Changes to mental health treatment

Recently my therapy sessions with the clinical psychologist I’ve been meeting with for nearly a year have come to an end. Admittedly at first I was too overwhelmed to even begin thinking about how I felt about the upcoming changes. I really started struggling, as unexpected changes to my usually fairly smooth home life occurred alongside changes in my psychological support and therapy.

Through my community mental health team (CMHT) I’ve been meeting with a psychologist since last summer. Due to upcoming changes to the mental health services in Birmingham for under 25s it’d taken me a while to get used to my therapy/EMDR sessions with my psychologist. In Birmingham all mental health care for under 25s has been/will be transferred to a new service – Forward Thinking Birmingham

Despite the changes in mental health services I was able to stay with my psychologist and continue with my therapy – though I was informed early on that there would be big changes during Spring/Summer 2016. Supposedly my treatment will be transferred over to Forward Thinking Birmingham soon – though at the moment I’m still very unsure of when this will be.

My sessions with my psychologist have come to an end as my psychologist has left the Trust (BSMHFT). However, I have been offered fortnightly supportive psychological reviews by one of the trust’s clinical psychologists until I am transferred over to the new service. The problem I’m currently facing is whether to allow myself to feel comfortable during these meetings, or to wait until I move over to the new service. I know this may sound silly, but it takes a lot to open up to someone – when you are discussing mental health you can at times feel very vulnerable, and it requires quite a lot of trust. Trust isn’t an issue I don’t think – I trust those at BSMHFT as my treatment there has been so fantastic, I’m just apprehensive to form new relationships and then have to move over and meet new people. It’s quite nerve-wracking, and frustrating. I guess it’s also the sense of not knowing what to expect when I do move over to Forward Thinking Birmingham.

At the moment I’m in a bit of a ‘limbo’ stage – my last psychology session was earlier this week, the same day that I stopped receiving contact from the home treatment team (though I am able to contact them). I have to wait two weeks until I meet with the new psychologist – however, this won’t be therapy – it will just be a space to touch base with my team until I move services. Fortunately I’m incredibly lucky as I have a fantastic support network where I work/study through a team of wellbeing and mental health advisers. I am also able to contact my Community Psychiatric Nurse (CPN) if needed, so despite not having sessions there is still a wealth of resources available to me in terms of support – something which I am incredibly grateful for. It’s odd as I’m used to having weekly psychology sessions – and I was terrified that I’d really struggle once these came to an end. I know it’s only been four days, but my new found freedom is apparently exciting and overwhelming all at the same time.

I think I’m currently going through that thought process (that I can imagine is usual) where I question whether I can do this alone (go cold turkey) or actually deal with all the changes in my treatment, and make the move over to the new service. It’s all confusing, and considering how intensely I was struggling last week I seem to be oddly calm at the moment.

At the moment I think I’m still trying to decide how I feel and how to deal with the current changes.

I don't know whether to hit the breaks, slow down or keep moving. (2)



  1. Having been through various parts of the NHS mental health services, I know the feeling when something ends & you’ve finally found somebody you feel comfortable with. It’s hard. Therapy in general is hard, because being emotionally vulnerable in front of someone goes against everything that’s inside you that wants you to run away and hide! It sounds good that they are offering you support through the transition, and they will know a small amount about you before hand I imagine? You can decide in the moment what you want to share, although I’m exactly the same in always wanting to know what the plan is etc cx

    Liked by 1 person

    • Yeah I believe they’ll have access to all my notes etc, it’s just I felt like I was finally getting somewhere, and suddenly it’s all been paused – it’ll take me a while to feel comfortable with a new psychologist. It’s just one of the moments where I really hate how prolonged mental illness can be! It seems to get more complicated, and more tricky (but also better?) If that makes sense!

      Liked by 2 people

      • It makes sense! Trusting someone and feeling understood definitely takes time, but you still have everything you’ve achieved so far behind you & they will expect you to have mixed feelings about all the changes. I feel like the more you understand about your illness, the more complex you realise it is, but you then have more knowledge to help you x

        Liked by 1 person

      • I agree! It’s definitely complex, but I’m starting to understand it more. But when I start understanding things more then naturally I start putting up defences that make it hard for me to break down ha! So I’ll have to go back to trying to break down all of that – but I know it will, in the long term, be worth it!

        I hope you’re well? 🙂 xx

        Liked by 1 person

      • I’m ok thanks. Just doing my best to keep calm among all these changes that are happening at the moment. My inner control freak hates it ahaha, but nothing stays the same forever does it! Xx

        Liked by 1 person

      • Ahh – as you can guess I don’t do well with change either! I hope it’s not too stressful for you! Change can be terrifying, but I definitely agree that nothing stays the same ha! Sometimes that’s for the better!! xx

        Liked by 1 person

  2. I don’t think you have to trust or become attached to someone for them to be able to help you, even if it’s only in a small way. I always learn something interesting from every new person I meet. Be open to learning, and let trust come later. 🙂


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