Dear Supporters,

First and foremost — thank you. To everyone whose signed, shared, and taken part in the email campaign. Your support means more than I can express. It’s been the most devastating months of my life, but your support is one of the few things just about keeping me going.

On Monday, I received a letter rejecting me for Dialectical Behaviour Therapy (DBT) — without explanation, justification, or even basic reasoning. Just a flat denial of the treatment I’ve been fighting and preparing for over many months. You can view a copy of the formal rejection letter here.

As someone diagnosed with Emotionally Unstable Personality Disorder (EUPD), rejection is one of the most destabilising and dangerous triggers I can experience. This felt like the ultimate rejection. The moment I read that letter, I wanted to die. My entire world collapsed and I went into crisis.

The distress escalated so severely that I was detained under Section 3 of the Mental Health Act – a treatment order, not a holding power. And yet here I am — still receiving no meaningful structured psychological intervention. No DBT, despite it being the NICE-recommended therapy for EUPD under Clinical Guideline 78 (CG78) and Quality Standard 88 (QS88).

Instead of receiving the therapy that the NHS itself recommends for people like me, I’m being “contained” — not treated. That is not just unacceptable — it is potentially unlawful.

To make matters worse, the crisis was so severe and chaotic that my mother had the police at her door — another traumatic ripple effect of the system’s failure to provide the care I was led to expect.

📍 Why This Violates Section 3 of the Mental Health Act

Section 3 is a treatment order. By law, someone can only be detained under it if appropriate medical treatment is available. That treatment must be necessary, suitable, and actually deliverable — and must include psychological therapy when that is clinically indicated.

In the case of EUPD, the NICE guidelines are clear: DBT is the evidence-based psychological treatment for this condition, especially in cases involving chronic emotional dysregulation and suicidality — which my clinicians agree applies to me. So if I'm being detained under Section 3 without DBT or any equivalent alternative, then that detention is not meeting its legal requirements.

Even the Approved Mental Health Professional (AMHP) acknowledged that they had no choice but to section me due to the severity of the crisis — which was directly caused by this system’s failure to provide appropriate care. The very act of denying DBT triggered a mental health emergency that led to my sectioning.

This situation follows on from the distressing and unclear DBT assessment I spoke about in a previous update. Since then, the absence of any psychological support or clear explanation has created a climate of confusion, harm, and neglect — emotionally, clinically, and legally.

📜 Clinical and Legal Failures

This isn’t just bad practice — it’s a systemic failure that breaches legal, clinical, and ethical obligations:

Legitimate Expectation: I was previously told I had been accepted for DBT following an assessment on Ward F. That created a legal and ethical expectation. To withdraw it suddenly — without consultation or explanation — is a violation of fair public decision-making.

Unlawful Discrimination: I’ve been given conflicting, shifting and misleading reasons for the rejection — my age, medication, hormones. None have been consistent or evidenced. This may constitute a breach of the Equality Act 2010.

No Justification Given: The letter gave me no rationale at all — just a rejection of the only evidence-based treatment for my condition. That’s not just negligent; it’s reckless, and incredibly dangerous. Admistrative law requires clear justification for decisions made particularly in my case whereby I am at high risk of suicide and further mental health deterioration. No such justification has been provided in my case for lack of DBT or withdraw, and repeated explanations have conflicted or changed 

Welsh Mental Health Measure 2010: This law states that mental health care must be timely, appropriate, and based on need — and that full, non-diluted interventions must be provided. I’ve received none of that.

⚠️😔🗣️ Conducted Unprofessional and Stigmatising Conduct by some staff

Yesterday, a nurse called me “manipulative” while I was in a state of emotional distress, directly linked to my ongoing lack of access to DBT. This was deeply invalidating and stigmatising. This continued pattern demonstrates a concerning attitude within the service.

On the same day, another nurse threatened to confiscate my phone stating they "could take my phone off me" after I mentioned my case’s visibility online. There was absolutely no rationale given for this threat. This felt discriminatory and intimidating, as though I were being punished for speaking out. It contributes to a sense of being unsafe and unfairly targeted.

📌 Urgent Complaints Awaiting Response

I am still currently awaiting responses to my formal complaints. These complaints are now urgent.  Lives are at risk. They cannot be left to just sit in a queue - every day without proper treatment (DBT) prolongs my hospital stay and risks further deterioration of my mental health.

At this point, accessing treatment outside my local area—through a formal process called an Individual Funding Request (IFR)—remains a distant possibility I hope to avoid. My focus is still on receiving the care I was assessed and accepted for locally, through the Deccrau Newydd DBT service. It shouldn’t be necessary to face lengthy bureaucracy or travel far from home to get the treatment I was originally promised.

🌱 One Positive

In the middle of all this, one thing has gone right. I’ve now been assigned a new consultant and I’m genuinely impressed. She is the first psychiatrist I’ve had who truly understands EUPD. Her approach has been respectful, compassionate, and trauma-informed — and for once, I finally feel heard.

But even she is working within a system that seems structurally unwilling to provide what I need.

🚨 What Needs to Happen Now

• The DBT rejection must be overturned, based on the law and my evidence based needs.

• My current complaints must be responded to as a matter of urgency, not lost in administrative limbo.

• Mental health services must stop merely “holding” patients like me — and start treating us, as they are legally required to do.

• There must be accountability — this is not a one-off incident, it's a dangerous pattern that continues to put patients lives at risk under the care of Swansea Bay Mental Health Services.

🛠 How You Can Help

• Please share this petition again — especially now, while pressure is mounting.

• If you took part in the email campaign, thank you — and please consider following up to ask what action has been taken.

• If you want to share any outreach ideas— I am open to help. I am not just fighting for myself, but for every other person being failed in similar ways.

This has been one of the hardest, darkest weeks of my life. But I’m still here. And I’m still fighting.

With your continued support, I will not be silenced. I will not be ignored.

Thank you

— Jacob Robertson 💙