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GP takes on CBT burden

Dr Ramez Gabriel is having to manage patients using his own limited knowledge of psychology after being left with no access to CBT or counselling.

Dr Gabriel's patients have been stranded on waiting lists after his PCT ­ North Birmingham ­ failed to replace a mental health worker who left eight months ago.

Dr Gabriel, a GP in Birmingham, said: 'It's very frustrating. It's an increasing struggle to refer. Today we've already had a patient needing counselling, but with such long waits we had to prescribe instead. We're compromising all the time. There are occasions when we send acute referrals to hospital as there is no other way for us.'

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