A judge has expressed frustration at what to do with a woman's repeated apparent suicide attempts at sea.
A psychiatrist said Amy Dallamura had a serious emotional disorder
A previous court hearing was told Amy Beth Dallamura, 46, of Aberystwyth, had cost emergency services almost £1m rescuing her more than 50 times.
The former golf professional breached an Anti-social Behaviour Order (Asbo) banning her from the sea as a "cry for help," Swansea Crown Court heard.
Judge Keith Thomas gave her a two-year supervision order.
The court heard Dallamura had breached her Asbo five times, the latest on 25 June when a helicopter, two lifeboats and two shore search teams totalling 26 men were called out.
She was found semi-conscious on rocks at the water's edge.
'Not an emergency'
During the legal proceedings Dallamura was bailed to live with relatives in Hove, Sussex, while she was examined by a psychiatrist.
He concluded she suffered from a serious emotional disorder but, the judge heard, the medical services in Sussex refused to class her case as urgent.
"Sussex will offer her only a routine out-patient appointment. There is a singular failure to support her," he said.
"They say she is not an emergency. There is nothing the legal process can do to assist her because it requires the co-operation of the local health services and that has not been forthcoming."
Judge Thomas said all he could do was make her the subject of a two-year supervision order in the hope the probation services could influence the situation.
Dallamura, who appeared in court in a wheelchair, had described the suicide attempts as cries for help for her physical condition.
In 2001 she developed problems with her hips. Surgery, she said, made her condition worse and she is in constant pain.
Since then Dallamura has waded out to sea at Aberystwyth and leapt off piers, jetties, rocks and cliffs.
Pc Simon Tudor received a bravery award in 2003 after swimming more than 300 metres from the shore to save her.
Magistrates in Aberystwyth made her the subject of an Asbo banning her from going in the sea, onto beaches or onto the promenade in the town.
But on 21 June, police officers had to physically prevent her from entering the water. Just a few hours later she had to be winched to safety from a cliff face.
Two days later she was taken to hospital by helicopter after being pulled out of the water and on 25 June she was found sitting on rocks and suffering from hypothermia.