Speaker: David Crepaz-Keay
Session report by Jan McGregor
DAVID CREPAZ-KEAY is Head of Patient and
Public involvement for the Mental Health Foundation, and has a 25
year history as a patient and campaigner; he told us he had been
given at least 6 diagnoses in his time as a patient, and every professional
had seemed to want to stop him “hearing and seeing things
that other people don’t see and hear”, but he still
did. It seemed sad to me that seemingly no-one had wanted to find
out with him what they meant. He said that patients want talking
therapies for 3 main reasons- that they had already had experience,
or knew someone who had, and found it helpful; they are desperate,
and think it just might help; and/or anything that is not drugs
is a good idea.
He gave us his rules for therapists:
1. Do not promise - talking therapies aren’t
going to cure everything
2. Be very careful of diagnostic boxes
3. Remember that the patient is not a passive
recipient; service user involvement is not very advanced in the
By this point I was feeling a bit smug;
I thought we would score well. However, the next point was not so
4. Do not move to being a smug friendly
person; this is patronising and creates dependency.
He was in favour of government involvement
to look at, and hopefully tackle, social inequalities.
His goals were that people are helped to
regain control over their own lives, and manage themselves, and
that evidence should be assessing the patient’s desired outcome.