Why is there no such thing as urgent care for depression?
April 9, 2014 1:53 PM Subscribe
My partner is trying to seek medication for increasingly bad depression and can't get in to see anyone anywhere until late next month. Advice, suggestions? Location Madison, WI. We are more than willing to travel, but we'd want it to be for a psychiatrist/psychiatric NP, not another talk therapist.
My partner has had traumatic experiences with mental health treatment in the past, so just getting them to agree that it would be worth it to try again was a struggle. Yesterday they went to their first appointment with a therapist after about two months of increasingly deep depression. The therapist refused to refer my partner to psychiatric help without further talk therapy appointments over the next several weeks. My partner is interested in pursuing talk therapy and specifically CBT, but is having a really tough time right now and has previously observed me benefitting greatly from medication in a similar situation. My thought was to get them in to see a psychiatrist and go from there, but it turns out step one is more challenging than I expected. Our primary health-care provider (not the same as the therapist) is booked over a month out, and tells us that area hospitals are only taking patients who are on the hospital's own insurance plan.
Are other options available besides inpatient programs? Do you know of specific places that might have openings sooner? For various reasons, we do believe that my partner should see someone with mental-health-specific training rather than a GP. As I said, we're wiling to travel for someone who has appointments sooner rather than later. Cost isn't an issue; our insurance is quite generous in this regard, for all the good that's doing.
My partner is scared that the general insistence that no one is available unless one is actively suicidal/homicidal will end up being something of a self-fulfilling prophecy, and obviously they don't want it to get to that point. They have felt this depressed about six times in the past and have managed it in a variety of self-destructive ways, so are very frustrated that this time, when they're trying to do things "right", they keep getting rebuffed. Overall, this whole process seems to be making things worse, and is doing nothing to help the initial situation.
[Semi-anon because my usual account is findable. Please e-mail evasivecare via gmail if you'd like to be too.]