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The SANE Blog

The patient-psychiatrist relationship: it's a matter of trust

Anita wearing bright pink and standing outside in front of a garden fence covered with vines

Anita is a SANE Peer Ambassador, mother, vet and writer who lives with Bipolar 1. From her experience of hospital and recovery, she reflects on the importance of a trusting and collaborative relationship with her psychiatrist.  

I don’t clearly remember the first time I met my psychiatrist. I was too sick.

My first encounter with mental illness was sudden and brutal. Psychosis swept in within a week of my first baby’s birth 14 years ago. That episode was the beginning of my bipolar 1 disorder.

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Anxiety: New book from SANE Board Director Dr Mark Cross

Dr Mark Cross - Anxiety book

"When the idea for this book was mooted, I was excited. During the first conversation with my publisher, I was already working out the layout in my head and making a list of people I'd interview. That was before my anxiety kicked in ..."

Consultant psychiatrist Dr Mark Cross knows a lot about anxiety. Many of his patients experience it, which is hardly surprising given anxiety is the most common mental health issue in Australia.

But Mark also knows about anxiety from another perspective, because he too has lived with it all his life.

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"Lived experience cannot be gleaned from a book, it is a visceral knowledge."

People talking about mental health
Older woman chatting with doctor

"Nothing about us, without us" is a common request among people living with complex mental health issues. But all too often, systems and processes are designed without partnering with people with lived experience.

Ahead of a recent event hosted by the Parliamentary Friends of Mental Health, we asked our SANE Ambassadors three key questions about the mental health system in Australia - and let politicians in Canberra know what they said. Here* are some of their answers ...


Question 1: What have been some of the challenges you’ve faced in accessing formal support (i.e. from a health professional or community service) for your experience of complex mental health issues?

"The biggest one for me has been the financial challenges of accessing formal support. There is very little low-cost/no-cost accessible support for adults of the age of 25 with complex mental health issues. A few years ago, I found myself in a situation where I needed to leave full-time employment to focus on my mental health. This left me with a significant decrease in income, having gone from a full-time paycheck to unemployment benefits. My parents were not in a position to support me financially, and often my need for formal support was a lower priority to everyday living expenses such as rent, bills, food etc."

"Aged mental health is an issue I now face. Public facilities for those with a mental illness, and who are aging, are grim. They don't have rehabilitation as their goal and tend to see people through a negative lens. Older people with a chronic mental illness are not sexy, don't garner as much attention as young folk and are perceived as a nuisance."

"This is a very interesting question to me as I think the challenges can vary so dramatically depending on your life situation. I am in the very privileged position of having financial security, a supportive partner and network and even at my most unwell I am articulate and able to communicate my needs, opinions, etc. (except for a few episodes). And even I have found it challenging to find the right service or service provider.

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What is the DSM? Your questions answered

photo-1455651264681-40d634a35ce4
The Diagnostic and Statistical Manual (DSM) is used by clinicians and psychiatrists around the world to diagnose mental disorders and psychiatric illnesses. Published by the American Psychiatric Association (APA), it was first printed in 1952. It covers all categories of mental health disorders for both adults and children.   As you might expe...
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Real life tips for finding a therapist

Real life tips for finding a therapist

Finding the right therapist is a familiar challenge for many people living with mental illness. 

It’s a process that’s often compared to dating. For some it’s straightforward, while for others it can be a struggle to find someone they trust with their deepest thoughts.

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