lost with where to go next

Your chance to ask for advice on any aspect of career development that doesn't fit in any of the above categories
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worldly
Posts: 6
Joined: Wed Feb 15, 2017 3:47 pm

lost with where to go next

Post by worldly » Wed Dec 13, 2017 7:49 pm

I don't usually turn to forums to ask for advice but I recognise there are lots of very helpful and qualified people on here and I feel like I've reached the stage where I really need some advice/guidance on where to go next in life.

I'm finishing an IAPT course at the moment and if I'm perfectly honest I don't see myself working as a PWP for the next two years. Its not something I'm fully enjoying and I'm really struggling with the mundane, over the phone, every day is the same type work.

I am trying to weigh up options and decide where to go next. I come from a clinical background so I am considering training to be a mental health nurse, but I don't know where that will lead and what I can do from there.
I'm also considering taking a conversion course (I don't have a psychology degree) and taking the counselling psychology route, because I feel like therapy is something I want to continue with and become more skilled in. I lack the academic background and sometimes think the masters, and then doctoral level training to do counselling psychology might be beyond me.

I'm just wondering if there might be any counselling psychologists or others, who could advise me on the job, whats involved, the course of study, and whether it might be suited to me. It really would be appreciated, totally lost right now!

I thought I should add a bit more to this post.

Many Thanks

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jason712
Posts: 132
Joined: Fri Aug 15, 2014 2:04 pm

Re: lost with where to go next

Post by jason712 » Wed Dec 13, 2017 10:18 pm

I don't know much about counselling but would you consider becoming a CBT therapist? Many PWPs go that route via doing a KSA.

MindfulPsych
Posts: 209
Joined: Sun Mar 08, 2015 11:33 am

Re: lost with where to go next

Post by MindfulPsych » Thu Dec 14, 2017 11:44 am

jason712 wrote:I don't know much about counselling but would you consider becoming a CBT therapist? Many PWPs go that route via doing a KSA.
I think you have be qualified PWP for 2 years to apply with KSA? I know it's true in my service but not sure about others.

If you wanted to do CBT therapy you could self-fund and get find placements yourself? although I'm aware that this isn't always practical and can be difficult financially!

Don't give up hope though :D

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hs577
Posts: 87
Joined: Mon Apr 12, 2010 11:02 am

Re: lost with where to go next

Post by hs577 » Thu Dec 14, 2017 8:59 pm

In terms of your mental health nurse role you get to do observations, ward rounds, medication administration, care plans, be lead by psychiatrists traditionally, mdt meetings, supervision, leadership and you can train in various talking therapies, manage a caseload, risk assessment and facilitate groups. Essentially you progress in clinical roles and if you want a lot of patient contact you’ll typically be a b6 highest. If you want more leadership and management you’re looking at b7-8a. Naturally a mh nurse will give more info on the actual course.

For counselling psychology doing your conversion may be 1-2 years then 3 years doing the course. The course includes research, audit, partaking in group supervision, 1-1 supervision, presenting information in your areas of special interest and presenting research, you’ll do an ethics exam, lots of essays and your thesis which is roughly anything from 25 thousand to 40 thousand words course depending . This is before all the clinical therapy provision (450 plus hours), some group work, some assessments and partaking in your own personal therapy.

Good luck with whatever you decide.

Leems
Posts: 20
Joined: Thu Nov 16, 2017 1:56 am
Location: UK

Re: lost with where to go next

Post by Leems » Thu Dec 14, 2017 11:34 pm

worldly wrote:I come from a clinical background so I am considering training to be a mental health nurse, but I don't know where that will lead and what I can do from there.
I'm an MH nurse looking at Counselling Psychology at the moment, so feel free to ask whatever specific questions you like and I'll do my best to answer.

Health Career's Nursing pages give some information on nursing routes but fails to capture the broad scope of the career, which a survey of specific roles on NHS Jobs might better convey in part. Are you interested in community or inpatient? Purely mental health or learning disabilities, children, and/or physical care also? Management, research, teaching, clinical specialism or some combination? Specific areas such as homelessness or chronic illness? Research fellowships, site management training, teaching qualifications, dual training into the other branches of nursing and the like are all possible.

hs577 points out the common therapeutic tasks of the inpatient staff nurse, to which I'd add a wide variety of practical, organisational and environmental tasks, from cleaning clinical areas and ordering stock to physical restraint and giving someone a wash. Nursing is a jack-of-all-trades job in which the activities of daily living must be used as the material for the development of the therapeutic relationship, and very different to the role of the psychiatrist or psychologist.

worldly
Posts: 6
Joined: Wed Feb 15, 2017 3:47 pm

Re: lost with where to go next

Post by worldly » Sat Dec 16, 2017 10:44 pm

Thank you kindly for all of your replies :)
CBT training is certainly on my radar but I am aware of the two years I'd have to spend as a PWP which isn't filling me with excitement but sometimes you have to do what needs to be done I suppose.
I was a paramedic previously so have some experience dealing with physical health etc and risk, which is why I thought about MH nursing and I would really like to build on my experience in mental health, also considering the counselling route. I'm feeling a bit less blue about things now but ultimately the hardest part is actually deciding which path to take! Thanks again for taking time to reply.

lingua_franca
Posts: 904
Joined: Tue Sep 14, 2010 11:29 pm

Re: lost with where to go next

Post by lingua_franca » Sun Dec 17, 2017 12:22 am

What did you enjoy most about your paramedic job? My main contact with mental health nurses came from being a support worker in a dementia ward and an adolescent psychiatric unit. I also picked up shifts in other wards. I saw them doing all sorts of things - managing the shift, risk assessment, dealing with physical healthcare needs (wound care after self-harm, personal care in the dementia unit, etc.), key work with patients and helping them to work towards recovery goals. We also had a full-time therapist who had originally trained as a nurse in one unit. So if you enjoyed the hands-on physical care aspect of being a paramedic and would like to unite that with mental health and therapeutic training, nursing might be a great option. If you hated that aspect and it was why you left, then it wouldn't be such a good idea. Nurses also deal with huge amounts of admin, which would be off-putting for me (preparing the duty allocation for the support workers didn't look fun), but I'm not sure it's all that different in any mental health profession.
"Suppose a tree fell down, Pooh, when we were underneath it?"
"Suppose it didn't," said Pooh, after careful thought.
Piglet was comforted by this.
- A.A. Milne.

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