I'm in the system now. You're doctor probably will refer you to a therapist, probably Healthy Minds if this is the first time. Healthy Minds other CBT and Councilling, usually in a doctors surgery/some sort of clinic. I've never seen them because without going into it to much, my entry into the mental health system was kinda complex.
Since you've had it for 20 years though, your doc may refer you to Psychology. That's the group I'm waiting to see, I've had the assement and they've recommended CBT (Which has a four month waiting list =/ ). From what I've learnt about Psychology though, you're there for a long time.
There's another group you may get referred to, CMHT (Communtiy Mental Health Team). I'd be surprised if they refer you to them immeadiatley, but it's a possibilty, you're doctor may want you to be assesed for something or the other, I don't know really..
If your doctor doesn't help you (and I doubt she wouldn't really) then there's these guys you can get help from. They cost, but they're gonna turn you down if you don't pay, and the cost is negotiable (Although I think it's about £15 or so?). I have a lot of respect for MIND, they got me through a pretty tough time last year and up until a week or so ago when I finsihed with them. The councillor I had actually listened, and I've seen nothing but phrase for them anywhere. They're a charity, and they'll provide an ear to anyone who needs to, and they'll listen. Here:
http://www.mind.org.uk
The website is kinda not so great finding the info you need, but it's up there somewhere. They do do it, you may have to contact you're "local MIND" as they call it (Name amuses me, they're a good service, but somehow "Local MIND" amuses me still) and see what they'll do, but they'll do, and they'll listen and help if it feels as if no-one else will.
