Can I decline inpatient care if there’s no immediate crisis

I was mistreated by a patient relations representative and since that I’ve been cycling panic/anxiety attacks and crying spells for about a week. I’m barely sleeping now. Im barely eating. I would say for the past week it’s about an hour or two between these attacks which last about 10-20 min each. Past few days about once a day I have a sharp electrical jowl pain for a few minutes but it subsides. I’m also enraged sometimes.

Im on a biologic medicine for crohns and ulcerative colitis (both) and nurses have been negligent in my care, even admitted that for months when I started this treatment that I wasn’t assigned a nurse so my calls went to no one.

I don’t want to be on any psych meds because this is the first time I feel like I’m in complete remission in over 7 years and I’m worried a medication will be too much for kidneys/liver. I have had kidney issues/infection-previously, likely aggravated from complications with psych meds and my condition and previous meds for my condition .

It’s the panic attacks that need to stop. I’m scared to go because of medicine but I’m scared not to go because I can’t control these attacks anymore.

I’m so close to an intake appointment which is tomorrow but I don’t know if I should wait or go. Because this all stems from negligence with a hospital, gaslighting appointments that never actually get made, and because of some explicit harassment from the patient relations, it becomes really hard to convince myself to go. It would be a different hospital system though.

Hi @smallpotato - welcome to MSF. I am sorry you have had mixed results in the past.

I am a peer support person not a medical person, but my opinion is that you really could gain more than lose by doing the intake appointment. Some people I know wait months to get appointments.

That is my opinion, go while you have the chance. That is just the first step and you may get better service after the intake appointment. @CANDC

I’m definitely going, rereading it now I wasn’t clear about the internal debate I was having about going to crisis immediate care or waiting to go to intake tomorrow for outpatient care. I came pretty close to going today to the crisis center but I just really didn’t want to have to stay there.

Panic attacks totally peaked today this evening. Just random outbursts again and again and again all day culminating into the worst feelings. My boyfriend helped calm me down a lot. Actually kinda riled me up a little at first lol, not his fault he thought what he said was helpful, but it made me mad, but we talked a lot out. He’s been here for me this entire time and he’s the first person who really tries to understand me and he’s good at helping me get out of the funk. I feel bad because he’s had to see me like this all week and I know it’s hurting him I could see it today he wanted to cry when I was crying but we talked about that too and we’re just gonna keep talking about it. I’m ok now. I’m here quietly at home for the night, gonna sleep a bit, get some hygiene going lol and in the morning I’m gonna go. I’m kinda scared though.