Hospital Care for Physical vs. Mental Illness

December 19, 2010

In late 2008/early 2009, my husband spent a total of 16 days in a mental hospital due to a psychotic break. I recently came home after spending nearly five days in the hospital due to an emergency appendectomy during pregnancy. I feel compelled to share a few keys differences between our experiences.

  1. During my hospitalization, John was allowed to stay with me 24/7. The regular hospital makes it easy for family members to provide comfort and support to sick loved ones. Not only was John permitted to hang out with me all day, but my room even had a pull-out chair that transformed into a cot so that he could sleep over at night.When John was in the mental hospital, visiting hours were very restricted. I could only see him for 90 minutes a day, usually between 7:00 and 8:30 pm, or 1:00 to 2:30 pm on the weekends. I wasn’t allowed to join him in his room or even walk onto the ward’s floor. Instead, I was confined to the visiting room.

    Although the limited access was almost certainly a safety precaution, that knowledge was cold comfort on the day John left the visiting room weeping and I couldn’t follow him to reassure him that everything would be okay. When someone is as confused and disoriented as John was when he first entered the hospital, having a loving spouse present would go a long way toward keeping him/her calm.

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What Not to Do When Someone You Love Is Psychotic

November 29, 2010

There have been a couple of disturbing news reports lately about terrible crimes committed by people in psychotic states, including the actor Michael Brea’s savage murder of his mother and a Seattle killing that took place in front of school children.

Although it’s been proven that people with mental illness are more likely to be victims of violence than perpetrators of it, these reports underscore the fact that untreated psychosis can lead to tragedy.

It’s imperative, then, that you do everything you can to get your loved one the help he or she needs.

When John became psychotic due to a manic episode that escalated into psychosis, I learned a few hard lessons about what not to do when you’re trying to help a loved one beat this frightening illness.

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Staying Calm During a Psychiatric Crisis

October 3, 2010

People often reflect each others’ moods, which is why it’s important to stay calm during a loved one’s psychiatric crisis.

My husband’s psychiatric crisis happened in two parts. There was the initial breakdown and one-week hospitalization, after which he came home for about two weeks. During those two weeks, he started seeing a psychiatrist who—for whatever reason—didn’t believe he’d been psychotic. She told him that he was on the wrong medications, and that she was going to take him off Risperdal and put him onto an antidepressant called Pristiq. A couple of days into this transition, his psychosis took root again.

But the doctor didn’t believe me when I told her what was going on. As John got more and more manic and psychotic, I got more and more panicked. He was calling his co-workers and frightening them with talk of his delusions. I was terrified that he was going to get himself fired, that he was going to ruin his life.

Desperate, I convinced him to call the psychiatrist. At first, she told him that he should go back on the meds the hospital had prescribed, but when he expressed some reservations with this course of action, she told him that she “wasn’t that concerned” about his behavior and explained that he had the right to continue with the Pristiq.

I was horrified, and I let John know it.

Which was a mistake. A big, big mistake.

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