I have Bipolar Disorder.
Twenty percent of people with a mood disorder end their life by
suicide. That's 1 in 5 people. I think of the statistic and wonder about the
people around me. Who of my family and friends have a mood disorder...depression,
bipolar disorder, or schizophrenia?
In what seems like a lifetime ago, I spent 10 days as a patient in a mental
health facility. I am healthy now, but at the time I was in crisis.
In the emergency room, I was admitted into the hospital. I changed into a gown without
strings. They made sure I removed my bra and took my clothes away. I
waited for a social worker to interview me. After some time, I saw a doctor.
Calls were made to different mental health hospitals; some hours away. When a
bed would become available, I was interviewed by a facility over the phone to
see if we were a good match. When I was ready to be placed, I left the hospital
in an ambulance to go to the other one.
When I arrived, sitting
on a stretcher, I looked around as the other patients watched. After taking me
to a private area where I took off my clothes so two nurses check my body for
injury, I saw the door to the padded room. YES, there is such a thing! I then
changed into a set of scrubs. Elastic band without strings. All the patients
wear an identical color. I was told that if anyone escaped, the police could
tell where we were supposed be.
What was it like spending time there?
We had roommates. Some never left their room and spent most of the day sleeping. I was told that it was because of medication. The bathroom did not have a door or mirror. The toilet paper did not have a cardboard center. There was no toilet paper holder; it was stored in a small slot in the wall. We were expected to make our beds every day. They made sure we showered daily. They dispensed small amounts of body wash and shampoo in little paper cups. We had to go to the front desk to ask for them.
We were heavily monitored. They had a list of every patient in the ward. Social workers were assigned to a group. They had a checklist to mark off all the places we were during the day. They kept track when we woke up, made sure we attended all the activities, and what time we went to sleep. They would check on us while we slept. Showers, making of the bed, laundry, and what, when, and how much we ate were noted. It was to see how we followed the rules and measure our degree of rehabilitation.
We were on a strict schedule.
After waking up, we
would stand by the nurses’ station and chat while drinking decaffeinated coffee
or hot cocoa while we waited for breakfast. No caffeine! There was a running
joke that chocolate had a bit of caffeine in it. I guess they wanted us to stay
sedated. Coffee would have counteracted with our medications.
After breakfast it would
be time to stand in line to take our medications. One at a time, we would step
up to a little window. The nurse would check our wristbands to make sure we
were who said we were. She would watch us closely as we took our medication.
One time, someone tried to hide their pills. The nurse questioned her about it.
A supervisor had to come over to make sure she took the them. If you missed
your medications, they would find you.
Afterwards, we would go
to group therapy and share our feelings and goals for the day. Every day we had
a different group of people. Some would be well enough to go home and different
people would be admitted and replace them.
Then it would be time
for the morning snack. It usually consisted of fruit, crackers, or granola bar.
We could only pick 2 items. Thursdays were a treat! We got ice cream. Can you
imagine how excited were?
Every other day we went
to music class. We played instruments; Mostly small percussion types. Some
could not wait for their turn! We'd follow the beat of the music as we listened
to song lyrics. We would discuss what we heard. The topics were about feelings.
It was kind of depressing. With different people in and out of the program, we
studied the same songs over and over again to accommodate those attending for
the first time.
The other days of the week, we attended art classes. We would draw as we the speaker talked about coping skills. I don't think we had scissors. Looking back, we did not have pens or pencils, either. We used crayons. Nothing had staples on it. No sharp objects.
Then came lunch. As we
lined up to see the menu, people would discuss the food options. If we didn't
like what they were serving, we could ask for a turkey sandwich. It was
pre-made. The food service worker would unwrap it and put it on our plate, No
plastic wrap for us! They did distribute plastic forks and spoons, though.
After we ate, they watched as we threw away our eating utensils.
In the afternoon, it
would be time for another group therapy session. We would talk about how we are
doing with our goals for the day. There would be discussion about our plans and
others could chime in with suggestions. Another activity we could take part in
was exercise. Yoga was offered. Some would fall asleep during the class. An afternoon snack would be served.
Throughout the day, some people would go to an appointment to be evaluated with a doctor. The psychiatrist would talk about our behavior and adjust our medications. The medications my doctor at home prescribed me were expensive. One of them was a high dose of a benzodiazepine for my anxiety. It is addictive and can be abused. I was given a different drug in its place. My anti-psychotic was substituted for another. I was given a mood stabilizer and something to help me sleep. We would take our meds in the morning and again at night.
After our evening meal, we played board games. A couple times a week, a small number of us would get visitors. It was a chance to see family and loved ones for an hour during a designated time. One of those days my family came to visit. Guests have to be 18+. Some of my children passed as being adults even though they were underage. My youngest son had to wait in an empty hallway outside the psych ward alone. There were no chairs for him to sit. He was under 10 years old. My husband brought me some things I requested. A few children's coloring books from the Dollar Tree and packs of crayons. They were a hit with the other patients! Everyone was bored during the day with nothing to do but watch television. Some of them ripped pages out so anyone interested could color at the same time.
Everyone there were from different backgrounds with different mental issues. There were people of all ages. Some young adults; some in their later years of life. Some of the patients did not have a place to go after being released. Many of them were homeless. They were sent off in a cab to be taken where ever they decided to go. I wonder what happened to them. The thing that we all had in common was the attempt to end our lives. Some are admitted to hospitals like this more than once.
I spent 10 days in the psych ward of a mental hospital. I signed myself out even though they wanted me to stay longer. I felt that I was out of crisis and was no longer in danger of harming myself. When I left, they made sure I had appointments with my doctors before they released me. I had professional help outside the hospital. I had a place to go. I had a family to support me as I healed. I was one of the lucky ones.