🎧 Episode Description This episode offers an unflinching look at the realities of Irish healthcare - especially child and adolescent mental health - through the eyes of someone who’s been on the front line for decades. Laura is joined by Martin Daly, a rural GP in County Galway and a TD (Teachta Dála), to explore what it feels like to advocate for children and families inside systems that are overstretched, slow, and often unresponsive. Martin shares a deeply affecting account of a nine-year-old boy experiencing severe OCD, including the barriers faced when trying to access CAMHS - from repeat assessments, to letters being returned, to referrals being deemed “not appropriate”, even as the child’s distress escalates. The story becomes a window into the human cost of rigid thresholds and administrative dysfunction, where families are left carrying fear and uncertainty while clinicians try to push against closing doors. From there, the conversation widens into the bigger picture: the lack of digitisation in the HSE and how basic inefficiencies create real harm; why housing insecurity and “stuck” young adults ripple into mental health and relationships; and what Martin believes Ireland needs to do differently if it wants to protect wellbeing, not just respond to crisis. It’s warm, candid, and grounded in lived reality - ending with a reflective final stretch on kindness, purpose, and what it means to live a good life. ⸻ 🔑 Key Points Advocating for children inside broken systems Martin describes the emotional and professional strain of repeatedly trying to secure care for children while working within rigid, under-resourced structures. When mental health support depends on thresholds The conversation explores how eligibility criteria can exclude children who are clearly distressed but not yet deemed to be in crisis. A nine-year-old living with severe OCD A real case highlights how delayed intervention intensifies suffering for both the child and their family. The hidden burden placed on parents Families are left holding fear, responsibility, and risk while waiting for services that may never arrive. Housing insecurity and mental health Martin connects the housing crisis to rising anxiety, stalled independence, and a growing sense of hopelessness among young people and families. HSE digitisation and administrative failure Basic inefficiencies - from paper-based systems to disconnected services - are shown to cause real harm and delay care when timing matters most. Moral injury in clinical practice Martin reflects on the ethical toll of knowing what care is needed, but being unable to access it for patients. Social media and youth mental health Constant exposure and online pressure are discussed as compounding factors in rising anxiety and distress. ⸻ 📚 Mentioned in this Episode Martin Daly – Rural GP and TD (Teachta Dála), sharing frontline experience of Irish healthcare Child and Adolescent Mental Health Services (CAMHS) – Referral pathways, thresholds, and access issues Obsessive Compulsive Disorder (OCD) – Childhood presentation and impact when left untreated ADHD – Diagnosis pathways and pressures on assessment services Health Service Executive (HSE) – Structure, capacity issues, and lack of digitisation Housing crisis in Ireland – Links to anxiety, delayed independence, and mental wellbeing Social media and youth mental health – Ongoing exposure and rising emotional distress ⸻ ⏱️ Timestamps 00:00 – Martin’s opening reflections and background 04:45 – Life as a rural GP on the frontline 09:30 – Accessing child mental health services in Ireland 15:10 – How CAMHS thresholds work in practice 21:40 – A nine-year-old with severe OCD 28:30 – Referrals returned and care denied 35:20 – The emotional toll on families 41:50 – HSE digitisation and systemic inefficiency 48:10 – Housing insecurity and its impact on mental health 54:30 – Social media, anxiety, and young people 59:40 – Responsibility, kindness, and what a good life means Thanks for listening! You can watch the full episode on YouTube here. Don’t forget to follow The Laura Dowling Experience podcast on Instagram @lauradowlingexperience for updates and more information. You can also follow our host, Laura Dowling, @fabulouspharmacist for more insights and tips. If you enjoyed this episode, please subscribe and leave a review—it really helps us out! Stay tuned for more great conversations. Hosted on Acast. See acast.com/privacy for more information.
