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Saturday, November, 22, 2008

Involuntarily Committed, Then Forgotten

by  G.J. Gregory
Thursday, October 11, 2007
G.J. Gregory
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An ongoing topic of discussion when bipolar disorder advocates and patients get together is the involuntary treatment issue. Is it right to commit someone for treatment against their will? Is it sometimes necessary, or is it never appropriate?

My personal opinion, for what it's wo...

  1. An unforgettable act
    Eric
    Thursday, October 11, 2007 at 06:37 PM

    G.J.

     

    We both see eye to eye on this one. There are times that we need to exercise our rights as families to do a short involuntary stint for our loved ones.  But in the cases you provided, excluding your sons case…Where are the families??? How is $2500 going to give them back 10 years of their lives of usually being heavily medicated causing sedation? Where are the patient advocates?

     

    I have a personal story in that my wife held the status for 2 1/2 weeks of voluntary status until an incident. Since then she has been in an acute unit that is next to worthless in care and over drugging is used as a way to deal with patients.

     

    I have tried for the past two weeks to get her over to a state run facility that I did visit and seemed a lot nicer. The point I am trying to make is that I have had to since day one advocate for my wife.

     

    For heavens sake, don't just go along with things and put your loved ones care totally in their hands. The thing you need to understand is there are a number of these places that some if not most of the people that are left to watch your loved ones need constant monitoring.

     

    Your loved one looses a voice and is discounted for everything by saying their crazy and it never happened. Great control mechanism huh, for the people left in charge.

     

    About twice a week I am running their ***** over the coals for something stupid that should never have happened. This week...wife is too heavily medicated and fringes on an over dose (eyes rolling up toward the forehead) nurse comes in and agrees that they need to back it down a little. They refused to give her a hormone patch saying they didn't have any even after I explained calmly that I had brought them in the following day... a week ago.

     

    So again...where is the advocate?? We the families are the advocates and need to demand good treatment of our loved ones. I want mine home as soon as possible and the thought of them keeping her one day more than they need to is unconscionable.

     

    Some families have found it too unbearable and used these facilities for a dumping ground. I would much rather have those in outpatient residential housing than involuntary committed.


    reply
    re: An unforgettable act
    G.J. Gregory
    Friday, October 12, 2007 at 06:56 AM

    Eric,

     

    I hope things improve soon for your wife, I can't imagine the stress and pain I'd feel if I were in your position.   It's been said if we don't advocate for our loved ones, nobody else will.  And that's very true, but it assumes we all have the ability and strength to be an effective advocate.  You have my respect for being that kind of advocate.   I've gotten to know another person also thrust into an advocate role,  you might take some comfort from a peer struggling in a similar way.  You can read her stories here:  

     http://bipolarsoupkitchen-stephany.blogspot.com/

     

    Thanks for sharing your experiences. 


    reply
    re: An unforgettable act
    Stephany
    Saturday, October 27, 2007 at 05:13 PM

    Eric,

     

    As GJ wrote in comment [thanks for that] you can read my blog and know the role of advocate is imperative, and necessary, as it sounds like you have discovered like I did. I find it works best to be in person, and many times unexpected. I've been advocating intensely since Oct 10 to prevent my 19 year old from being discharged to the state hospital [per her current inpatient doctor plan]. I single-handedly found a solution, and have spent the last 5 days from basically 9-5 being everywhere, talking to everyone. Keep all contacts names and phone numbers you ever get--some of mine are people I have known for years in the system, and I was able to call them to consider my plan. It worked. I will be writing more on my blog on Monday Oct.29th about what I did, and how it all turned out. For now, I wish you energy and strength to do what you can to be your wife's voice. The pure terror that the doc wanted to send my daughter for warehousing at the state institution[unacceptable]is what has given me a super-human ability to forge ahead fatigue or not.

    Funding is a large problem and reason there are no advocates to find for individuals, and often times the hospital staff perceives a proactive advocate family member as interference. It's a tough road to travel. Keep emotions out of it, and remain the advocate. That asks a lot doesn't it? But we know who we fight for--so we fight on.

    Good luck.-stephany at soulful sepulcher


    reply
  2. Untitled Comment
    tabby
    Thursday, October 11, 2007 at 08:13 PM

    In the old days those with Bipolar were very often institutionalized either in a phospital or a sanitorium.  Bipolar folks were not recoverable.

     

    It wasn't uncommon for families to just drop Janey Doe off at the hospital and drive off never to take a backward glance.  Down the road they'd not speak of her and if so they would just whisper.

     

    It doesn't surprise me these particular patients were left nor had any review and if the hospital is a "for profit" someone was paying the big bill to keep them there.  The non-profits generally kick folks out.

     

    Sad thing is, these folks were never given the chance all those years to live life.  Not uncommon and the scary thing is - there are probably more of them.

     

    I feel that one should be involuntarily committed if one displays a blatant danger to one self or others.  Not necessarily because "we are tired of Janey Doe". 

     

    Course there are those that are frightened of the word "Bipolar", think we are all insane and deranged, shouldn't be allowed to look at small children much less care for any, and would want to commit someone to gain custody even if the parent isn't commitable.

     

    Oh, and most phospitals are notorious for over drugging patients to make them more easily managed for the staff.  Most, are only boarding houses until they get the drugs in to you good and hearty.  Most just roll their eyes when patients want things or demand things cause we are all "mentally ill".


    reply
    re: Untitled Comment
    G.J. Gregory
    Friday, October 12, 2007 at 07:04 AM

    Tabby,

     

    I hadn't thought of it that way, and you're absolutely right.  There may be that old-school mindset at work there.  

     

    And I don't know about you, but I'm completely and absolutely insane and deranged.  Wink 

     

    Thanks for taking the time to read and comment, and I hope you don't take offense at my 5:00 AM warped frame of mind. 


    reply
  3. Unbelievable
    ctrygirl
    Saturday, October 13, 2007 at 11:43 AM

    This post really touched me deeplyCry, I know that often we are termed PARANOID well gee i wonder why.....it is like we aren't fully human to some of these places like that

    and trust me when my father was ill in the hospital there were numerous times i had to rake a few over the coals (my mania helped me to get the nerve to do soFurious for in places like hospitals the docs and nurses are portrayed as Godlike and their decisions written in stone....NOT!) also just to get BASIC and i mean BASIC needs met and he wasn't in a mental institution but in a regular hospital for a physical illness he had no mental illnesses at all but...the compassion is no longer there peopleEmbarassed, i really don't think it is.

     They look at us as mere deficiets to society and don't realize or seem to remember the Lord Byrons, Edgar Allen Poes, Robert Lowell's or Nash's of the BP world....they only see what is convient for themselves at times i believe...and no one will watch out for your family they way YOU will, we must be advocates for each other and keep getting the word out that these reports like on 60 minutes and Oprah are NOT atypical of our illness.

    The media is definetly not an advocate for us.Blink...

    I feel so deeply for the man who is trying to help his wife get through this time in her life and only hope he is given the strength to continue his vigilUnsure...keep up the good, loving work dear sir....

    And GJ thank you for keeping us all up on what is going on for in this media/fastpaced/internet world it is frightening how much MISinformation is being shared/shown about bipolar disorder.  This post scares the dickens out of meWoot!....it is my nightmare that i too will one day need to admit to the hospital and be forgotten there among the masses, however, i have the best family support system i could ever ask for so like the man who spoke of his wife i can only hope that my family would be as insistant as he on treatment procedures and "professional's" behavior toward me. 

    This is a NIGHTMARE scenario.Embarassed...thank you for making us aware of this...by the way is there anything we as advocates of other bps can do?? someone we can write to??? something we can do to help these poor souls dropped and forgotten and who probably feel the world is their enemy...IF they don't have them so drugged up that is....scary stuff...scary!!!

    ctrygirl


    reply
    re: Unbelievable
    G.J. Gregory
    Saturday, October 13, 2007 at 10:11 PM

    Thanks ctrygirl for your comment.

     

    You would make a good advocate - your passion is obvious and contagious.  

     

    Thanks for taking the time to read and comment. 

     

     


    reply
  4. Involuntary Commitment
    Anonymous
    Saturday, October 13, 2007 at 10:08 PM

    Hello G.J.,

     

    I just came upon this thread and thought I would throw my two cents worth into the pot.

     

    I used to be a staunch advocate against involuntary commitment.  That was true until I found myself in an untenable situation with my own husband.  He was out in the world, floundering, homeless, a total bum who did not bathe and who had lost his car, his life and his apartment.  He desperately needed some kind of intervention to help him recover some sort of life with dignity and humanity to  it.  I could not bear to continue watching him the way he was going.

     

    So, I went to the courthouse and had the papers drawn up for an involuntary commitment.  The judge granted my petition, they located my husband and had him hospitalized against his will.  While in the hospital, my husband received psychotropic meds that he sorely needed and, slowly but surely, he started to come around and return to his "old self".  When he was discharged, we resumed our lives with our son and things began to look better for us.

     

    After my husband was discharged from the hospital, he did not speak much about what I had done to him - IE:  having him committed.  He did agree that the meds had caused him to come out of his manic state, but he never commented on the fact that I had him committed.  Since things were going along pretty well, we just dropped it and didn't talk about it.

     

    All in all, you could say that the involuntary commitment was a success.  And for the time being, it was.

     

    Then, my husband went off his meds (feeling he no longer needed them).  He did fine for a period of time, until my son started having some minor problems with his boy scout leader.  I felt like the problems were something my son could work out on his own, with his leader, and I did not talk to the leader about the problems.  My husband felt very differently about what was going on, but rather than talk to the boy scout leader to work things out, he ranted and raved about the situation to anyone who would listen.  Eventually, the stress got to him and he spiraled up to another manic state.  All too soon, his behavior of being a bum, destroying his vehicles, starting fires and a host of other things, began all over again.  This time, though, my husband had something different in his arsenal of verbal attacks.  This time, he lashed out at me, screaming at me about how I could have had him committed and how he would never trust me again and how I was the devil incarnate.  He went on and on until I just couldn't deal with it anymore.  I made him leave my apartment and told him to go back to his own apartment (we lived in separate apartments at the time). 

     

    I could not forget the sting of my husand's words about the fact that I had had him involunarily committed.  This time, when he became manic, I could not have him committed again.  This time, my husband ended up committing a crime (he started a fire in is own apartment) and ended up in jail.  Once there, they give him his meds and he eventually got better again.

     

    I am not sure where I am going with all of this, but I do know that by having my husband committed:

     

    1)  For that one time, he "got better" and came around to being himself again;

    2)  He never let me forget that I had betrayed him by doing something against his will - he claimed that he would never trust me again, although he did not verbalize this fact when he was "normal", only when he was manic.

     

    My husband is dead now, so I can't say whether or not I would do it again.  I probably would not.  I would probably wait for him to commit some kind of crime and get jailed, whereupon he would be forced to take his meds and eventually "get back to himself".  At least this way, he could not blame me for what happened to him.

     

    Today, I am neither for nor against involuntary commitment.  I think each family has to weigh the pros against the cons.  I do know that my trust with my husband was destroyed because of what I did, and to that extent, I don't know if it was worth it or not.  In the short term, I got what I wanted - my husband returned to "normal" if only for a short period of time.  In the long term, I destroyed the trust that we had together as a married couple and, no matter how hard I tried, I could not get this back.

     

    I suppose each person has to ask themselves if it is worth it or not.  That is a question that each person has to answer for themselves.  For those of you grappling with this decision, I wish you the best of luck,Unsure

     

    Kay

     


    reply
    re: Involuntary Commitment
    G.J. Gregory
    Saturday, October 13, 2007 at 10:58 PM

    Kay,

     

    As individuals many of us feel we've seen a lot, or experienced a lot.  Then we find someone like you who has been to hell and back.  All I can say is thank you for sharing your experiences with us.


    reply
    re: Involuntary Commitment
    ctrygirl
    Sunday, October 14, 2007 at 12:38 PM

    Dearest Kay,

    I so want to commend you for taking the action to help your husband.

    It had to be a horrid, terrible and scary time for you...but YOU were proactive and loved him so you KNEW he needed help. That to me verifies that there ARE times for involuntary commitment for bps, to that there is NO doubt whatsoever, you did ALL you could honey and nothing but what you did would have helped him anymore. However, MY fear is for the ones who are committed without loved ones caring or without a support group of friends or family that are around to check on them and their progress.  The leaving them there for a decade is absolutely unexcusable...

    however, YOU didn't do such a thing...you were there to ease his pain (and mania does bring internal pain in a sense) and YOU were there to seek him help before something drastic occurred.

    It was simply the paranoria and mania speaking as he "blamed you" for the commitment....but obviously he wasn't of sound mind to make that decision himself. YOU very well could have saved another person from harm if he was at such extremes, along with seeing to HIS mental well being.

    You seem like such a caring and supportive person to him, and yet sometimes those of us with the illness can't see through the fog to understand what is in our best interest.

    Please know that you did what you thought was best, and in your situation you had NO choice.  You are right, there are definetly legitimate reasons for involuntary commitment, NO DOUBT at all about that and it helps many people who otherwise would NOT have sought the help they NEEDED.

     I applaud your courage and determination and love for your husband for doing what you did.Big Smile

     You did all you could.

     My only concern lies in the ones that are as GJ says "forgotten".Embarassed...I am just amazed that such a thing can occur in today's world.

     I so feel for those people GJ spoke of, but also am an advocate for involuntary commitment when an absolute necessary situation such as yours. You seem like a very caring person and I am so sorry that you had to go through the ordeals that you encountered and thank you for posting for it gives one the other perspective....God bless you and take care, rest assured you did all you could.

    sincerely

    ctrygirl


    reply
  5. Personal Testimony
    monica22
    Sunday, October 14, 2007 at 11:05 PM
    G.J.,
    Eighteen years ago I agreed to commitment thinking I would do wonderful things for the world while in the hospital. Yes, I was completely delusional. The hospital was almost a sacred oasis from the manic pace. I could not keep going. Today, for reasons we are both well aware of, the hospital is far from the spa-like experience I encountered. Let's face it, if you are a danger to yourself or others involuntary commitment is necessary. But where does that leave those who are the fellow patients of the committed? The story of the patients that were forgotten and heavily sedated is totally unconscionable. I just wonder if there is another option for those people who need to "get away" in a controlled setting but not committed to a dangerous place. Any thoughts?

    reply
    re: Personal Testimony
    karen
    Tuesday, October 16, 2007 at 01:34 PM

     i was in the hospital in April,and totally needed to be somewhere else. i told my dr that i was ok to go i  had a family member make arrangements to take me away for a few days from that lunacy(i was lethargic but coherent). Its been six months and i am still going thru med changes. Hanging on to a thread of sanity sometimes. I don't want to go back there voluntarily but i can't "shut down" and take care of myself. I will listen to my Dr. If he says i have to go then i will go. I just don't feel like i can get well there.


    reply
    re: re: Personal Testimony
    G.J. Gregory
    Tuesday, October 16, 2007 at 09:11 PM
    Karen - what a scary situation to find yourself in - struggling, but knowing it will be worse hospitalized.  Warm thoughts and good wishes your way, and hoping that things get better for you soon.
    reply
    re: Personal Testimony
    G.J. Gregory
    Tuesday, October 16, 2007 at 08:58 PM

    Monica, 

    If the frame of mind is bad enough, hospitalization could easily be an oasis. 

     

    I understand your concern about dangerous patients in with other patients.  I haven't given that any thought before.  That's  an interesting thought about a mental health get-away.  I think it's a great idea, for those who could afford it.  I doubt the insurance companies would pay for it, they don't like to pay for psych treatment even for life-threatening situations.  

     

    Thanks for getting me thinking! 


    reply
  6. just got out of a mental hospital
    sue
    Wednesday, October 17, 2007 at 01:41 AM
    i was going to a mental clinic for 8 year s they never dianosis me with bipolar until i was admitted i volunteere d admitted mine self because mine brother came in mine house and put his fist in mine house i told them i would killed them and mine self so i knew why then i need him where mine family is hateful and jealous so i have send up for mine disbility with other problems and had to go to court so they telling me all the reason i went was to get the check mine was a nervous breakdown i was mistreated at a child and me trying to take care of mine 87 years old mom who other 5 dont want her just her money andit very hard but i still having got over all of it i try to forgive it but mine family wont do it and i get so upset i dont really want to do nothing to hurted mine self so i just pray to god to help me an d going theraprist will might help ty for sharing  sue
    reply
    re: just got out of a mental hospital
    G.J. Gregory
    Wednesday, October 17, 2007 at 01:38 PM

    Sue - it sounds like you have things rough right now, and I wish there was something I could say to help.  But you're obviously trying hard, going to a clinic, admitting yourself, and so forth.  I hope things get easier for you in the future, it sounds like you deserve a break.

     

    Thanks for leaving a comment. 


    reply
  7. about another thing
    sue
    Wednesday, October 17, 2007 at 01:44 AM
    whenyou dont have insurance it very hard to get your medicines or any help they are so many overdoses and things in mine comments because of people cant seeth help sue
    reply
    re: about another thing
    G.J. Gregory
    Wednesday, October 17, 2007 at 01:45 PM

    Sue - it is VERY hard to navigate the mental health system without insurance.  I recommend anyone trying to do this go to support meetings in your area.  Check with NAMI or DBSA to see what they might offer in your area.   But your peers may be able to help you navigate your state's  system.

     

    Good luck. 


    reply
  8. I've looked into all eyes
    Stephany
    Friday, October 19, 2007 at 08:35 PM
    and I can tell you it is a painful place to dare look. As you know from my blog--my daughter is currently 'ITA'. Though I always knew her and she always asked me to take her for help to a hospital.So when she became very gravely disabled and stopped traffic with her body--I also had to save her life. What a contradiction.I believe in civil liberties and I hate hospitals. From experience with her. The best thing that can be there for a person who is sick and needing this kind of care--and I did not file the report to detain her, so I would gain what I needed, to be her voice as a temp guardian for a 19 yr. old. I have much more I could say here, but yes, it is a malfunctioning and drop-off system--I have met so many patients in locked down wards--and if I could be there advocate, I would be, and one day I will be. What ppl. need to understand is this does happen. Worse--it happens by hospital discharge plans and inpatient psychiatrists. This is why I am in a fight for my daughter's right not to be sent for warehousing at the state institution per the hospital's desire. I'm doing everything in my power as her mother and advocate and voice to stop that. The ppl I have met who do not have a voice---I cry nightly for--seriously I have witnessed more than anyone can imagine. And anyone who reads this who was placed somewhere against their will with non-concerned ppl behind it--I understand, and I am here. The fact that state institutions have graveyards,is one of the worst things I ever had to witness. --soulful sepulcher
    reply
    re: I've looked into all eyes
    G.J. Gregory
    Monday, October 22, 2007 at 03:30 PM

    For those who don't know what Stephany and her family has had to endure, I implore you to spend an hour, or two, or a day, reading through her blog:

    http://bipolarsoupkitchen-stephany.blogspot.com/

    Words can't do it justice.

     

    Thanks Stephany, for your comment. 


    reply
    re: re: I've looked into all eyes
    Stephany
    Monday, October 22, 2007 at 09:27 PM
    Thank you for the kind words. I will address this on my own blog soon, but one thing that really has been hard [to write it simply]--is seeing her sisters grieve for their little sister. But we are strong, and we remain so, for her. Thanks for allowing me to share a bit here.-Stephany at soulful sepulcher
    reply
  9. So Many Stories, So Much Pain, So Few Solutions
    Steve
    Wednesday, January 02, 2008 at 09:08 PM

    The stories shared in this thread are chilling and painful to read.  My late mother spent a year in an asylum (circa, 1963) in California.  State of the art 'treatment'; Thorazine, etc..  She had chronic depression and schizophrenia.  She had numerous electroshock sessions, and was actually on the waiting list for a lobotomy!  And she was a 'self-commit'.   I never knew of a time during my childhood when she was 'normal' for more than a few days a time.  She ended her life in 1976.  Just picked up a copy of The Snake Pit (1946) at a used bookstore (it later was a movie).  Though a novel, it described what mental hospitals were like long ago.  Obviously from this blog...not much has changed, and many BPs (I is one too) wind up trapped and forgotten.  It's so darned complicated, but involuntarily committment should be the last course of action, and I believe the state should appoint a peer advocate and an attorney to look after the interests of the patients.  Family should be first-line advocates, but they should be guided (if there is one available) a psychiatric advanced directive that is legally binding on all parties.  Except in the 'danger' circumstances, patient rights must be paramount.  It's good that this discussion is taking place.  Hopefully, talk will lead to corrective action.


    reply

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