depression and a new treatment on NHS

Associate
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i have had a depressive illness for the past 11 years and did not respond well to most of the available drugs and i also did not respond well to 11 courses of electroconvulsive therapy (ECT) but there is a new treatment in the UK for difficult cases of depression called Vagus Nerve Stimulation (VNS) whereby a small motor is placed under the skin in the chest area and this is connected to the nerve in the neck on the left hand side (the left vagus nerve) and the motor stimulates the nerve gently every 5 minutes. The doctor can change the speed and settings of the motor from the outside via a wand-like magnet which is connected to his laptop.

This treatment has been used in America for some years now and is fairly new in the U.K, where you have to pay for it although some NHS funding is available now.

I went to see a specialist (psychiatrist) who is doing VNS and he took my history and agreed i should have it and he wrote to my NHS psychiatrist recommending that the my local primary care trust (PCT) provide funding for the treatment, given my age (32 years) and the fact that I have been seriouslly unwell for over a decade.

However, my NHS pyshciatrist is not willing to refer me for VNS and says since it is new it might not work and he himself has not heard much about it himself. He wants me to learnto adapt to my symtoms and to purse CBT therapy (cognitive behavioural therapy: counselling-like strategies which explore thoughts and behaviour).

I do agree that CBT is a powerful therapy and I am receiving this but I feel in view of my disabling symptoms, both physical as well as mental, that i need more serious intervention. Not only do i have a profound depressive illness but it has also become, over the years, an anxiety / tension disorder which makes my muscles go very tense and twitch, and which ruins my sleep at night and due to which I have to go to the gym at least 4 times a week to do ceertain cardiovascular exercises to burn off the symptoms.

I was unable to pass my year at university this year and would very much like to have VNS but privately it costs some £20 000.

I cannot really change my NHS psychiatrist due to the way in which the system works where i live. I am part of west battersea community mental health team and i can only see this one specialist who i am not happy with, and if i cry and scream, they will let me see his registrar who will undoubedly defend his boss (i have been through all those channels anyway).

I am currently taking 4 different medicines which make me feel like a zombie, one anti-depressant, one anti-anxiety drug, one beta-blocker and one anti-pyschotic which helps me sleep.

Can someone help me or advise me as to how i can beat the system or get my voice heard so that i can get this new treatment. After all, a private specialist at the Priory Hospital has approved for me to have it. I have also tried alternative therapies and yoga and homoepathy and have worked hard to try and beat it but it is a very stubborn illness which runs in my family on my mum's side. THanks for listening.
 
Soldato
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You need to write to you local Primary Care Trust - basically a complaint letter - not rude, but describing everything and what you would like to happen. Anything useful like evidence should go in there. In addition, get a letter from the specialist psychiatrist recommending you for this treatment and include that.

Basically I had do something similar to get a medication (in vain so far - infusion costing £2k a pop to be had every 2 months) but my consultant supported me. I was recommended to follow this path: http://www.surreyhealth.nhs.uk/general-content.aspx?id_Content=5337

There is an independent review eventually using this channel. Hope you can be persistent and patient with the process, but I guess after 10 year, what's a few weeks or months, eh?

Best of luck.
 
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Associate
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You need to write to you local Primary Care Trust - basically a complaint letter - not rude, but describing everything and what you would like to happen. Anything useful like evidence should go in there. In addition, get a letter from the specialist psychiatrist recommending you for this treatment and include that.

.
 
Man of Honour
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Can someone help me or advise me as to how i can beat the system

If that becomes your last resort, then you might consider the following.

It is perfectly legal for a citizen of this nation to be known by whatever name he or she chooses, and the guidelines surrounding a change of name include a list of organisations & people you should inform of the change, including any G.P. one is registered with.

However, there isn't actually anything in place to legally enforce this notification process... (Though obviously you must inform HMRC or you'd not be able to be employed above board!)

If you were to present yourself to a new G.P., under a new legally acquired name, and conveniently 'forget' any reference numbers (what is it called, N.H. number?) they request upon registration (and subsequently putting off producing the information if they remind you to provide it after registration), you would in fact not be doing anything against the law.
 
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Permabanned
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Wow, poor you. I'm just coming off antidepressants after some years and I'm very happy to be doing so. It must be difficult for you to be in this limbo if you feel that there is a way out, so perhaps writing to your MP would be in order. Perhaps you could arrang to meet her/him in person at one of his/her surgeries, if there is one local to you.

I sincerely hope tha you get the treatment that you wish as I know how debilitating this is for yourself and your family.

Good luck
 

int

int

Soldato
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Unfortunately NHS psychiatrists are too keen on keeping you in therapy and throwing fistfuls of medication at you.

Is it at all possible to see another psychiatrist for a second opinion and a referral? It's clear that just a mental aid for relieving your depression isn't working and the meds you're on also don't seem to be working, it's quite ridiculous for your current psychiatrist to deny you the right to try something different especially if nothing is working at the moment :(
 
Soldato
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Unfortunately NHS psychiatrists are too keen on keeping you in therapy and throwing fistfuls of medication at you.

Is it at all possible to see another psychiatrist for a second opinion and a referral? It's clear that just a mental aid for relieving your depression isn't working and the meds you're on also don't seem to be working, it's quite ridiculous for your current psychiatrist to deny you the right to try something different especially if nothing is working at the moment :(

It always boils down to money.
 

int

int

Soldato
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I would NEVER let anyone near me with ECT, I hear it's really, really horrible to go through.

It's more often than not a final treatment for patients with severe depression. It may be uncomfortable but from what I've read and heard, it's not painful (no nociceptors in the brain to detect painful stimulus). The pain only comes afterwards in the form of muscular pain and headache and it's only temporary.

It always boils down to money.

I was going to say that but it doesn't seem like a positive comment to make for this chap :(

Aggravates me so much that the majority of psychologists/psychiatrists are in it for the money and nothing more, only a handful truly care about their patients.
 
Soldato
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Unfortunately, that's the harsh truth. It seems the trust is always short sighted. Keep chucking medication at you just enough to avoid a relapse over a long time, because, hey, you can pay for your prescription, when there is the possibility that a more expensive treatment in the short term could be more beneficial and potentially stop you being a burden on the NHS for the next decade. :(

Been there, done that. My expensive Infliximab treatment got cancelled midway a few years ago due to funding when I was making good progress. Never quite made a full recovery (relatively speaking), and so I still have to go to the hospital every 2 months for a checkup and monitor the effect of my medication. If I do get Infliximab now, it's a short course and not long term, because I am not ill enough for them to pay it.
 
Soldato
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I haven't suffered anywhere as badly as you describe, however I've found on multiple occasions that a mix of medication and CBT helped the most.

How would you feel if the VNS treatment simply turned out about as useful as the ECT? I don't mean that to sound harsh, rather are you certain that obtaining it is worth going to the required lengths?
 
Associate
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Your NHS psychiatrist isnt exactly a specialist. VNS is well known in the neuropsychaitrist field and your best chances are through them through your GP by asking for a second opinion, but expect a long waiting list.
 
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Associate
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I had a similar story (depression runs on my mums side of the family to). I suffered depression from the ages of 11-19. I was also refered to a psychologist as I was getting worse. My psychologist wanted to put me on drugs but I really wanted to avoid them so she refered me to go on NHS discount gym membership.
Basically some gyms sign up to allow you to become a member of the gym through the NHS and you pay per session to use the gym, going twice a week for an hour or so.

I couldn't believe the change it brought in me. It made my depression less the more I went. Eventually it led to a lot of changes in my life. Sadly I still have my bad patches but nothing like I was.
 
Soldato
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Firstly, I do feel for you. I spent 7 years with a mental health problem and was one of the lucky ones to beat it (although the missus still tells me i'm bonkers:))

Unfortunately, we live in a country where something has to be on trial with a billion people and proved to be more cost effective than the current way in dealing with these things to be given on the NHS.

Is there any way you can do something to help raise money towards this treatment? I'm not exactly clued up on this VNS but would it be cheaper to have it done in the US? Would you be allowed this treatment in the US?

I hope you do manage to find a way to beat this demon and find the light at the end dude.
 

Bar

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Soldato
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As others have said try contacting your PCT directly, but it would also be worth writing a letter to your MP and possibly even the relevant ministers.
 
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