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Now, where were we?
The psychiatrist that had admitted me to the Behavioral Health Unit of the hospital walked into my room the morning after The Neverending Night. She sat down on the bed opposite me to have a little chat. Her goal was to find out how I was feeling, and if I got any rest, and to set up a time for us to chat in her office later to go over my options. I asked “options for what?” Her response was brief. “Medications and treatment moving forward. I’ll have a nurse come get you when I’m ready for you.”
I look back on this conversation and truly wish I knew then what I knew now. Units like these are made for acute care. They treat the patient with whatever symptoms are being presented but don’t exactly have any long-term goals in mind. They reduce each of us to a series of chemical imbalances and reactions when it’s not been proven that those have little to do with the mental health issues we’re currently facing. They are made to solve the problem as quickly as possible instead of getting to the root cause of why the problem occurred in the first place. This can be incredibly helpful for many people and it did serve to help me in some ways while I was there, but ultimately, it didn’t meet the expectations that I had.
The wait for the doctor to be “ready for me” felt like forever. Breakfast came and went, and then a volunteer on the floor named Alan came to chat with me. He was an elderly gentleman who was an army vet, had recently lost his wife, and lived with anxiety. We spent about 30 minutes together talking about what brought me to the hospital, what brought him to be a volunteer there and expectations of moving forward in life with an anxiety disorder. For some reason, I couldn’t bring myself to truly open up about the big questions that were tormenting me, questions of life’s purpose, its meaning, how we got here, etc. Maybe I didn’t want to be labeled as crazy, maybe I was afraid, maybe I was ashamed. I’m still not sure. Another part of me thinks that my heart had become so hardened to the idea of a higher power, that I also didn’t want to hear that being shoved on me. Alan went on to tell me that he had a prescription for an anti-anxiety medication and that it worked for him. I was hopeful thinking that maybe the doctor would have an option for me as well.
Finally, the doctor called me into her office. I walked down the hallway with so much hope. This woman was going to hear me out. She was going to listen to my big questions and point me in a direction for answers. She was going to reassure me that life wasn’t meaningless and that we all serve a purpose in this world. I just knew that I would go into her office and come out with further directions on where to go. Unfortunately, I was very wrong and my hope was soon extinguished.
After spending around one hour with me in total (my intake and the conversation in my room), she had come to the conclusion that I was bipolar. I was instantly taken aback. This woman hadn’t really gotten to know me or understood what was causing me so much fear and anxiety, and she automatically had a label and diagnosis for me. Even in my fragile state, this didn’t make sense to me. Why wasn’t she asking more questions? Why wasn’t she engaging me in conversation about my big questions?
Wait… why did she just hand me a big book with all of the different medications that I could choose from?
I knew that I had made a mistake and that in order to get out of this hospital, I needed to go along with what she was suggesting to me. We went over several medications that she thought would be a good fit for me and I agreed to try one while asking for her to secure my discharge so I could go home. She was surprised, thinking that I would be staying longer until the meds got started in my system. As difficult as what I was experiencing was, I knew that I wanted to be home with my husband and my daughter. During our conversation about medications, I started to think that maybe she was right, maybe I was bipolar (I have had several professional evaluations since then that all came to the conclusion that I am NOT), but she seemed so confident in her diagnosis, how could I, the uneducated patient, be the one who is right in this situation?
My discharge was secured and the phone call to my husband was made. While I waited for him to pick me up, I spent a lot of time in the community room with the other patients. We got to chatting and started opening up about our individual diagnoses. The curious thing about it all was theirs was the exact same as mine– bipolar. I asked if they had all been in a manic state upon admission and some said no, they were just really sad. Some were like me, dealing with some fears and anxiety that they couldn’t seem to shake. Some said they just needed a break from life. Some said that they wanted to get out a long time ago, but the hospital wouldn’t let them leave.
Before leaving, the social worker got me set up with another psychiatrist out in town who would provide another full evaluation and take over my medication treatment from there. I was thankful for the security that gave me, while also wondering “am I going to need continued monitoring and evaluation for the rest of my life if I really am bipolar?” I had to shake those thoughts. I needed to think about the here and now. I couldn’t worry about the long-term.
The phone call came. My husband was downstairs waiting to pick me up. A male nurse escorted me down to the pharmacy to pick up my meds. Besides the mood stabilizers, the doctor has also prescribed me a medication for heart palpitations, the SSRI used off label for sleep, and a couple of others. These were enough to fill a brown paper bag. This is also where I was introduced to the concept of polypharmacy for the very first time.
The nurse, whose name was Tom, shared with me that politicians, celebrities, and other well known individuals have all spent time in that behavioral health unit. He was gracious in offering the advise that sometimes, we all just need a break from life. He assured me that my time spent there would be something that I look back on as a tiny blip in my life and that from here, I’d be able to move forward with a diagnosis, answers, and a treatment plan.
I got in the car with my husband, my bag of prescriptions in hand, and waved goodbye to Tom, full of hope that maybe he was right. Maybe now I’d have healing. Maybe now I’d be able to move on.
Yeah, no, wrong again Dev.
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