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What to expect?

Discussion in 'Health and wellbeing' started by justbrowsing, Jan 19, 2011.

  1. I have recently been diagnosed with clinical depression--a diagnosis that I am finding it hard to come to terms with. Stressed and lacking confidence at the moment certainly and tired long term since I had Glandular Fever 10 years ago. My GP referred me on wards at my request at the start of this crisis in December and I am having CBT although I dont like the introspection that this entails--not sure it boosts the confidence much although if I can lay some ghosts, that may be good! I do know what they are though.
    However, I am being pressured by my HT to go to Occupational health. At least it feels like pressure so what can/ should I expect from this, please? Will it be supportive or destructive? Will it be effective in any way?
    Please help.
     
  2. I have recently been diagnosed with clinical depression--a diagnosis that I am finding it hard to come to terms with. Stressed and lacking confidence at the moment certainly and tired long term since I had Glandular Fever 10 years ago. My GP referred me on wards at my request at the start of this crisis in December and I am having CBT although I dont like the introspection that this entails--not sure it boosts the confidence much although if I can lay some ghosts, that may be good! I do know what they are though.
    However, I am being pressured by my HT to go to Occupational health. At least it feels like pressure so what can/ should I expect from this, please? Will it be supportive or destructive? Will it be effective in any way?
    Please help.
     
  3. Hi, I think it may be too late tonight for you to get many replies-but you should hear from several people tomorrow. I was diagnosed with depression in October half term after blaming all tiredness on chronic anaemia and arthritis (and the side effects of meds) for a couple of years. I got to the stage of being catatonic in half term and went to GP to ask for review of arthritis meds and came away with diagnosis of moderate/severe depression-had 2 weeks signed off while I got used to the side effects from the Fluoxetine and then had Occ Heath referral suggested to me (in a 'purely supportive role' )at my return to work interview. I have my Occ Health appt on 1st Feb so could only tell you about it then.
    I get the impression these days that some HT's are busy trying to cover their backs and hope that OccHealth can assure them that their school is not a toxic environment that is making staff ill-fat chance from some of the posts I've read on TES since October about some really appalling heads and awful schools.
    I suggest you also take a look at some of the previous threads on Health and welfare (if you save them in your hotlist, you will be told about new threads on those posts when you log in ) that other people have asked about Occ Health. Also I would suggest you start reading the longer running MH recovery spa-you'll get lots of support and advice from the posters on that one.
    Take care
    JJx
     

  4. The first meeting is an assessment, where they will initially discuss what the issues are and try to suggest ways of helping you manage your particular illness in the immediate future. Any suggestions will also be passed on to the school. There may be referrals made (eg counselling etc) related to helping you. Their job is to find ways or recommend things that will get you better and back to work. Thats basically it. Its not a threatening process and you can have someone accompany you if you are worried or nervous.
    How effective it is will depend entirely on what your particular issues and problems are.
    Headteachers refer you mainly because they are covering their backs, in all honesty. If they dont and you later claim they haven't been supportive or fullfilled their 'duty of care' then they will have problems. However, the referral form states very clearly on the top that they must have your permission to refer you.
    The school pays for the sessions and any resulting counselling etc so you do not have to meet any costs.
    Ultimately it wont do you any harm, and it might even help, but it is YOUR decision.
    x

     
  5. Thank you. I have now seen a referral form. I am concerned that work performance has been highlighted, as any issues I have have been highlighted by me.
    Although, I am off school at the moment it is with a heavy cold. I have not taken any time off re depression, yet!
    Will this make any difference.

    I have also read and have been reading the mental health recovery threads and they have given me the courage to post this. I feel completely overwhelmed at the moment as if I have put my own head in a noose and am now tightening it and very successfully!
     
  6. Vampyria

    Vampyria New commenter

    When you mentioned you were constantly tired since having glandular fevel 10 years ago, I just wondered if your GP had ruled out other conditions? Like ME for instance? Sounds as if this could be just as likely given the circumstances and symptoms.
    The reason I mention this is because this actually happened to a friend!
    Good luck with your OH meeting! I would certainly mention the fact you've never had any time off due depression.
     
  7. I was initially told I had chronic fatigue syndrome as I didnt recover as quickly as expected--in fact I never had a negative blood test for GF while I was being monitored. Doctor was surprised but could offer no other explanation. I have raised this with different doctors at different times and no one has been able to sort me out!
    Coincidently, I developed an underactive thryoid at about the same time as the GF and am not convinced myself that that doesnt play a large part in this but all blood tests show I am ok, apparently.
    I am desparate now to feel more energised and confident as my lack of confidence is difficult to deal with in the classroom and I feel caught in a viscious circle.
     
  8. Vampyria

    Vampyria New commenter

    Interesting that about the CFS ( had actually forgotten the name-been ages since I've heard of it! ) because that was my first thought! Also I've heard that it can take a verrrry long time in some cases to get finally over GF.
    Thyroid levels can fluctuate though. Have you ever thought of asking for a referral to a specialist? You sound an ideal candidate under the circumstances. You do need to be correctly diagnosed. Only then will you receive the best treatment.
    Hope you feel better soon.



     
  9. The thyroid controls every bodily function, including the production of hormones which keep you on an even keel.
    Depression can be a side effect of you being on too little medication. I would go back to the doctor and ask if you can up your dosage.


     
  10. Im due a check in the next few weeks but last year my medication was
    reduced minimally. I have already however asked him about the
    possibility and he has disregarded the possibility!
    Thanks for your help though, it is much appreciated.
     

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