can't deal with life without it now and as much as she tries it just happens again.

And it's absolutely rubbish that you can't refer someone until AFTER they try and kill themselves.

She can be referred for help, she just has to go through her GP.

Obviously she's depressed, but she still has agency and writing everything off as 'she can't do it' is unlikely to help. She can attend a GP appointment. She can cut back on her drinking. If she's unable to do those things then she's not really in a position to be helped right now.

learnincurve
May 15, 2014

Smoosh
The NHS has got a lot better at dealing with mental health issues, if your GP does not take you seriously go to another GP.

I can't really offer advice over the internet other than; go to GP, if the medication is not working then she needs to tell someone with her file in front of them who will be able to see if her meds need to be changed or if she needs to be referred. Get her in AA.

On a personal note, people have to want to change, if she does not want to change then you are pissing into the wind. She's your housemate, you are not her carers or her next of kin. If she won't see her GP and expects you to babysit her through this then move out.


The consequences of being sectioned is nothing compared to being non-functionional due to depression and alcohol.

Pissflaps
Oct 20, 2002

by VideoGames
https://twitter.com/jlsinc/status/840907858401218560

Wasn't there someone in this thread recently bemoaning the cost of securing a visa for their partner?

Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!

jabby posted:

Obviously she's depressed, but she still has agency and writing everything off as 'she can't do it' is unlikely to help. She can attend a GP appointment. She can cut back on her drinking. If she's unable to do those things then she's not really in a position to be helped right now.

She can't means she won't. Or that she will for a little then a tiny setback (such as gaining more weight) puts her right back onto the alcohol.

She has been referred though. It's going to take at least a year. I understand what you're saying with that but it's too long, it's crazy.

Breath Ray
Nov 19, 2010

Pissflaps posted:

https://twitter.com/jlsinc/status/840907858401218560

Wasn't there someone in this thread recently bemoaning the cost of securing a visa for their partner?

Yes but I think robs response might be that it's one thing for a uk citizen to invite a female dependent to the UK and quite another for young single Muslim men who would like to establish a caliphate to claim asylum here to be allowed in

PS anyone else think he was holding a snooker cue at first

jabby
Oct 27, 2010

Taear posted:

She can't means she won't. Or that she will for a little then a tiny setback (such as gaining more weight) puts her right back onto the alcohol.

She has been referred though. It's going to take at least a year. I understand what you're saying with that but it's too long, it's crazy.

The wait for therapy absolutely sucks, but at the same time therapy is hardly an instant fix.

In the meantime all that can really be done is to alter her medication and try and find one that works the best, and try and get her to stop drinking. If she has no motivation to stop drinking she's probably not at the point she can be helped much at all.

Namtab
Feb 22, 2010

Bin your scales

Pissflaps
Oct 20, 2002

by VideoGames

Breath Ray posted:

Yes but I think robs response might be that it's one thing for a uk citizen to invite a female dependent to the UK and quite another for young single Muslim men who would like to establish a caliphate to claim asylum here to be allowed in

PS anyone else think he was holding a snooker cue at first

I think that's just the centre fold of the magazine not something actually in the photograph.

WeAreTheRomans
Feb 23, 2010

by R. Guyovich

Breath Ray posted:

Interested in hearing more about this low carb diet (20 stoner checking in).

Hey Breath Ray, check out the General Exercise megathread to get a start on not being a fat bloater. Just don't post as terribly in there as you usually do here.

learnincurve
May 15, 2014

Smoosh
A year is too long, something's gone wrong here. Her GP must be unaware of the seriousness of her current situation, she needs to go back to her GP.

Last resort would be to call adult social services and tell them she needs a care and support assessment. I googled for a random area and they want two criteria to be filled. http://www.nottinghamshire.gov.uk/media/1429/the-care-and-support-eligibility-criteria-regulations-2015-factsheet-230415-1.pdf

Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!

learnincurve posted:

A year is too long, something's gone wrong here. Her GP must be unaware of the seriousness of her current situation, she needs to go back to her GP.

Last resort would be to call adult social services and tell them she needs a care and support assessment. I googled for a random area and they want two criteria to be filled. http://www.nottinghamshire.gov.uk/media/1429/the-care-and-support-eligibility-criteria-regulations-2015-factsheet-230415-1.pdf

Now that's something we haven't tried at all.

Thank you all for the suggestions!

Pochoclo
Feb 4, 2008

No...
Clapping Larry

Pissflaps posted:

https://twitter.com/jlsinc/status/840907858401218560

Wasn't there someone in this thread recently bemoaning the cost of securing a visa for their partner?

"loving immigrants are the worst scum of the earth, right, my darling immigrant wife?"

I've even seen this kind of behaviour in immigrants. People who already have gotten UK citizenships and voted Brexit because they don't want more immigrants. And I'm like "what the gently caress"

Taear
Nov 26, 2004

Ask me about the shitty opinions I have about Paradox games!

Pochoclo posted:

"loving immigrants are the worst scum of the earth, right, my darling immigrant wife?"

I've even seen this kind of behaviour in immigrants. People who already have gotten UK citizenships and voted Brexit because they don't want more immigrants. And I'm like "what the gently caress"

Sometimes it's because they see stories in the news about how easy it was for [immigrant] to get here and bring their family and etc etc.
So when it's really hard for them they feel like it's specific to them. That we're full and it shouldn't keep happening.

It's stupid but it's not an uncommon idea - you see it with people who talk about welfare too.

Seaside Loafer
Feb 7, 2012

Waiting for a train, I needed a shit. You won't bee-lieve what happened next

In my personal experience of being depressed and drinking to much I found people with the best of intentions trying to talk me out of it even more annoying than the source of the depression thus doubling up the situation. You could try just shutting the gently caress up and leaving her alone to work it out but obviously I know nothing about the situation and if she is regularly threatening to top her self then its a bit more serious.

Miftan
Mar 31, 2012

Terry knows what he can do with his bloody chocolate orange...

Bringing a partner over is very expensive.

-a partner

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Private Speech
Mar 30, 2011

I HAVE EVEN MORE WORTHLESS BEANIE BABIES IN MY COLLECTION THAN I HAVE WORTHLESS POSTS IN THE BEANIE BABY THREAD YET I STILL HAVE THE TEMERITY TO CRITICIZE OTHERS' COLLECTIONS

IF YOU SEE ME TALKING ABOUT BEANIE BABIES, PLEASE TELL ME TO

EAT. SHIT.


Miftan posted:

Bringing a partner over is very expensive.

-a partner

Depends on to which country. But yeah it's never entirely cheap, outside of within the EU anyway obviously.

  • Locked thread