Does psychiatric hospitalization actually help?

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Claradoon
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09 Mar 2019, 1:16 pm

IsabellaLinton wrote:
Claradoon wrote:
Tell me about psychiatry. Has it improved?

As far as I know, the operating theory of psychiatry is
that the (bad) personality must be completely destroyed
in order to build up a (good) one.

The psychiatrist must have absolute authority and
the patient must be submissive and accepting of
Dx and pills.

Because psychiatrists use the DSM, they must fit a
patient into one of the pigeon-holes, and prescribe
accordingly.

Are they still like that? I would like to get care but not under a psychiatrist.


I can't comment about the OP's question because I don't know about psych. hospitals, but I'll answer for Claradoon. I had a psychiatrist for C-PTSD as well a psychologist. The psychiatrist was a woman who was intent on prescribing medication and refused to reassess me with anything other than C-PTSD even after nine years of treatment. When I asked if I could be assessed for autism she said "No, you don't have Autism. You're too articulate". (???! ! !) Apparently people on the spectrum can't have a wide vocabulary despite having no social skills or eye contact. She also told me that autism is almost unheard of in women.

If I took my medication and asked for repeats she said I might get dependent, and that I shouldn't want medication. However, if I didn't take my medication or I requested that a dosage be lowered / discontinued / changed, she said I was refusing treatment and challenging her judgment. It was a lose-lose situation.

I got my ASD assessment done privately from a very reputable doctor who specialises in female ASD. She sent my psychiatrist a 20 page report with all the test results and my diagnosis. When I next saw my psychiatrist she said she never received / read the report, and she insisted again that all my issues are from C-PTSD, not autism, because I have a wide vocabulary and I went to University. My trauma didn't start until I was 34 years old but she believed it explained my entire childhood, retroactively.

After nine years I was terrified to see her because I always went home crying, feeling like I'd said the wrong thing. I was never so excited in my life as when I was finally allowed to discontinue treatment.

Sorry for derailing the thread, OP. That's just my answer for Claradoon. :heart:

Wow, thank you! That's exactly what used to be true and obviously still is.

I got my own Dx in 1997 by applying for referral to The Douglas Hospital - top-notch mental hospital. It took 2 years waiting and 6 months testing. I got a thick report, covered with what I asked for: a letter on Hospital Letterhead, signed by psychiatrist and psychologist, saying I am diagnosed with Asperger's Syndrome. My general doctor kept throwing that letter out of my file, because she does medical, not mental. But now they have computers and she's stuck with it.

Asperger's (now Autism) was defined as possibly very low or very high intelligence. The new DSM5 is very vague. I can do eye contact - it only took me 30 years of self-training.



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09 Mar 2019, 2:26 pm

IsabellaLinton wrote:
Claradoon wrote:
Tell me about psychiatry. Has it improved?

As far as I know, the operating theory of psychiatry is
that the (bad) personality must be completely destroyed
in order to build up a (good) one.

The psychiatrist must have absolute authority and
the patient must be submissive and accepting of
Dx and pills.

Because psychiatrists use the DSM, they must fit a
patient into one of the pigeon-holes, and prescribe
accordingly.

Are they still like that? I would like to get care but not under a psychiatrist.


I can't comment about the OP's question because I don't know about psych. hospitals, but I'll answer for Claradoon. I had a psychiatrist for C-PTSD as well a psychologist. The psychiatrist was a woman who was intent on prescribing medication and refused to reassess me with anything other than C-PTSD even after nine years of treatment. When I asked if I could be assessed for autism she said "No, you don't have Autism. You're too articulate". (???! ! !) Apparently people on the spectrum can't have a wide vocabulary despite having no social skills or eye contact. She also told me that autism is almost unheard of in women.

If I took my medication and asked for repeats she said I might get dependent, and that I shouldn't want medication. However, if I didn't take my medication or I requested that a dosage be lowered / discontinued / changed, she said I was refusing treatment and challenging her judgment. It was a lose-lose situation.

I got my ASD assessment done privately from a very reputable doctor who specialises in female ASD. She sent my psychiatrist a 20 page report with all the test results and my diagnosis. When I next saw my psychiatrist she said she never received / read the report, and she insisted again that all my issues are from C-PTSD, not autism, because I have a wide vocabulary and I went to University. My trauma didn't start until I was 34 years old but she believed it explained my entire childhood, retroactively.

After nine years I was terrified to see her because I always went home crying, feeling like I'd said the wrong thing. I was never so excited in my life as when I was finally allowed to discontinue treatment.

Sorry for derailing the thread, OP. That's just my answer for Claradoon. :heart:


What do you mean by "allowed" to discontinue treatment? Aren't people allowed to stop seeing psychiatrists and the like if there is a personality clash or the client doesn't agree with them?


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DanielW
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09 Mar 2019, 2:45 pm

[/quote]

What do you mean by "allowed" to discontinue treatment? Aren't people allowed to stop seeing psychiatrists and the like if there is a personality clash or the client doesn't agree with them?[/quote]

Sometimes treatment can be mandated. In those cases, options are rather limited.



IsabellaLinton
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09 Mar 2019, 3:04 pm

DanielW wrote:


What do you mean by "allowed" to discontinue treatment? Aren't people allowed to stop seeing psychiatrists and the like if there is a personality clash or the client doesn't agree with them?[/quote]

Sometimes treatment can be mandated. In those cases, options are rather limited.[/quote]

I had to keep seeing my psychiatrist, because I was involved in a criminal trial against the individual who caused my Complex Trauma. It was preferable to have the same psychiatrist perform all my evaluations and submit my legal documents, for a continuity of representation. It would have been difficult if not curious for me to change doctors in the midst of a court case. She was a very reputable specialist in trauma psychiatry, so it was best to stay with her.


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renaeden
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10 Mar 2019, 3:58 am

My last hospitalisation actually helped. It was long ago, 2013.

My psychiatrist made sure that I received my ADHD medication. The nurses were annoyed because they had to get a specific key to open the room the restricted meds were in. But they had to do it.

My psychiatrist also had input into the rest of my medication, specifically moclobemide (Aurorix), which is a reversible MAOI.

Best antidepressant I've had so far and I've tried a lot.

I say it was a good hospitalisation mainly because I haven't been back since. Sometimes I feel on the edge of depression again but for the most part I'm feeling good.



Claradoon
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10 Mar 2019, 10:42 am

renaeden wrote:
My last hospitalisation actually helped. It was long ago, 2013.

My psychiatrist made sure that I received my ADHD medication. The nurses were annoyed because they had to get a specific key to open the room the restricted meds were in. But they had to do it.

My psychiatrist also had input into the rest of my medication, specifically moclobemide (Aurorix), which is a reversible MAOI.

Best antidepressant I've had so far and I've tried a lot.

I say it was a good hospitalisation mainly because I haven't been back since. Sometimes I feel on the edge of depression again but for the most part I'm feeling good.

I'm terrified of MAOI's. I had Nardil - it didn't help but I went insane on chocolate and gained 50 pounds. The psychiatrist said it doesn't make you gain weight, it just makes you hungry.



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11 Mar 2019, 4:37 am

Claradoon wrote:
renaeden wrote:
My last hospitalisation actually helped. It was long ago, 2013.

My psychiatrist made sure that I received my ADHD medication. The nurses were annoyed because they had to get a specific key to open the room the restricted meds were in. But they had to do it.

My psychiatrist also had input into the rest of my medication, specifically moclobemide (Aurorix), which is a reversible MAOI.

Best antidepressant I've had so far and I've tried a lot.

I say it was a good hospitalisation mainly because I haven't been back since. Sometimes I feel on the edge of depression again but for the most part I'm feeling good.
I'm terrified of MAOI's. I had Nardil - it didn't help but I went insane on chocolate and gained 50 pounds. The psychiatrist said it doesn't make you gain weight, it just makes you hungry.
Well if you're hungry all the time, you'll eat all the time and then gain weight!

Nardil can cause irreversible changes to your digestive system. You have to be very careful not to eat a lot of foods with tyramine. Chocolate has it!

That's why I like Aurorix. It's reversible and doesn't have as much dietary restrictions as other MAOIs.



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11 Mar 2019, 9:02 am

This has been a productive thread. To summarize so far:

1. People's experiences with psych hospitalization vary widely, from bad to good.
2. People's responses to various medications vary widely, from bad to good.

There is no one-size-fits-all solution.


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Ollywog
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13 Mar 2019, 12:27 am

Claradoon wrote:
Tell me about psychiatry. Has it improved?

Psychiatrists I have worked with have not been like you describe. They have been mostly concerned with medication (other therapies were the responsibility of other types of providers), and the purpose of the medication was to make disruptive feelings or thoughts less overwhelming so that I could function better. I suppose how they behave might depend on the diagnosis of the patient. Perhaps treatment of personality disorders is different from treatment of mood disorders, for instance. On the whole, though, I think the trend in psychiatry in recent decades has been toward a less authoritarian approach.


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Last edited by Ollywog on 13 Mar 2019, 2:44 am, edited 1 time in total.

enz
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13 Mar 2019, 12:37 am

I'd say it should be used while the psychiatrist tries different medications in a controlled environment



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16 Mar 2019, 1:05 am

I hated it with every second of my life and it was the worst experience I had to go through, EVER. I thought I was going to die or suffer a severe emotional breakdown. It is NOT a good place for an aspie or autistic person. You can't enjoy your special interests, if you even bring a doll or stuffed animal just so you'll have some comfort, they'll think you've smuggled weapons in it or another patient might steal it, the cold, white, stinging atmosphere and lack of privacy will make your hypersensitivity will send your anxiety through the roof, and the staff will treat you like a criminal. They don't care, they don't want to help your mind get better, all they want to do drug you, stab you in the butt with needles full of their "booty juice" because you've been crying, and lock you up to keep you from being a danger to yourself and others.

If you aren't suicidal or homicidal before checking in, you soon *will* be. Nothing has changed at all since the days of "insane asylums". NOTHING.



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17 May 2019, 8:49 am

It could help---but not help much in a "state hospital."

Try to go into a private facility, if possible.



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17 May 2019, 9:06 am

They "help" the staff by providing jobs



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17 May 2019, 9:13 am

It didn't help me , in fact the staff said it was detrimental to my health.

I'm pretty sure it helps some individuals although mostly it seems like a way of controlling difficult individuals and doesn't really help them. ( Clearly some people are beyond help though )


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17 May 2019, 9:15 am

I had a girlfriend who went to various hospitals.

One happened to have been very good, with scenic grounds to walk on. and a graduated pass system.

The other was a "state hospital," with no scenic grounds. Just a locked ward.



Claradoon
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17 May 2019, 9:18 am

The thing that puts me off is total authority of psychiatrist. No patient rights. Out-of-control meds making me sicker.

Are there places without psychiatrists?