Just come across this article and I'm just going to point out a few things that are missing. I'd love to do a more formal response so @katlay@ShaunLintern@eleanorhayward do let me know.
Firstly, @Sydneylimaa found her diagnosis really useful and I'm genuinely glad....
But the article didn't describe how associated 'BPD' is with childhood trauma. 80% is a frequently cited statistic but my personal experience is higher
By missing this, there wasn't an exploration around how the behaviours people want to stop, can be seen as adaptions to living with intense threat, shame, fear, despair
On my way back from #bigspd23 and mulling over the things that have stuck with me...
I liked that Giles Newton How's, president of @ISSPD1 was there. He talked to the idea of "bpd" being problematic as something special in the UK. Hope some of what @BIG_SPD does well stays with him. (Also really liked how wandered all over the room)
I'm thinking about a "trauma informed personality disorder service" and wondering if there's an oxymoron going on somewhere
Im listening to Danny Taggart talking about CSA and looking for some stats. These are horrific. 👇 #BIGSPD23
I'm really thinking about the scale of CSA. That as a society and community there is so much hurt yet we act as if its a shockingly infrequent occurrence. #BIGSPD23
And perhaps why trauma informed care is so important. The chances that those people who walk through our doors looking for help have lived through is very high. #bigspd.
🧵A big part of trying to make the #RCOTCasson lecture bigger than ever was trying to get it outside of where it would normally be talked about.
I asked "It the Casson lecture being talked about on the BBC too ambitious?" @BBCNews@BBCWalesNews
It turns out that it was too ambitious, but with two days to go, let's have a look if there's anything that could hook the media in for a wider discussion.
Firstly lets get nationalistic - A Welshman, in Wales delivering the professions highlight lecture in honour of a Welsh doctor with record attendance on its bicentennial anniversary. @BBCNews@BBCWales
Demand has increased, complexity is higher, staff have to watch needs not being met, people cannot provide the service they want 60% of staff experiencing extreem stress
"Being told not to work to gold standard due to capacity issues provides a huge amount of stress" and this is partly due to having to hide it from those we work with. We rarely say "if you'd been here 5 years ago you'd be getting much better treatment". We have to pretend...
I don't know enough about this, but seeing that I can't spot people who know saying it, let's have a go.
Are we watching the dismantling of the NHS?
Let's have a look...👇👇👇
Lots of people are leaving the NHS and other public services. 22000 left the NMC register around 2020. 13% of the mental health workforce left the NHS around the same time. Obviously its about pay, but every profession describes conditions that can't be tolerated.
Now much of the media discussion has been about pay for individual professions, as if there was a way to raise the pay of NHS paramedics but not porters. Nurses but not administrators.
This is because the NHS uses agenda for change. Every job (almost) is banded from 1-9