[optimistic_dolphin]

as above, how do u know it's time for some intensive treatment?

I am at a lost. everytime i go inpatient, before i step through the door, i want out. For the following days i pester my doc until i get DC. In my mind i only want outside and nothing to do with the ward. one reason being i hv ED and i hate being controlled in term of diet in wards.

This time i m having psychosis. I get violent thoughts. but for hallucinations they died down a little. sometimes others are bizarre as to what i am saying. Only the urge to become violent is there. I don't know whether to go IP.

[i dont matter]

i am no doctor.... so take my comments with a grain of salt. But in my opinion - if you have to ask us, then you need to go.

Just my opinion.

[SleeplessInNYC]

How would you go about going inpatient? Would you go to the ER and tell them about your violent thoughts? Do you have a psychiatrist you can speak to about it first? He/she may be able to guide you better. (And usually I think if you are potentially in crisis they tell you to call their cell if anything comes up- at which point they probably tell you to go to the ER)

[gma45]

I think I would call my doctor and see what he/she thinks. If you don't like being there I would put it off as long as I could. Then again if you feel like hurting yourself or others I would go, just to be safe.

[amandalouise]

Originally Posted by optimistic_dolphin

as above, how do u know it's time for some intensive treatment?

I am at a lost. everytime i go inpatient, before i step through the door, i want out. For the following days i pester my doc until i get DC. In my mind i only want outside and nothing to do with the ward. one reason being i hv ED and i hate being controlled in term of diet in wards.

This time i m having psychosis. I get violent thoughts. but for hallucinations they died down a little. sometimes others are bizarre as to what i am saying. Only the urge to become violent is there. I don't know whether to go IP.

only you and your doctors can say whether its time for you to be inpatient or not.

what I can say is that when ever I have become a danger to myself or others (ie wanting to harm myself or wanting to harm others, suicidal,...) my treatment providers say yes its time for inpatient.

again only your doctors and you can say whether or not you need to be on inpatient status....my suggestion contact a treatment provider in your off the computer location. they will be able to assess the situation based on your problems and the laws of your location on such issues.

[optimistic_dolphin]

Originally Posted by gma45

I think I would call my doctor and see what he/she thinks. If you don't like being there I would put it off as long as I could. Then again if you feel like hurting yourself or others I would go, just to be safe.

i just had my doc appt today. my mum suggested it but she said the ward is full and right now restricted admission because of the outbreak of flu. my next review is net wednesday. I always put off IP as long as I could, until it gets ugly... :/ she just increase my seroquel from 50 to 100mg. not sure whether the next appt in a week (usually i see her once every two weeks) is to monitor my med dose or to chk if i need IP...

[eskielover]

Sounds like things work a lot different over in Hong Kong than they do here in the US. Hope you are doing ok...& if not, I hope that they can put you IP if you are in need of that care.......

Doesn't sound like IP is split between psych & medical like it is here as an outbreak of flu has no influence on the open places in the psych area of the hospital

This thread is a very good example of the inconsistency of psychiatric health care. Every p=doc does it differently, every health plan has its own methods...the inconsistency is messed up.

[eskielover]

This thread is a very good example of the inconsistency of psychiatric health care. Every p=doc does it differently, every health plan has its own methods...the inconsistency is messed up.

This thread is also a good example of how different psych care is in different countries.....not just how different pdoc's have different methods. Every country has it's own way of dealing with mental health issues & some are definitely more in the dark ages than others.

[avlady]

I always hated being an inpatient, but realized after being there several times and im getting older i do need to be put inpatient for my own good even i think myself no, i think it wasnt so bad after every stay now. whats up with that?

[eskielover]

I know for me...when I was still in my bad marriage....the hospital stays were almost a total relief from what I was going through....& it was where I could stay safe from my feeling totally trapped & wanting out no matter what I had to do.......there were times when my pdoc wouldn't release me to go back home with my H......so I can relate to the more times I would end up in the hospital the more comfortable I would feel there because it wasn't so much the total unknown.....but when that private hospital closed....I was back to NOT wanting to go back into the hospital again & did refuse the last time...but was so medically ill with the anorexia that I ended up in the medical hospital instead.

[optimistic_dolphin]

Originally Posted by eskielover

I know for me...when I was still in my bad marriage....the hospital stays were almost a total relief from what I was going through....& it was where I could stay safe from my feeling totally trapped & wanting out no matter what I had to do.......there were times when my pdoc wouldn't release me to go back home with my H......so I can relate to the more times I would end up in the hospital the more comfortable I would feel there because it wasn't so much the total unknown.....but when that private hospital closed....I was back to NOT wanting to go back into the hospital again & did refuse the last time...but was so medically ill with the anorexia that I ended up in the medical hospital instead.

When my ED is that bad, i end up in med ward where the doc can check on your psych history and contact the psych doc. Damn. i would end up in psych ward after my health stablise in med ward :P

i used to be so comfy in psych ward that it was better than home and outside world. but once i got used to outside, the ward is a nightmare where eyes spy and control exists. X(

[eskielover]

Yes, I had times like that the first time my anorexia was so bad....for a few years I would end up in the medical ward & they would wheel me to the psych ward for the group meetings with my IV nutrition & then it seemed like there was always at least a few days in the psych ward before being allowed to leave.

I understand exactly the feelings you are expressing......once I got used to being out, it almost felt like prison.....& the last time with my mother dying of cancer, I needed to be free to come & go to take care of her care. I actually did most of the funeral arrangements from the hospital which I couldn't have done from a psych ward...but the hospital's pdoc wasn't going to let me out to go to the funeral because I had become so physically ill & the IV nutrition they did with a PICC line got infected & they had to stop the treatment. My GP let me sneek out AMA but the pdoc was angry because he wanted them to put a hold on me....but I promised to come back right after the funeral & after my daughter left. You can't just do stuff like that when in a psych ward.....or at least I never seemed able to in any of the past experiences.

[optimistic_dolphin]

hi everyone

some update
i decide to go inpatient a few days earlier
taking med is helping. dr is doing CBT and adjusting med
tho i still feel violent and psychotic at time, but the med dousing it
u guys take care too

[aventurapsych]

have you tried to do any outpatient therapy first? also, inpatient can be hard at first but after a few days you should start feeling more at home. the important part is that you get the help you need so that you don't feel like a prisoner anymore