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Buttercup

OCD-UK Member
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About Buttercup

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    Sufferer

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  1. Does this sound ok?

    Hi Emsie Its worth remembering that support through IAPT Wellbeing service, is for those suffering with mild to moderate symptoms. If they consider your symptoms to be more severe, they should refer you on to Secondary care and more intensive support with an experience psychologist. Different counties across England all vary slightly, but you can be offered either, computerised guided CBT, telephone CBT, Group CBT or face to face 1-2-1 CBT. You have the right to ask for face to face 1-2-1 CBT if this is your preference. I would make it very clear that you had already accessed CBT privately and the amount of sessions you had, as you may already have exhausted the level of support and knowledge offered through the Wellbeing team, and need more intensive support. They may need to step your care up to secondary care. Take a look at the NICE Guidelines and the stepped care approach for OCD https://www.nice.org.uk/guidance/CG31/chapter/1-Guidance#stepped-care-for-adults-young-people-and-children-with-ocd-or-bdd Remember that your care should be stepped up if you do not achieve significant reduction in your symptoms at the end of your sessions. Good luck, and well done for referring yourself.
  2. Hi SC Under the NICE guidelines for OCD, treatment is based on a stepped care model, with six levels of care. If at any level after therapy there is not a significant improvement to your OCD symptoms, your care should be stepped up to more intensive treatment until significant improvement has been made. You are right to doubt your CPNs decision to discharge you whilst you still feel your OCD greatly impacts on your life, and I would suggest you discuss with her the stepped care model, and ask her to refer you on to a higher level of support. There is lots of info on the NICE guidelines for OCD, and the stepped care approach. Below is a link to levels 3-5. https://pathways.nice.org.uk/pathways/obsessive-compulsive-disorder#path=view%3A/pathways/obsessive-compulsive-disorder/steps-35-treatment-options-for-adults-with-obsessive-compulsive-disorder-or-body-dysmorphic-disorder.xml&content=view-index Good luck and remember you deserve more support.
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