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How to stop being so scared of hospitals?

#1
Howdy. Pretty unexpectedly, I've been offered a spot at this clinic focused on psychotherapy, the young adults ward specifically, for next Wednesday. I was told usual wait times were about half a year. All things considered, I'm incredibly lucky to be getting a spot for treatment this quickly, and the clinic is pretty nice too - it's all these houses in a park area, they even have a lake with a bunch of geese. It's rather pretty from the outside, the buildings are partially very oldfashioned and cool. And when I went for my initial intake interview last week, people were very nice. It wasn't as frightening as other places I've been to. The reviews are pretty good too, considering.
Still, now that I get to thinking, I'm starting to get scared again. The thing I want to do most is drop all communications with any sort of professional and just... rot away I guess? But I can't do that. After a recent loss in the family due to a suicide, I know full well that I can't kick my loved ones while they're down. Death is not an option. I need to do this. I need to get better. And this could be a good shot.

I've only had bad experiences with inpatient before. For about three years, I've been dodging it like the plague while pretty clearly needing it. Or at least people would tell me I need it. The first time I went inpatient was at 14 and I didn't feel seen or heard at all, hell, the psychologist I saw there had such a bad accent I could barely even understand him. Some of the staff yelled at us patients. I stopped talking. Would be shaking and near crying when I so much as have to pass the door of the nurses' station to get a towel to shower (which we had to daily or we'd get interrogated during evening round). My stay ended when I did something on the ward I shouldn't have because I wanted to die than stay there when nothing seemed to help and I felt scared and unsafe 24/7. 12 hours of isolation later, my mom picked me up, stopped at McDonald's- no one had saw fit to give me any food the whole day.
At the start of the month, I let my counselor take me down to the local psychiatric clinic because I'd been planning on killing myself, had all the materials, and told on myself because I couldn't go through with it. Ptolomea by Ethel Cain saved my life because I listened to it the night I was supposed to die and got so scared in the dark that I couldn't move and the moment for death passed me by. So I got send to the "protected" ward, mostly sat around. It was awful. It smelled like giving up, like a zoo. I was dismissed because, surprise surprise, someone with selective mutism wasn't exactly able to talk. I told them I wanted to go home, again and again, until I finally demanded it and they had to because there was no judge's order.
TLDR: so far, inpatient has been no good for me.

And now I'm willingly entering the lion's den for a third time. The usual treatment length would mean I'd stay almost up to my birthday in November. I'd miss the start of the semester. I have no idea how my studies would go. I'd be away from family and my cats a long time, because the clinic is near where I study, so about 3 hours by train away from home, and I wouldn't be able to visit regularly probably.
Mostly I want to run away, become some kind of tramp, farmhand, shepherd, late night gas station employee. Disappear. But this feels like my only shot at getting back on my feet without abandoning everything. Does someone have any advice how to make myself a little better about all this? And how to make my stay a good, productive one? I don't want to get so overwhelmed again that I reject treatment. (this kind of feels like taking a very reluctant caat to the vet except I'm the owner and the cat in one)
 
#2
Some of the staff yelled at us patients
no one had saw fit to give me any food the whole day
It's really disgraceful that such things are allowed to happen. I'm sorry it was like this.

If you'd be admitted to this clinic voluntarily, you might also be able to check out of it voluntarily. If that's the case, it might be enough of a safety feature to make going in more tolerable.

This clinic sounds fantastic, so I hope you'll decide to go.
I've been offered a spot at this clinic focused on psychotherapy, the young adults ward specifically, for next Wednesday. I was told usual wait times were about half a year.
Is there a risk that you won't get in unless you confirm that you want to go in soon?

And how to make my stay a good, productive one? I don't want to get so overwhelmed again that I reject treatment
It might help if they know that you've been traumatized by past treatment.
 
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#3
Is there a risk that you won't get in unless you confirm that you want to go in soon?
I've already accepted the place because my mom urged me to and really it's the best choice. Otherwise I'd be put on the regular waiting list, which could take up to half a year. The other alternative would be hoping for another spontanous opening further along, though then I'd only be given notice 1-3 days beforehand and that would be... not so good?
It might help if they know that you've been traumatized by past treatment.
Yeah, I'll definitely try to bring that up. Thank you!
 

LumberJack

Huggy Bear ๐Ÿป u r warned!
SF Supporter
#4
Iโ€™m not qualified to advise you on what to do.

The first thing I thought, though, when I read the title of this thread is that I wish I were more afraid of inpatient psychiatric treatment before I self-admitted during a crisis. If I had, I would have done my homework and compared several facilities by way of former patient reviews from places that the business cannot curate.

The hellhole where I ended up seemed like it would be acceptable because they mentioned on their website a 4.3 out of 5 satisfaction rating and accreditation by a third party. Besides, hospitals are highly regulated, so they have that incentive to provide a basic standard of therapeutic care. All of these assumptions turned out to be wrong, and I still suffer from the repercussions of that mistake.

This turned out to be the most regrettable decision of my adult life. Iโ€™m fairly reckless (hence failing to do proper due diligence), so the place of worst decision ever is a hell of an accomplishment! Not going to bore you with the whole story, but caveat emptor always, always, always!
 

Innocent Forever

๐Ÿ’๐Ÿฅœ๐ŸŒ
Staff Alumni
SF Supporter
#6
Hey! There is a difference between hospitals and treatment centres. The primary difference is that hospitals are there to keep one safe and a treatment centre to help a person learn skills/ process trauma etc
Not sure if it will help to know that.

You are worthy of being okay
 

LumberJack

Huggy Bear ๐Ÿป u r warned!
SF Supporter
#7
Hey! There is a difference between hospitals and treatment centres. The primary difference is that hospitals are there to keep one safe and a treatment centre to help a person learn skills/ process trauma etc
Not sure if it will help to know that.

You are worthy of being okay
Dang. I wish I had known that before my debacle ensued. That said, the so-called "hospital" did nothing to help me feel safe, and not feeling safe is the same to the amygdala as actually being threatened. I wish the intake coordinator would have helped me understand this, but I am not surprised. In every situation I witnessed or experienced, the facility only did something helpful for the patient when it had no impact on profitability. Every single time patient needs came into conflict with maximizing revenue or minimizing costs, the patient lost. Because shareholders are more important than crazy people. Especially when the staff have utterly no accountability to the patient even if he leaves with more pain and trauma than he walked in with.

Yes, I'm bitter. I don't like that about myself, but that experience has engendered a number of behaviors that I will have to work hard to undo.
 

Gonz

โ‚ฒโ€นโ€บลŠส‘
#9
Dang. I wish I had known that before my debacle ensued. That said, the so-called "hospital" did nothing to help me feel safe, and not feeling safe is the same to the amygdala as actually being threatened. I wish the intake coordinator would have helped me understand this, but I am not surprised. In every situation I witnessed or experienced, the facility only did something helpful for the patient when it had no impact on profitability. Every single time patient needs came into conflict with maximizing revenue or minimizing costs, the patient lost. Because shareholders are more important than crazy people. Especially when the staff have utterly no accountability to the patient even if he leaves with more pain and trauma than he walked in with.

Yes, I'm bitter. I don't like that about myself, but that experience has engendered a number of behaviors that I will have to work hard to undo.
Anger and bitterness about injustice are how we keep ourselves and others in check (sometimes). The emotion may not be fun or helpful for the person experiencing it, but that doesnโ€™t mean itโ€™s โ€œwrong.โ€

And some things should never be done with the profit motive in mind. Hospitals already have huge billing departments; a bunch of bureaucrats they have to pay because insurance companies lobby to keep themselves relevant so they can keep collecting their slice, then the hospitals have to make ever increasing amounts on top of that because the shareholders will vote out all the executives if profits stagnate for even one quarter.

And all of it amounts to what you said; profits are prioritized above patients.
 

LumberJack

Huggy Bear ๐Ÿป u r warned!
SF Supporter
#10
@Innocent Forever - I have spoken with my providers and a couple other people who had also been inpatient. The providers said my experience is very common for people seeking treatment in a suicidal crisis. A couple people had good experiences, so that's exactly two out of a sample of over 3 dozen. I agree that there are some well-intentioned actors in this sector, but like with law enforcement I think that the good ones eventually leave because they are not supported in their preference to be compassionate and kind, or at least care about whether pts are okay or not.

@Gonz - I didn't meant to say I feel I'm wrong for feeling bitter about it; it's just unhelpful. It's not helping me do what I can to warn other patients. I'm drafting a complaint to the nursing board about the head nurse's conduct (which explicitly violated the patient's rights regulations in my state, so I'm not just being dramatic). However I'm so resentful and just, IDK, like "prickly" about it that it's been taking me weeks. I work on it for a few hours in one day, and then it's at least 5 days before my outrage calms down enough to take another stab at it. I don't have the rough draft done, but I think that once that's in place the proofreading and revisions should be a lot less intense.

From there - plan is to also lodge complaints against the nurse who told me I didn't deserve to feel heard, and the idiot facilitator who had me punished for behavior that I did not exhibit, nor did I get any feedback on what I did that was out of bounds, or even a warning that there even is a punishment for pissing off a staff member. I rather think she should have been punished for failing to explain boundaries and expectations at the very beginning of the meeting, and for being so incompetent at facilitating a group that she cannot manage it herself without restricting someone from treatment. I still have no idea what I did because the explanation I got from the patient advocate (more like hospital advocate but whatever) was entirely inconsistent with other observed behaviors of my fellow inmates and didn't even hang together logically.

She's got I think a social worker license or whatever. I don't think that one will stick, but if a more substantiated complaint also comes in, then at least the other will not be the first. Finally I will put reviews up on the likes of Yelp and Google, and basically anywhere I can find to post a candid review of my experience. The intent is not to complain about my own situation, but rather to relate what happened from a factual stance so that potential future patients will know what happens behind those locked doors. Especially the part about the Intake staff failing to inform me of what to expect. They specifically lied to me when they said I could discharge myself if I was unhappy with the treatment, and I even signed a ream of paperwork stating that if I discharged AMA then they were under no circumstances liable for anything I do upon release. Well, that was bullshit; when I asked to discharge they decided that my statement of suicidal feelings amounted to intent and put me on a hold, just because they could.

Sorry about the bitch session but I don't think anyone is going to read that novela anyway.
:*dunno
 

Innocent Forever

๐Ÿ’๐Ÿฅœ๐ŸŒ
Staff Alumni
SF Supporter
#11
@Innocent Forever - I have spoken with my providers and a couple other people who had also been inpatient. The providers said my experience is very common for people seeking treatment in a suicidal crisis. A couple people had good experiences, so that's exactly two out of a sample of over 3 dozen. I agree that there are some well-intentioned actors in this sector, but like with law enforcement I think that the good ones eventually leave because they are not supported in their preference to be compassionate and kind, or at least care about whether pts are okay or not.

@Gonz - I didn't meant to say I feel I'm wrong for feeling bitter about it; it's just unhelpful. It's not helping me do what I can to warn other patients. I'm drafting a complaint to the nursing board about the head nurse's conduct (which explicitly violated the patient's rights regulations in my state, so I'm not just being dramatic). However I'm so resentful and just, IDK, like "prickly" about it that it's been taking me weeks. I work on it for a few hours in one day, and then it's at least 5 days before my outrage calms down enough to take another stab at it. I don't have the rough draft done, but I think that once that's in place the proofreading and revisions should be a lot less intense.

From there - plan is to also lodge complaints against the nurse who told me I didn't deserve to feel heard, and the idiot facilitator who had me punished for behavior that I did not exhibit, nor did I get any feedback on what I did that was out of bounds, or even a warning that there even is a punishment for pissing off a staff member. I rather think she should have been punished for failing to explain boundaries and expectations at the very beginning of the meeting, and for being so incompetent at facilitating a group that she cannot manage it herself without restricting someone from treatment. I still have no idea what I did because the explanation I got from the patient advocate (more like hospital advocate but whatever) was entirely inconsistent with other observed behaviors of my fellow inmates and didn't even hang together logically.

She's got I think a social worker license or whatever. I don't think that one will stick, but if a more substantiated complaint also comes in, then at least the other will not be the first. Finally I will put reviews up on the likes of Yelp and Google, and basically anywhere I can find to post a candid review of my experience. The intent is not to complain about my own situation, but rather to relate what happened from a factual stance so that potential future patients will know what happens behind those locked doors. Especially the part about the Intake staff failing to inform me of what to expect. They specifically lied to me when they said I could discharge myself if I was unhappy with the treatment, and I even signed a ream of paperwork stating that if I discharged AMA then they were under no circumstances liable for anything I do upon release. Well, that was bullshit; when I asked to discharge they decided that my statement of suicidal feelings amounted to intent and put me on a hold, just because they could.

Sorry about the bitch session but I don't think anyone is going to read that novela anyway.
:*dunno
I think you're right that if you complain other complaints are more likely to be heard.
And yah there is a reason I've avoided the hospital even when it would have really helped me.
 

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