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Questions about PIP/ESA and conditions

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1 year 2 months ago #282973 by Anxious Anonymous
Questions about PIP/ESA and conditions was created by Anxious Anonymous
I just wanted to ask a few questions about PIP/ESA mental health and it relates to this article: www.verywellmind.com/euthymia-definition...olar-disorder-380100

When I was in a euythmic state (supposedly) in the past, I still had symptoms of depression/anxiety and anhedonia and couldn't function. So I don't know whether that will go against me for benefits or not. I also have anxiety disorders such as CPTSD, which affect my functioning.

It's confusing to know when to tell the DWP you're better. Because I am still not functioning at all, despite heavy medication.

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1 year 2 months ago #282975 by BIS
Replied by BIS on topic Questions about PIP/ESA and conditions
Hi Anxious Anonymous

I know how important it is to you to get this right, but we can't tell you what the opinion of the Health Professional or Decision Maker will be about what your condition may have been in the past and its relevance to the current time.

Each claimant is the expert in the impact of their medical condition/s and they alone know when they are 'better' or 'have seen significant improvements,' and it's up to the individual to inform the DWP. However, if a claimant is still not functioning, then there is nothing to report.

I would not worry about whether you have been in a euthymic state - as 95% of the people who are likely to come across your papers are unlikely to understand your condition or that particular symptom. If you're not better - I repeat what I said above - there's nothing to report. Even if a Psychiatrist or GP disagrees with you - they are only offering their opinion and it's one you can disagree with.

BIS

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1 year 2 months ago #282986 by Anxious Anonymous
Replied by Anxious Anonymous on topic Questions about PIP/ESA and conditions
I think it's because I find the mental health services frustrating. You see one psychiatrist and you're ADHD, the second one agrees you're ADHD but can see your depression and the anxiety. But you might get a third opinion and suddenly you're borderline personality disorder.

Also, from what I've read, the DWP heavily rely on people being in secondary care to gain awards for mental health issues. My GP is currently embroiled in a fight to get me secondary care input because they have to issue my medication weekly in case of risk.

I think my fears and assumptions are based on how poor the mental health services are and how awful the DWP can be. I've even come to a point where I feel like they'll look at my records and believe one psychiatrist over another.

Which brings me to my next question. Is a private psychiatric opinion just as valid as an NHS one, especially for benefit claims?

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1 year 2 months ago #283023 by BIS
Replied by BIS on topic Questions about PIP/ESA and conditions
Hi Anxious Anonymous

The DWP do sometimes rely on secondary care being in place, but I have got awards for people where the care hasn't been in place, either because they have been discharged from the service, or because the service is not available or because they are too ill to access care. Unfortunately, so much depends on luck and what the person reading or assessing thinks of the evidence before them against the specific criteria. Mistakes are made, misunderstandings happen, biases and downright ignorance are sometimes on display and it's hard for people to fight against that.

In my view, the word of a private psychiatrist is less likely to be accepted than the word of an NHS one, on the assumption that the private one could be swayed to give a more favourable opinion on the part of the patient because money is involved. I'm not trying to malign the reputation of private psychiatrists - only saying how I think the DWP views them when it comes to benefit issues.

BIS

BIS

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1 year 2 months ago #283053 by Anxious Anonymous
Replied by Anxious Anonymous on topic Questions about PIP/ESA and conditions
But I should include the private psychiatric letters?

Because the NHS accepted the private opinion.

Is that right?

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1 year 2 months ago #283058 by Gordon
Replied by Gordon on topic Questions about PIP/ESA and conditions
AA

Only you can make the decision to include the letters or not.

The issue that assessors and DMs have with "private" letters, I'll stress that I do not agree with it, is that as you are paying for them you can influence the content which would not happen with an NHS letter.

Gordon

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