9 Things I Learned in the Mental Hospital

9 Things I learned in the mental hospital - Cassandrastout.comAfter the birth of my son eleven years ago, I suffered a postpartum psychotic breakdown and committed myself to a mental hospital. I later wrote a book detailing the experience, and how I reacted at the time. I learned many things during my five-day stay, and I’d like to share some of them with you today. Here are 9 things I learned at the psych ward:

  1. Anger is common. The most surprising lesson I learned during my stay at the mental hospital was that anger is shockingly common for patients at first. While there, the doctors seem to be your enemies who want to keep you there. It’s not true. Your doctors want to help you exit the facility successfully. Couple the us vs. them mentality with emotional and mental distress, and it’s not suprising that patients tend to respond with anger. But the heightened emotion tends to dissipate over the length of the stay, as the medication starts working.
  2. Inpatient treatment is a stopgap. A stay in a mental hospital is similar to a stay in the physical hospital for surgery: you don’t fully recover while you’re there. A mental break or depressive episode can’t be solved in a day, no matter how good the meds are.
  3. The patients are human. One of my main mistakes during my stay in the mental hospital in the mental hospital was dismissing the other patients as “crazy.” But the patients in a mental hospital are human, with all of humanity’s weaknesses and strengths. Everyone has a story. Everyone is suffering more than you know. I learned that I shouldn’t dehumanize or dismiss people because they’re suffering from mental illnesses–including myself.
  4. The staff is human, too. Learning that the patients were human was hard, but what was even harder was recognizing that the staff were human, too. At first, I believed the doctors and nurses were out to get me. But the staff are all individuals, and human. Some of them are kind and compassionate, while others are just working a shift. I learned to accept the flaws and foibles of all the nurses and psychiatrists, and that made the stay more bearable.
  5. Boredom reigns supreme. After my anger diminished, I was bored out of my skull. I was manic and depressed–suffering from a mixed episode–and restless. The only distractions available were coloring sheets, an ancient, derelict computer, reading old issues of Reader’s Digest, and (gasp!) talking to the other patients. I was far too revved up to engage in coloring or sloooow web surfing or reading, so I talked the ears off of my roommate.
  6. Even while psychotic, I was aware of how people treated me. Even during my psychotic break, I was able to pick up on other people’s moods. I don’t know if that’s just a “me thing,” or if everyone psychotic is that in tune with others, but I knew when people were mistreating me. Be careful when dealing with psychotic people, and treat them with respect.
  7. Boundaries, boundaries, boundaries. During my stay in the mental hospital, I grew close to my roommate. Too close. I struggled to separate myself from her, even feeling shocked and betrayed that she would vote for a different presidential candidate than I would. I genuinely believed we shared the same thoughts. Learning boundaries was extremely difficult for me, but everyone benefited.
  8. The nurses draw your blood after every meal. The other patients and I were required to sit in a garish, orange chair after every meal and “donate” blood. The nurses drew our blood thrice daily, and it wasn’t until the middle of my stay that I realized they were checking to see if the medication was up to acceptable levels.
  9. If you commit yourself, the doctors cannot legally hold you.  Missing the first few weeks of my infant’s life was devastating. I was desperate to go home and take care of him. It wasn’t until my fifth day that I learned, through a slip of the tongue from a nurse, that, since I committed myself, I was able to go home anytime. I left against medical advice the day after that–potentially a mistake, as my recovery time from my mixed episode was probably longer than it would have been because I didn’t allow the doctors to do their jobs. Thankfully, God was with me and I did, eventually, recover (see lesson #2).9 Things I learned in the mental hospital - CassandraStout,cin

Final Thoughts

My stay in the mental hospital was literally life-saving. I learned more about myself there in six days than I learned in a year’s worth of therapy prior to that. I learned how to manage myself, other people, and my expectations of those people. I managed my surprising anger. I learned that dehumanizing others is easy and a bad habit to slip into. I learned that mental hospitals sound like scary places, but they’re actually really boring. Above all, I learned that I can handle anything life throws at me.

If you’ve dealt with a stay in a mental hospital, what have you learned?

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How to Support a Friend or Loved One Staying in a Psychiatric Hospital

hospital.jpg
A white man reclining in a hospital bed. Credit to flickr.com user JD Harvill. Used with permission under a Creative Commons license.

Sometimes, people just need a little help. There may come a time in your life where a friend or loved one is committed to a mental hospital. When I suffered a postpartum breakdown after the birth of my first child, I committed myself. I was fortunate enough to have the support of a loving, devoted husband, who cared for our newborn and for me while I was struggling with a psychotic manic episode. If you have a friend or loved one spending time in a psychiatric ward, here are some tips on how to best support him or her. If you have a loved one staying in the mental hospital and have other people ready to support him or her but don’t know how, then feel free to print this article out and hand it to them.

The “DON’Ts” of Visiting a Friend or Loved One in a Mental Hospital

  1. Don’t show up unannounced. Make sure you call ahead of time before visiting your friend or loved one in a mental hospitlal. I am sure he or she would love visitors, but being hospitalized is exhausting, and sometimes your friend might not be up for a long visit, or even one at all that day. Also be sure to check when visiting hours actually are.
  2. Don’t be afraid. Mental hospitals may seem like scary places, and it might feel natural to be afraid while you’re there. Patients talk to themselves, are in pain, and are sometimes unpredictable. But your fear contributes to stigma. These patients are normal people who are struggling with mental and/or physical illnesses. The nurses can manage the patients, who are unlikely to be violent. Conquer your fear and don’t worry about visiting your loved one.
  3. Don’t act like you’re going to catch mental illnesses. When I was committed, a fellow patient introduced me to her family. They were very reluctant to shake hands with me, and leaned back from me, presumably so I wouldn’t breathe on them. Their behavior, where they acted as if I were contagious, was insulting and demeaning. You cannot catch crazy. Do not even act as if people in pain are contagious.
  4. Don’t pity the patients. Sympathy is good, empathy is even better, but pity is terrible for anyone suffering from a mental illness. Pity contributes to feelings of low self-worth and depression, and just feels bad. Try to empathize with your friend or loved one stuck in the hospital, but don’t pity or blame him or her for being there.
  5. Don’t abandon your friend as soon as the hospital stay is over. After the hospital stay has concluded, check in with your friend and see if there’s anything he or she needs, be it a cup of coffee or help cleaning the house. Just like a physical illness, mental illnesses take a long time to recover from, especially when a hospital stay is required. Your friend will need you more than ever when they leave the hospital. Continue being a good friend and supporting him or her.

The “DOs” of Visiting a Friend or Loved One in the Mental Hospital

  1. Do visit. One of the best ways to support a friend or loved one who is staying in a psych ward is to show up and be there for them. If you can leave your judgments at the door and offer a compassionate listening ear, you can help buoy him or her and even aid in his or her recovery. Visit as often as you can and the hospital allows.
  2. Do bring something to do or talk about. One of the surprising aspects of the hospital is how boring a stay can be. Patients have very little to do other than color and read old copies of Reader’s Digest, or whatever the hospital has on hand from prior donations. A person staying in the mental ward may face crushing boredom; do your best to alleviate that.
  3. Do write and call. If you can’t visit, dropping your loved one a note or calling him or her up will be very much appreciated. Knowing that people on the outside haven’t forgotten him or her is extremely helpful to a person staying in the psychiatric hospital.
  4. Do offer your loved ones the same respect you give them when they are well. The best way my husband was able to support me was to treat me as if I were the same person he’d always known, and play with me as if I weren’t in a hospital setting. Treat your loved ones with respect; even when psychotic, I was able to tell when other people were mistreating me.
  5. Do acknowledge your loved one’s pain. Validation is one of the most powerful tools you have at your disposal to relate to your loved one. Rather than responding with something like, “You’ll get over it,” or even “Hang in there,” to their depression, acknowledge that he or she is hurting. Even saying, “That sounds really difficult,” will put your loved one at ease.
  6. Do advocate for your friend or loved one. Ask the person you’re visiting whether they think their treatment team is treating them properly, and keep your eyes open for any problems. The likelihood of your loved one being abused is low, but he or she still might not be able or willing to speak up for himself or herself, even for something as simple as asking for an extra blanket or a clean set of sheets. Keep in mind that your loved one may not be the most reliable narrator; anger at the nurses is common in a mental ward, especially at the beginning of one’s stay, so your loved one might take the chance to rail against their “tormentors.” But don’t hesitate to bring up your loved one’s concerns with the nurses. If the mistreatment is real, you will need to advocate for your loved one and ensure he or she gets proper care.
  7. Do establish boundaries. If you are overwhelmed by your loved one’s negativity, change the subject. Try not to cut the visit short unless he or she becomes too agitated to speak or becomes violent, as some patients might think you’re abandoning them. But healthy boundaries are important when visiting a friend in the mental ward. Take care of yourself and make sure to do something relaxing for yourself as soon as the visit concludes.

Final Thoughts

There are several dos and don’ts when supporting a friend or loved one staying in a mental hospital. Having gone through the experience of committing myself, I can strongly suggest that you visit as often as you can and the patient allows, as that will aid in his or her recovery. The feeling of being forgotten while staying in a psych ward is very real, and is crippling. Try to be in tune with your friend’s needs, and don’t abandon them after the hospital stay is over.

I wish you well.

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