I'm sorry man. That's strawberry floating gooseberry fool. The wait times are insane but you should be seen eventually.
I went through the NHS three times, 1. TalkPlus psyhotherapy but didn't even know what it was, ending up resigning from one of my jobs and they were like, yup, non-depressed (but still on SSRIs lol - it's partly genetic).
2. never got past triage and was told I can't have PTSD because there's "no trauma" (what
) and signposted to voluntary stuff that helped me with 1 or 2 practical tasks (applying for funding) then ran out of resources, also around the same time I sat in front of an NHS psychologist and was told there's basically no money when I was supposed to start.
3. online CBT during Covid which helped somewhat with principles but monthly phone call with a psychiatric nurse to check in.
I also learnt to meditate somewhere between 1 and 3. With Headspace. Actually changing your brain chemistry/neurobehavioural make-up is the only reliable and consistent change you can get. This takes work. It's impossible overnight. Not giving up is - eventually, somehow or another, a *requirement*. You can stumble along the way but you must eventually succeed - in the UK I've had to accept this involves fighting for your wellbeing.
From time to time I would see NHS lead practitioner / senior consultant psychiatrist assigned to me that's more senior, and he would say if gooseberry fool like this happens write directly to me and they'll make it a priority. I'm discharged from him at the moment and in the ASC system and have to find my own support for autism etc. It's all self-led now and in some cases paid myself (but I do get some government help - PIP).
Absolutely nothing is joined up.
What's important is getting on the system, you can go back to your GP but DO self-refer and DO get on that waiting list.
Whether it's time or money it's important to see it as an investment in the self, I feel. Like actually dedicate time to it. Time or money, energy expended, kind of the same.
Rest is meds/self work and eventually private person centred counselling specially aware to autism etc. Which I ended up getting some small financial help from family for (that was then cut off because my dad basically wanted results presumably to "fix" me and didn't care about the process). And believe me that was the HARDEST thing. Our relationship is AWFUL and he did most of the damage in the first place. I was pushing that massive rock up a hill the hole time and then when it came tumbling down (I knew it would happen) I had to change direction.
And a bit of counselling at uni in the student services, that was my first experience after declining meds the first time as a teenager.
Part of the thing with MH issues is that they are the long term consequence of short term fixes, whatever the trauma is, however horrible that is. Addressing them requires persistence. It's gooseberry fool but I can't lie that isn't the case.
You could also try BetterHelp online, it does cost something but it's flexible and when my partner did it I don't think it was a lot. She ended up realising she wanted to leave so, er, well that was something and developing a private relationship with my counsellor meant we could switch to couples counselling to help with that.
The NHS referrals should generally be free but the wait time is 1-2 years. Maybe 6 months is a "good" wait time.
My longest wait list is 14 years due to various fuck-ups and that's for my neurology (ADHD and autism) not my mental health. Again, long term consequences to short term fixes/neglect/lack of awareness. However you CAN be empowered to do some of the work, even on your own - self help is available.
Part of it is building relationships and navigating a hugely complicated and pretty awful system and pushing back, self-referring. I had to see counselling as an investment in myself and honestly I've since spent thousands on various resources, however that will feed back into my quality of life where I should be earning 10x or more that per year at a bare minimum. My family GP (last time I saw him before he retired) said the same thing, "consider it an investment". He's right. That's the NHS sat right there saying, "Our system is gooseberry fool, you need to invest in this to get better". He was right. And I have. Yes it took years but I am better than I was in a broad range of situations going back basically my whole life and I still have work to do.
Also, remember for online reviews people are often only there to complain and vent about their problems, nobody posting reviews for a clinic is going to have much positive to say about their experience with their condition either, and it can only be a very small % of people who go to google with that rather than the clinic or the therapist, which achieves exactly nothing constructive other than to vent. Please think about that.
My local pharmacist for example has 2.5 stars or something but look at pharmacists and they're all the same. They're complaining about the system, the NHS, not necessarily any kind of therapy. And they're probably doing that to make themselves feel better for about 5 minutes while actually harming anyone else's chances by putting them off therapy.
Nobody thinks the NHS is perfect, because it isn't. So that's True But Useless information. What can you do with that? It's a cognitive bias. Even if it's true it doesn't help anything but yeah you may have better luck with private options, it's hard to say (I guess I did).