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My respect for you has absolutely nothing to do with whether you are in work or not.

Trying to recall a time in my thirty years in mental health where survivors or claimants didn't raise concerns about a harmful direction, sent out warnings to stop it, and were then ignored or labeled negative-only to be proven right later. Drawing a blank.

Victims of #coercive control present at mental health with: - anxiety - depression - agoraphobia - anger problems - emotional dysregulation - eating disorders - mood labilty This is persistently and dangerously misrecognised by clinicians who do not screen. This can be fatal.

People experiencing #coercivecontrol are frequently told they have borderline personality disorder as they fluctuate between depression, fawning, freeze dissociation, and rage, thinking both they are the problem and that they are not. This narrative is then used by perpetrators.

Worse new data on suicide rates since 1999: • Highest male suicide rate since 1999 • Highest female suicide rate since 1994 • Most affected: Men aged 45-49, women aged 50-54 • North West has the highest regional rate This is a worsening crisis that demands urgent attention.

I have got to say, it is devastating for us who have worked so hard as activists, patients, carers, academics, and clinicians for so very long to see the mental health of this country get so much worse. It is even more so for those who have lost people to this crisis.

Attacking survivors is a bad look for NHS professionals. We see it again and again. Someone with huge power plays the 'poor me' card to gain support and admiration while the underlying violence is missed by many. The presumptions of goodness and superior knowledge are wild.

Sometimes, the more you do something, the better you get! And the more you train, and get supervised, and the more qualifications, the better too! We have to be v v careful with unqualified folk triaging severe mental ill health and, more broadly, when crisis help is needed.

There is a lot changing: - a new DwP approach - right person, right place - the end of care coordination - a new 111 whose triage status is unclear I am very concerned about people falling between the cracks, even more.

No. We all matter equally, whether we work or not. Moral backbone is about inclusivity-recognizing that there are many ways to contribute and that capacity and opportunity are not equally distributed. Moral fibre lies in ethics, and in that regard, our supposed leader is lacking.

Dear Keir Starmer, Worklessness is not worthlessness. Prioritising workers over the unemployed creates a toxic hierarchy that damages physical and mental health. Uplift everyone - because dignity isn't a privilege, it's a right. Best, Jay

Everyone’s new care plan - phone 111 option 2

Woman gets ‘possible EUPD’ for talking to doctor about hormones.

Professionals: but BPD is a legitimate diagnosis with a 100 year history of research! I mean not one anyone who has looked into the nosology can defend scientifically, but still! Pathways, woman, pathways! Survivors: someone put it on my notes cos I didn’t fawn about care once.

I hope mental health services are combing their new ‘it could be autism!’ with ‘and we are sorry we are only getting the knowledge to realise that now, and you’ve had such damaging treatments all these years. We all learn but it’s also not ok’.

“I have 2 patients who have had a diagnosis of EUPD removed from their record and replaced with ASD and ADHD after (specialist) assessment. The “EUPD behaviours” all went away with ADHD medication.” Excellent new article with lots on #ADHDNotBPD Hear, listen.

I really don’t understand this too. At least three of my Mad mates have cmht psychiatrists trying to fast-track autism referrals. But one has to be able to diagnosis ND not least to exclude it as a differential diagnosis. Does anyone understand what is going on!

Silly psy cartoon for the weekend!