Freda Fernackerpan

@PatMcGorry When it comes to daily living the support provided is the same as for other disabilities- support to achieve daily living tasks, participate in community and build daily living capacity. These are needs people have independent of treatment.

@PatMcGorry Mental illness treatment isn’t covered by NDIS. Only daily living and capacity building supports. Mental illness treatment is a different funding domain entirely.

Yes a wonderful, erudite but laser like analysis. We need to wind back the haemorrhaging of public funds into private pockets - NDIS & childcare classics examples. We can’t afford the waste, inefficiency & fragmentation of health and social care. Deeper lessons contained here too

@PatMcGorry It’s not a mirage, though it’s got many obstacles. People need to be able to manage finding a good provider and they need to be available. But despite obstacles, not improved by forcing people back to state managed or NGO managed block funding with no choice

In principle no argument but in my experience that is a mirage

@Erinnn46 @jaunty_aphorism I don’t think people who oppose their BPD or any other dx are just being difficult or that it doesn’t relate to circumstances.

@Erinnn46 @jaunty_aphorism Though it wasn’t just BPD dx, it was the behaviours associated as well and other dx too. When I had autonomy taken by state services, got coerced meds, faced systenic violence, I hated dx. When I found ways to get autonomy back, got disability funding etc I was fine with them

BPD is not a fixed construct. Its impact depends heavily on system, country, & social class. In private settings, ppl may experience collaborative care. In the NHS, the BPD label often means exclusion, coercion, criminalisation & even death. Those are not the same reality.

@DrAnnieHickox @olidnejad @JeremyVineOn5 @theJeremyVine That’s at least 25% of the population at any time. A lot more if count everyone with a history of MH. 🙄

@olidnejad @JeremyVineOn5 @theJeremyVine Stupid people with stupid ideas.

"People with mental health problems shouldn't get to vote." The panel discuss whether criminals should be allowed to vote. @theJeremyVine | #JeremyVine

@PatMcGorry When providers are block funded NGOs or states, there’s no opportunity to leave a bad provider and choose a better one. Nor do you get to assemble your own team of supports you form relationships with

@PatMcGorry Remember: NDIS is support for daily living and capacity building for permanent disabilities of all kinds It’s not treatment. Nor is it for temporary disabilities. Choice and control is a very important aspect of it

@PatMcGorry Sounds like neither get clinically significant results cf placebo

Interested in what critical psychiatry commentators think about this study. Most appear to think ADs are no better than placebo yet harmful. What is the verdict on psychedelics?

@ErikMessamoreMD @DrAnnieHickox To be fair, conditions like schizophrenia, bipolar are patterns with many different themselves, rather than causes

It can be caused by different conditions, including schizophrenia, bipolar disorder, severe depression, medical illnesses, brain injuries, or substance use. Because the causes vary so widely, a careful evaluation is essential to identify the underlying issue and guide treatment.

@MithenZoe @thebigjohnnyd @krazykitkatm I have never been able to work full time. I used to study, but I struggled with the hours. Trying to study again now only one subject but very challenging!

@fredfernack @thebigjohnnyd @krazykitkatm Me too. When I used to work I needed a lot of downtime to recover.

I love writing for the shot mainly cause they will let me just call fucked things 'fucked' instead of having to dance around it like im talking to children

@MithenZoe @thebigjohnnyd @krazykitkatm Makes sense. I guess people get used to what they do habitually. I just know I need some social contact each week but would get burned out if I jumped straight into that much. I spent the weekend with my sisters last week visiting other family. Was nice but I was glad to go home

@fredfernack @thebigjohnnyd @krazykitkatm I think it’s because people work 40 hours a week in full time jobs. Then it’s 20+ hours for family and friends and anything else.

@StressDecoded @DrCarlHindy Tried to DM but don’t have permission. Really struggling with stress/motivation/concentration at the moment

@fredfernack @DrCarlHindy Ok, good luck, if you have any question, write me.

Ways we quietly drive away the people we love: #30 We confuse intensity with intimacy.

@MithenZoe @thebigjohnnyd @krazykitkatm 60+ hours a week actually sounds exhausting! I usually only see support workers 10 hours a week. 3 hours of classes and then maybe 2-5 hours of seeing people on weekends. I used to see nobody ever, that was destabilising.

@fredfernack @thebigjohnnyd @krazykitkatm Normal people have 60+ hours of social participation per week (including work, family time, friends etc). Research into Schizophrenia says many people with this have less than 20 hours a week and this is too isolating and not healthy.

@RITB_ Disturbingly accurate. I was both BPD and psychotic. Just learned to mask. Be super-polite to everyone and arduously over time get support to taper off meds. Have both bipolar and BPD dx but “in remission” from both. Don’t need help from services, was what I learned

A Simple Guide To How To Be A Good Psychotic recoveryinthebin.org/a-simple-guide…

@StressDecoded @DrCarlHindy Thanks, I don’t think that would help. SMI is much more complex & heterogeneous than such simple ideas. I spent many years understanding me. I feel on top of things. I’m moving to a period where I have more challenges and slowly developing ways to strengthen and cope with them.

I have studied ontology for over 35 years, and grasp how the "mind" works. As a rule, the core of SMI are dysfunctional hidden core beliefs and assumptions. Without exposing these, long term transformation is impossible. If you want, maybe later you can DM me, I can see if I can help you. The majority of advice and strategies to eliminate SMI and all the symptoms you mentioned don't work in the long term. They are band aids, I actually expose the root "core" hidden belief or assumption driving SMI and all the symptoms it produces.

@StressDecoded @DrCarlHindy I struggle with a lot of things. I’m trying to rebuild a life after years of being wiped out by SMI. Right now, I’m struggling with returning to study, concentration, cognition, motivation, stress. just taking one day at a time.

@fredfernack @DrCarlHindy Are you experiencing mental and emotional suffering? Or just those bad dreams? Are you looking for solutions, or just taking it one day at a time the best you can?