When do you consider inpatient treatment

I was just wondering what other people feel or look at to make them consider inpatient treatment. Or do others make the choice for you, like family, friends , therapists or Pdocs.

Traditionally I have had a hard time making this decision. In the past too many times I have overdosed and end up inpatient that way. Of course I should have decided before the overdose.

Also many times I have informed the people I should that I need inpatient and they just ignore me.

But things can sometimes go downhill so quickly.

I wonder the same thing all the time. I had a couple of depressive episodes during which I could barely see, I had violent whole body tremors, and I couldn't do much but lay on the couch. I had suicide ideation. Should I have gone to the hospital? Who knows. The episodes ended up easing on their own. Or maybe it was the medication.

Speed I believe when you start to question whether you need to be in patient that it might be time.

I know you have had major problems with pdoc and hosp ignoring you and it is bs. You have a basic human right to that care in America. I don't know because I was away for so long if there was any resolution with the hospital. However please do not let it get to the oding point before checking into a hospital.

To answer the question I have only been hospitalized for mania and psychosis and many attempts by my pdoc when I have been manic or mixed. I have not been hospitalized for depression and I realize I am a bit opposite to alot of people but when I was depressed that was when I was least likey to reach out vs the mania, much more likey to ask for help in that state. Not that it was always in my best interests.

The first time I went in this year my doctor insisted because I was suicidal and felt compelled to drive my car off the highway. The second time I went on my own because I felt compelled to overdose on my medications. This time I'm trying desperately to stay out even though I've been compelled to self harm and abuse my medication for days now. What's different this time is I feel like there's someone else controlling me, taking over my mind. But my therapist is not concerned nor is my pdoc so unless I go on my own I'm not going in. Thankfully.

Except my husband might make me go. I can't stay safe no matter what I do because I don't feel like I'm me anymore I feel like someone else is planting these thoughts in my head....and I HAVE to act on them.

Anyway not to make this about me. When I felt I couldn't control it anymore that is when I considered inpatient.

For me its when I have a Sui plan and I begin writing letters. Going inpatient has always given me time to get my feet back under me.

Stay safe no matter how you can

My family always made the decision. They made me go to inpatient via ambulance during my mania/psychosis phase; so far it has been three time via ambulance and one time they drove me. I become too delusional to notice my behavior and to act accordingly to help myself. I have to rely on family to tell me when I'm hallucinating or when my mood is out of line.

Also how do I put a trigger button on my post? I'm still new to this forum so I don't know how to do it.

WildFlowerChild and I had similar experiences, once I put myself in because I was about to od. The second time the doctor sent because I was planning on driving off a bridge. Both times being extremely depressed.
Gayle

I have been seriously considering inpatient treatment for months now. I'm functioning enough to go through the motions mostly passably... But not at all inside. I don't have anything to strange going on, I just feel INCREDIBLY overwhelmed and unable to deal. I worry that if I checked myself in somewhere, they wouldn't let me back out. Lol

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People usually make the decision for me these days. I tend to decompensate rather quickly and I can't tell how bad off I get until I start getting suicidal. Generally if you have suicidal or homicidal thoughts or you're becoming obsessed with death or dying, you should check into the hospital.

Here's a thought... Once when I was committed. I told the PDoc that I would find his first born child, then eat that child with a dull knife and spoon. I vividly remember saying this, and had no idea why I said it or what thought provoked the statement. I was really sick. I'm a sick and twisted individual to begin with... But anyways I eventually got out. So unless you really go postal in there you will be released also.

For me it was easy, my work had me removed via police from the workplace. 72 hour hold and a month of all day therapy. Thank god for good insurance and a good hr that allowed me to return to work. Inpatient was a godsend for me.

Never even considered it.

The only way I would go is if I was forced. That's not going to happen because my therapist and I keep close tabs on what's going on with me. He will not hesitate to contact my doctor if things are getting out of hand. I also have the example of a neighbor who is schizoaffective. She goes off her meds every couple of months and ends up in the hospital. No thanks.

I have a high paying, very technical, sometimes stressful job. Unless I was stripping naked on top of a car, or actually standing up on the railing of a bridge somewhere, there is no way that I would be able to take a week or ten days off to be in the psych ward.

But that's just me.

Hopefully you don't live in Pennsylvania. Almost anyone can 302 you. All they have to say is your threatening yourself or others... happend to many times... sucks. They have to tell the cops but still, it's easy to commit someone in PA. It's only a 72 hr hold though.

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I have checked myself into the hospital twice, although I'm sure I needed it more. The first time was after an almost over dose on sleeping pills and pm meds, the second time was after a month extreme burning myself and paranoia. I know I needed to go in the hospital at the beginning of the summer but my boyfriend just kept playing it off.

For me it's usually when I become actively suicidal and develop concrete plans to off myself. However, the last time I went inpatient, it was due to severe fatigue and leaden paralysis due to the depression. I simply could not move. I was pretty much trapped in bed most of the day. When I was up, I was stuck on the couch. I was unable to feed myself - literally could not lift the fork. I had suicidal thoughts but could never have moved enough to act on them. But once I stopped eating it became apparent that I needed to go in.

I'm with many others who tend to put off going inpatient. I downplay the severity of my illness and keep saying "I'll be fine." and that I'll pull out of it myself. Once I'm at the hospital and can begin to come out of it, I realize just how far gone I really was. So if you're questioning whether or not it's time to go in, it probably is.

You got a lot of good responses so far! For me I know it's time when I can no longer cope at all, that's usually when I feel a threat for myself or for others. Or when I lose all touch with reality. Of course by then it's usually too late. I wish there was a early warning sign to respond to lol.

I very rarely choose to go inpatient on my own. I can probably count on one hand how many times I've agreed to go, and two hands how many times they made me go. I have more depressive episodes than hypos but I have been admitted for both. I choose to go in when I am feeling actively suicidal or the complusions get too much to ignore.

I have been on a 72 hour hold when I was baseline, but my grandmother told them I was suicidal when I wasnt. I ended up being in there 5 days since it was over chirstmas and it was a public holiday. Its unfortunate that here they can hold you just because someone else didnt want to deal with you.

I hate going to hospital. I've been out for 2 years now and Im hoping to continue that trend.

I'm with Dillpickle, he said it very well. I would also add extreme hallucinations and paranoia.

Me? Never. Although my pdoc admitted me once, but I discharged myself the next day.
I think its cultural though, we just dont do that here. So it has never occurred to me to go to a hospital.

Never been an inpatient although I should have been on a few occasions but I guess it's when you feel at a crisis, contemplating SI etc Or just feeling like you can't cope and need time to gather yourself.

I haven't and don't plan to ever go inpatient. I have signed documents that give my pdoc my complete medical reins if my husband approves of the medical plan. Hence once I go in I'd have to stay until pdoc gives the okay and be treatment compliant while there.

My husband asked me to go in last weekend because he was worried my irrational-ness was going to flip into psychosis. I've been completely "gone" and not inpatient even.

As a kid I was completely traumatized by my sister's 6 week stay and her med f*** up while pregnant inpatient. I've been told 2x "I think you should go to the crisis center" by my therapist. Now that I trust her I'd go if she said that again.

So I guess when a trusted medical professional says to.

I agree that when a trusted professional says its time to go.

My last session I was feeling especially low and my therapist asked if I wanted to go to the hospital. I got immediately scared and said "no I'm fine".

My biggest fear is going into inpatient and having all my freedoms taken away from me. I remember being there and immediately just wanting to go home. Being overmedicated and trapped with no hope.