We can’t be there in person to help and support you in a moment of crisis, but there are other options available to you if you can’t turn to someone you trust. By giving us your postcode (or one nearby to where you are right now) we can let you know about services in your area. Remember: this moment will pass; you won’t always feel the way you do right now.
If in doubt always call 999.
Changing yourself: not in any big way and not too much at once. Choose one area at a time and work on that. School? A friendship? Your relationship with your parents? The more in control we feel of the choices we make; the better our mental health.
Asking for help: it is hard to ask for help as we are admitting we can’t manage on our own, but the reality is, we aren’t made to. If you think we way to the beginning of time, people have always existed in groups – none of us are meant to manage life on our own so asking for help, not only helps you but actually creates stronger relationships too. Who would you like to ask for help?
Saying no: it’s a hugely important skill. We all need to practise it more, as it means we are taking control about what we don’t want to do; who we don’t to spend to time with; what we aren’t comfortable with…. Is there anything you want to say no to?
Making small steps: don’t try and leap… one small decision a day is a big step forward. Often we want to change so fast and we want it all done now. There are many trite sayings but the fact is, they are true. Long lasting change takes a lot of time and investment. What small step would you like to make today?
Telling someone is a long and hard process for many of us – it starts by choosing who, then deciding how to tell them (face to face, via text or on the phone) then we have to work out what words to use…
The overwhelming response from telling the right person is the feeling of being supported. Once they have heard you and tried to help you work out why; they should suggest telling a professional person like a teacher or Doctor.
A teacher, a parent or Doctor are good people to tell: telling your friend and only your friend puts an unfair amount of pressure on them so together telling someone else who knows how to support you, is more helpful.
If you tell your parent, they will most probably take you to the doctor;
If you tell a teacher, they may inform your parents depending on your school’s policy;
If you tell your doctor, they won’t inform your parents if you are over 14.
One way or another – you will most probably end up seeing your Doctor.
So then what happens...?
Your doctor will ask you:
If the idea of answering these questions is too overwhelming, you can write your answers before you go and just pass the doctor the piece of paper – it doesn’t matter how you communicate; just that you do.
The Doctor will almost certainly refer you to CAMHS (children and adolescent mental health services). This doesn’t mean you are mad or mentally unwell; it means they are specialists in supporting young people and their counsellors are trained to help teenagers.
Frustratingly, there is a huge waiting list all over the country, it may be up to a year before you get an appointment L Your school might have a counsellor you can talk to; they often have spaces quicker than CAMHS or, which is happening a lot more, young people are seeing private counsellors which their families have to pay for. If you want to look up a private counsellor in your area check out www.bacp.org.uk
The first appointment is called an Access Appointment; it is an assessment to make sure they are the right service for you. They often get you fill in a long form called a Strength and Difficulties Questionnaire which is a multiple choice set of questions about issues such as food, sleep, moods, school, relationships…there are no right or wrong answers as you are the expert in ‘you’!
From there, they will often give you a set of 6 sessions (to start with) with either a mental health nurse, a Community Psychiatric Nurse (a CNP it’s called for short) or a Psychiatrist. It doesn’t matter which you see and there is no real distinction between them, it’s often about who has space for you in the diary.
It is a Consultant Psychiatrist who will over- see your case and line managers the others to make sure they are supporting you; it is also the psychiatrist who can write prescriptions if it is felt you need any medication to help you until your mood stabilises.
www.headmeds.org.uk is a great website to help you understand what medication is what and that it's your choice as to whether you want medication or not.
Each area in the country has a slightly different way of doing things, but overall, this is the process for supporting young people who are self-harming.
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