What to expect from a Mental Health Nurse?

Hi, I was recently given a quick referral to a Psychiatrist, but I have had a letter today saying I have an appointment with a Community Mental Health Nurse instead. I have been referred to a Psychiatrist before but was refused and told to try counselling first. I went to a few sessions but it really was of no help whatsoever. Just raked over things and actually made me feel worse. I've been on 40mg of Citalopram for a year but it isn't working and my mood is very variable and I came close to ending things not long ago (due to various things that are causing me huge stress at the moment). I've struggled with my mental health since I was at school (am 41 now) and I finally thought I was going to get some real help. But feel like I'm being fobbed off again.

What does a mental health nurse actually do?? I feel like crying. I keep thinking I'm making out things are worse than they really are. Maybe I'm making too big a deal of things? I'm so confused about myself. But I'm terrified of being discharged. I don't know what to do anymore. Feel really pathetic.

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