Tania, it could be that they are investigating to see if you need more hours. I wouldn't make assumptions until you know. When I worked in Community nursing, I used to do assessments for people who required support in their homes, and reassessments were done if patients complained they weren't getting enough support. In these cases, we never went in looking for less support hours. I am not sure how Australia functions, but in Canada, the diagnosis was a moot point. If a person can't carry out activities of daily living then they were assessed for that whether they had Cancer, MS, were post surgery, had Alzheimers, had mental illness, developmental disabilities etc. Do you want mental health services which usually entails some kind of psychological counselling. If you don't let them know. Maybe they think you need help coping with your illness. It is your choice whether you want them and they shouldn't be making you do things that you don't want to do. On the other hand, sometimes it works in you benefit if you say 'well being so ill with ME is very difficult so maybe some coping strategies would help'. Then you can say they would have to provide a worker to get you there. I think what I am saying here it's better to be open to possibilities because then they think you are working with them. If you get angry at them for suggesting you have psychological issues, it just confirms their beliefs. A diagnosis of Borderline Personality Disorder is a crap diagnosis because it means nothing. Tell them how you feel about this. A simple statement that you were having difficulty coping which led to you being suicidal should be enough. Don't be really negative or get angry about the medical profession because then they start drawing stupid conclusions. Don't focus on all the negatives. Describe what you can and can not do because you are ill in concise terms. I always used to ask 'What do you need help with, what don't you need help with'. The best answer is to state what you can do independently and then state what you can't do and why. If you mention jail as an alternative for not getting support hours, they will likely think you have psychological issues. This isn't the answer. Focus on the need for your five hours. It's not like you are asking for a extreme number of hours. Worrying about what might happen isn't good for you. It could be that they are looking to give you more. I know when patients complained about services here, it was mandated that we had to go out and reassess the situation. I can't think of one case where we decreased the hours if they already had them. I wouldn't make any assumptions. Hold onto the hope. Remain calm. Tell them what you can do, what you can't do, what you are willing to do and you might get a good outcome.