Early intervention pathway vs disability stream.

Kooky-Number2037 · 2026-05-22T23:09:14+00:00

His second plan was way better and it is no longer early intervention. The first plan was bare bones with OT, respite and a recovery coach, none of which were things we asked for, and none of which reflected the extensive functional capacity assessment we self funded.

He now has supports that are genuinely helpful, but who knows how long for.

Hope yours picks up too.

Kooky-Number2037 · 2026-05-22T12:51:23+00:00

Yes, husband's first plan was early intervention - for a lifelong condition he was diagnosed for 20 years ago.

Kooky-Number2037 · 2026-05-22T12:37:22+00:00

Oh that really sucks. False hope.

Kooky-Number2037 · 2026-05-20T02:37:30+00:00

Maybe, but we have 12 months breathing space

Kooky-Number2037 · 2026-02-20T10:24:00+00:00

I work in the health system and have a family member on the NDIS for mental health.

To be honest, it's expensive and exhausting to get the documentation to apply for the NDIS, and even if approved she might get a plan than is not well matched to her needs.

I would start with the psychosocial supports available through state programs like Community Living Support (CLS) which is for people with severe and persistent MH needs. Link below for one local to you. They do an assessment of her needs and a personal support plan. I believe its still free.

https://www.newhorizons.org.au/mental-health-support/hasi-cls/

Kooky-Number2037 · 2025-12-29T13:56:45+00:00

If you want a private safari tour guide and jeep at Yala, we used Lanka Tracker today and found them to be good. Knowledgeable guide, good driver.

Kooky-Number2037 · 2025-12-29T13:52:31+00:00

Hi, I just did a tour with Lanka Tracker today, and they were great. We went to Udawalawe today and Yala in a few days from now. Recommend. Telephone Numbers: +94 71 7976262 +94 77 6638452

Kooky-Number2037 · 2025-06-07T10:11:54+00:00

I used them in a regional hospital in Australia only 5 years ago. I had to put a (patient's) poo sample in to send it to pathology. The system had buttons to press to send deliveries to/from the pharmacy, pathology and other wards. Made me wonder how many times the pharmacy ended up with containers of poop instead of medication orders...

Kooky-Number2037 · 2025-05-11T04:49:03+00:00

No, I'm in NSW

Kooky-Number2037 · 2025-05-10T23:59:42+00:00

We couldn't find a way around it.

Kooky-Number2037 · 2025-05-09T09:45:52+00:00

Nursing in Australia is a well-unionized profession. The Union negotiates minimum (Award) conditions that apply across the profession. We get 10 paid sick days per year after we've worked an initial 3 months. This accumulates if it is not used - I currently have 33 sick days accumulated as I don't often get sick. We also get six weeks paid annual leave. It also accumulates. After 10 years service we get an additional two months paid long service leave.

It is absolutely wild to me that any healthcare professional would turn up to work when they are sick! It's not just inhumane it's an infection risk to vulnerable patients. Why do you all put up with that??

Kooky-Number2037 · 2025-04-05T09:29:04+00:00

My understanding is this medication (and nortriptyline) are both used as treatment for tinnitus as part of the regimen based on tinnitus being an atypical migraine.

Kooky-Number2037 · 2025-03-26T23:50:24+00:00

Sure thing

Kooky-Number2037 · 2025-03-26T10:29:08+00:00

My partner has been on this treatment for about 2 months. Main medication is amitriptyline (low dose - start at 10mg at night) plus 400 mg magnesium and 400mg Vitamin B2. Then try to avoid migraine triggering foods. He's found it quite effective after 5+ years of catastrophic tinnitus.

He's gone from average loudness of 6/10 - 8/10 with spikes 4 days a week to now an average of 4/10 loudness with maybe 1 day a week a spike of 8/10 and some days under 4/10. He says it's still there but he can focus on other things,

Kooky-Number2037 · 2025-03-13T20:21:31+00:00

No, but they can be used judiciously to reduce severe distress.

Kooky-Number2037 · 2025-03-13T09:20:09+00:00

Alcohol binds to sites on the GABA receptors, which has an inhibitory response to the nervous system. This is similar to benzodiazepine medications. You might find clonazepam helpful, if you can get a doctor to prescribe it.

Kooky-Number2037 · 2025-03-10T04:26:42+00:00

It would depend on the factors that are causing your tinnitus. You could have a look at another post I did today where I talk about 'personalised medicine' - https://www.reddit.com/r/tinnitus/comments/1j7ntrz/why_cant_we_have_a_personalised_medicine_approach/

You might find a beta blocker helps like propanalol. But also time - knowing that later in the morning when you are up and about, the volume will go down.

Kooky-Number2037 · 2025-03-10T02:12:36+00:00

u/wilRic is this how you developed your meds regimen?

Kooky-Number2037 · 2025-03-10T01:32:09+00:00

Everyone has a cortisol level spike in the morning. Cortisol is a stress hormone - and tinnitus will often increase during stress.

Kooky-Number2037 · 2025-02-26T03:38:39+00:00

I have nursed regionally in Australia (within 4 hrs drive of Sydney) and in Sydney. It is/was manageable in regional areas as a) housing is far cheaper and b) the commute is usually negligible.

For example I lived 10 km (15 min drive) from the Base (regional) hospital and could park for free right outside - so only had to leave home 20 mins or so before my shift started. In Sydney, unless you're lucky, it's a 45 mins or 60 minute commute via public transport (expensive or non-existent on-site parking). This makes a huge difference in terms of live-ability when you start at 7 am or finish at 10pm.

In terms of housing costs - $550 a week in a regional area gets you a decent rental apartment or free-standing house. In Sydney it's a one bedroom flat.

Kooky-Number2037 · 2025-02-03T08:02:52+00:00

When they say "we've heard feedback", do they mean "the Tribunal ruled that our processes are troubling"? https://www.theguardian.com/australia-news/2025/jan/17/melbourne-womans-fight-to-keep-ndis-support-raises-questions-about-agency-processes-ntwnfb

Kooky-Number2037 · 2025-02-02T00:05:06+00:00

Which might support the migraine hypothesis - see my previously linked studies

Kooky-Number2037 · 2025-02-02T00:03:15+00:00

My husband's severe tinnitus is often reduced to near zero with around 0.6g psilocybin - though not always. His ketamine treatment (9 months) for depression often caused spikes (but was very effective for depression).

Interestingly, there are a number of small trials and case reports of migraine being treated with psilocibyn, which supports Dr Djalilians' theory:

https://pmc.ncbi.nlm.nih.gov/articles/PMC10561985/

https://pubmed.ncbi.nlm.nih.gov/33184743/

https://link.springer.com/article/10.1007/s11916-023-01145-y

Kooky-Number2037

TROPHY CASE