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Depression is a sign of weakness

Depression is a sign of weakness. It means that there is a “Weakness” in your normal way of coping and thinking that is leading to behaviors that are not helpful to you. The good news there is help and people who can help you through this. IGBATTMHO



It’s Time to Get Help (For Loved One For Your Self)

Getting Help For Some One Else

Depending on where you live, symptoms and previous history you may choose to contact your local Crisis Team or 911. A crisis team consists of a group of mental health professionals who will once you call respond to you at your location. The crisis team can help navigate you through the mental health services in your area, triage symptoms, arrange a follow-up appointment and assist you in getting appropriate help. The Crisis team after assessing your situation can sometimes help to defray an inpatient hospital stay, encourage medication use and stabilize symptoms until a clinic provider can see your loved one. Sometimes however the crisis team may decide that an inpatient stay is needed. If they do, they will help to arrange transportation to the hospital. Yet, please know that even if the crisis team feels that your loved one should be admitted the Doctor at the hospital may not agree.

A crisis team can be an invaluable asset to you and your family, but there are times in which you may have to call the police as opposed to or before you call a crisis team. When deciding between calling the cops vs. calling a crisis team ask yourself, are there weapons involved? Is there actual violence or issues related to safety present? A crisis team is a team of mental health professionals, not police officers. Only police officers have the training and expertise to manage dangerous situations and to transport a person against their will to the hospital for an evaluation.

However, just because you call the police and request that they take your loved one to a hospital, there is no guarantee that they will. In general, the police take, removing a person from their home and escorting them to the hospital against their will very seriously. Especially if they arrive on the scene and do not see the signs that you saw, or your loved one appears fine. Unfortunately, just because you feel that your loved one should be taken to the hospital because they are not taking their medications, the police may not feel the same way. Your loved one has a right to refuse their medications, to refuse to see their outpatient therapist or to get help. The question you have to ask your self is how are the signs/symptoms experienced by your loved one negatively impacting them and then be prepared to make a case.

If the police agree with you and take your loved one to the hospital, please know that they will handcuff your loved one. I point this out because many people become nervous when this happens. Handcuffing is a safety precaution for both your loved one and the police; it does not mean that they are under arrest. If your loved one was escorted to the hospital by the police or with the support of the Crisis Team, it does not mean that they will remain at the hospital. It just says that they will be seen by a Doctor who will decide if admission is warranted.
Once at the hospital the decision to involuntary commit your loved one is up to the doctor. Again, just like the police doctors do not make this decision lightly. While “Almost all states allow police and clinicians to initiate short term commitments lasting up to seventy-two hours to handle imminent emergencies” there are legal statues that must be met to hold a person against their will. Please click on the following link for more information and rules in your state (https://www.treatmentadvocacycenter.org/component/content/article/183-in-a-crisis/1596-know-the-laws-in-your-state).

Getting Help For Your Self -Voluntary

Mental disorders are treatable, but many people do not seek out help until their symptoms become severe. If you have come to the point in your life where you feel that you need help, then you are not alone. There is hope and support for you. If you present to the hospital, seek help and are admitted then this would be considered a voluntary admission. Voluntary admissions can help to identify symptoms, clarify the diagnosis and stabilize symptoms.


Help

Assuming that because people don’t’ talk about mental illness in the same way that you do that they are “backward” or “ignorant.” It’s not that people don’t care sometimes they have more pressing things to focus their efforts upon on. According to Maslow if people are focused on meeting their basic needs, it’s hard for them to focus on the higher ones. If I have to worry about how I am going to eat, where I am going to live or my child who is in prison, for example then I may not be as focused on mental health. Help not downgrade people.



STAY MOTIVATED

The last couple of days have been a battle against staying in a depressive state.  This is a struggle that I’ve talked about often.  For me to get myself back on track I have to constantly feed my mind positive thoughts and I have to get my body moving.  If I do not do this then I can run the risk of being down for days.  What do I mean by moving?  Well, all the activities I feel like I don’t have the energy for I make an effort to still get to Zumba class or make my entrepreneur meeting.  If I go down I am more likely to stay down so movement becomes key.  What do I mean by feeding my mind positive thoughts.  For instance, I will tell myself get up and make class, you can do it, it’s okay baby girl, remember you are loved, you’ve come so far let’s go further, God got your back, etc.  This helps me stay motivated instead of defeated.  This helps me feel like I’ve accomplished my day to day task instead of feel like I’m letting everyone and everything down.  It’s hard work, but I remind myself I am up for the challenge.  

Remember when you feel yourself going down to depression it may take some hard, hard work, but you can do small things to keep yourself reminded how valuable you are and keep yourself moving. This does not replace taking your medicine, but an addition.  Stay motivated.  Be blessed!
 
https://symphonyreads.com/srm-blog/f/keep-motivated, FROM MINISTER MILLS


Getting Admitted

Getting Admitted

 
Your experience at the hospital will vary depending on your insurance, the hospital, the time of the day, your symptoms, if you are admitted involuntarily and if you are already on medications. But just because you make it to the hospital does not mean that you or your loved one will be admitted. For example, if you are already on medications, the hospital staff may call your outpatient treatment team for information, make adjustments and send you home with a follow-up appointment. However, while at the hospital waiting to be seen keep a few things in mind (again this list will vary).
 
1. You may be seen in the emergency room first unless previous arrangements were made or you are in a place like the District of Columbia that has a comprehensive psychiatric emergency admission hospital.
2. You may have a long wait (but don’t let that discourage you)
3. You will be asked many questions so be patient and if possible know what medications you or your loved one is taking
4. The first Doctor you may see may not be a Psychiatrist, many times the Psychiatrist will have to be called to the emergency room for an evaluation. So be prepared to tell your story more than one time.
5. Even if you feel that you or your loved one is experiencing a mental health event that requires admission into a hospital, the doctor at the hospital may not feel the same way. So be prepared to make a case. Yes, sometimes you have to make a case for admission. If there are very few beds, if the Doctor thinks that you or your loved one can be stabilized with a medication change and sent back home the same night or you have insurance issues, then you or your loved one may not be admitted.
 
If you feel that admission is needed, then say so, but be prepared to speak to why you are seeking help. Describe the symptoms you are experiencing and explain how those symptoms are negatively impacting your life. In the case of a loved one be able to speak to what you have seen. Unfortunately, many people feel that the only way for them or for someone that they love to be admitted into the hospital is to wait until things get bad or to say that they are suicidal, while this is still very true in some cases, know that there are other ways.
 
For example, if a person already has a chronic health condition, are the symptoms associated with the psychiatric illness such as not taking their medications keeping them from recognizing the need to take their diabetes medication? Are the symptoms of their mental illness causing disruptions to the neighbors or strangers in the area to the point that if not managed could cause harm to your loved one? Is your loved one sleeping and if not what are they doing when they are awake? Are they losing weight? Are they not eating? Do you or your loved one already have a Psychiatrist in the community who could call and coordinate a direct admission on your behalf? Do you have a crisis team in your area (a group of mental health professionals who will respond to you at your home or your location)? The Crisis team can help you to process your symptoms and help to navigate you through the mental health services in your area.
If you are a family member of a loved one, who is currently on a psychiatric ward, visit and be involved. Get to know the treatment team to include the Attending and treating Physician (may or may not be the same person). If possible, ask for a meeting with the Social worker and or Doctor. If a date for a team meeting (a meeting in which all of the professionals involved in your loved one care meet to discuss his or her case) has been set, try to attend. Your input is valuable and can help ensure that the treatment team is focusing on the right goals (your loved one may not be able to articulate their needs clearly).
 
Ask questions about the diagnosis, about the medications, inquire about the discharge plan and if you have concerns, share those concerns with the team. For example, you may feel that your loved one should be in the hospital for longer than two days. If that is the case be prepared to share with the team why you feel that way, let them know what you have been observing. Please understand that the goal of an inpatient hospital stay is to stabilize not to warehouse. Today many inpatient hospitals do not have enough beds to keep people long term and many of the newer psychotropic medications work faster so people can stabilize and can go home quicker.
 
However, you live with your family member, and you know the challenges that you and your loved one will have to face once he or she is discharged. So share those challenges with the team and ask them to help you to develop a realistic plan that takes into account those challenges. For example, if you know that there are limited mental health supports in your area and that the earliest your loved one can get a mental health appointment in the community is three weeks from the discharge date advocate with the inpatient doctor for enough medications to cover the time.



 

 

 

 

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