"Suicidal thoughts (Review)
For the last 10 days started with suicidal thoughts again.
Not actively self harming but has been thinking about it.
Long term issue with anxiety and depression.
Has doubled up on her Venlafaxine 225mg for the last 4 days which has helped but already taking max dose.
Comment
Long supportive chat today.
Is having suicidal ideation.
During talk, good eye contact.
Well kempt.
Well aware of her own triggers. Good insight into own mental health needs.
Not sleeping but is nocturnal, sleeps duing the day if able.
Has BB at home, this does help but not been taking, wasn't aware she can take up to 3 a day during times of increased anxiety.
Consents to referral to mental health team today.
Last talking therapy letter from October 2024.
Protocol entry Alert displayed - Betablocker Asthma (v18.2) (Ardens)
Commenced Venlaflexine for 18 months.
Has increased dose previously.
Had a bad episode with suicidal thoughts a couple of weeks ago due to news reports of transgender issues.
Did take an extra 1-2 doses of her Venlaflexine at the time. Taking prescribed dose since.
Does feel ok at present.
Still has talking therapy private every 2 weeks which is beneficial.
Tried crisis team and samaritans which she doesn't find helpful.
Medication
Propranolol 40mg tablets Take one tablet 30 minutes prior to when needed, on occasions,no more than three a day. 28 tablet
Comment
Good eye contact during consultation today.
Well kempt.
No acute concerns re self harm or suicidal thoughts today but always has underlying concerns.
Discussed options, can trial increase in Venlaflexine currently takes 225mg MR, max is 375mg.
Or can trial something which may help as situational, during times of increased anxiety.
Wishes to try the latter.
Pulse rate 98 beats/min
Advised only take on occasions.
Contact practice if any further concerns.
Has crisis team number if required."
I hadn't showered for a week.
The EHRC guidance was not "transgender issues" but cisgender freakout.
They know I'm autistic so how the fuck does "good eye contact" mean anything other than knowing I must mask to receive STILL-substandard healthcare?