Considering Visiting A Psychiatric Hospital, Inpatient Behavioral Health Unity, Or Other Mental Health

considering visiting a psychiatric hospital, inpatient behavioral health unity, or other mental health crisis center? here's some tips about what to expect

i've been inpatient about 6 - 7 times now in various areas of the country and i thought i'd write down a few things on what to expect whenever you visit these kinds of facilities in the United States. i have gone in for psychotic and dissociative episodes, as well as suicidal ones. i cannot write about the experience in other countries unfortunately, this is my own personal experience. note that i can't tell you everything about your facility but i can tell you what i've experienced personally that generally applies to these kinds of places

when trying to get admitted to generally need to go to the ER first to tell them you are having a psychiatric crisis. use the word crisis. a lot of places will not admit you unless you admit you are having suicidal or homicidal thoughts. if you are visibly in a psychotic episode you may not have to admit these things but generally a lot of places won't admit you unless you are suicidal. if you aren't but need help anyways, mention that you're suicidal. it's not fucked up to do this. if you need help, you need help.

in almost all cases expect to be held for 72 hours (3 days) MINIMUM inside of that hospital. you cannot leave at all during this period. this is referred to as a 72 hour hold, it is for your safety. you are not allowed to leave during this time unless you opt to leave against medical advice (AMA) which will be noted on your chart. some places won't have this but most psychiatric hospitals will do this. please note that this is the MINIMUM hold! you may be there for longer depending on the severity of your situation

you cannot use your cellphone in most of these places. they will be locked away with your other possessions. this is to prevent you from contacting/being contacted by people who may be abusing or scaring you, as well as to prevent you from worrying about the stressors that brought you in to begin with. be prepared to not use any electronic devices for several days to a week. some people really struggle with this but it's vital in the healing process

you will not have access to any of your possessions outside of simple things like books and notebooks. you can't bring in pencils or pens, they will provide you with some. you cannot bring your own hygiene products or medications to be used unless it's a very specific medication that's necessary that that hospital cannot administer

if you use nicotine, you will be given patches in most facilities, but some do allow patients to smoke their own cigarettes. most modern facilities provide nicotine patches

you more than likely will not be able to wear your own clothes. if you can, you will be given to on-site laundry facilities, or the staff will do it for you depending on the location. in a lot of places you will be given scrubs to wear. you will also be given non-slip ("grippy") socks to wear all the time. this is the only footwear that's permitted generally

you more than likely will have to share a bedroom with another patient. not always, but often this is the case. in a lot of hospitals trans patients are put in rooms with just one bed for safety reasons but this will vary wildly depending on location

there will be group therapy and visitations from therapists in most places. please attend these if you feel up to it, a lot of them are genuinely helpful. not all classes or therapists will be good, so if you feel uncomfortable feel free to leave, but i recommend trying to attend these

there are generally vegetarian, vegan, etc. options for meals so feel free to ask the staff in case you have a specific diet, especially medical diets

some psych facilities are small crisis centers or rehabilitation centers that are not connected to a proper hospital. if they are not, their resources will generally be a lot less and they will have less knowledge when it comes to physical health ailments

you may or may not receive a diagnosis. i was instantly diagnosed with schizophrenia the first time i went to the psych ward. i was clearly in a psychotic episode, confused, not entirely sure where i was. i was interviewed for a long time before the doctor came to the conclusion of schizoaffective disorder. other times i was diagnosed with dissociative identity disorder & depersonalization derealization disorder. i get diagnosed with DID and schizophrenia most times i go. your mileage will vary greatly depending on your situation. you may have wildly different diagnoses the different times you visit or you may get the same ones. you may not get a diagnosis at all. it's going to depend on your situation

you are more than likely going to be given new medications. much like the rest of the hospital, you may not be told the name of the medication right away. this is normal. it happens whenever you visit the ER, get a surgery, or are in other parts of the hospital, the name of the medication may not always be told to you right away. ask if you're curious about medications. they'll gladly explain

if a medication is making you feel like garbage or making your symptoms worse tell the nurses right away. you do not have to keep taking a medication if it starts to make you feel worse, you are allowed to communicate how medications are making you feel

try to take care of yourself and focus on getting better. your treatment may not be perfect but if you focus on yourself it gets easier. you're there to learn how to take care of yourself better. there may be "problem" patients but they are there to work on themselves too

if someone starts causing problems with you, tell staff and try to resolve it as quietly as possible as the other patient may just need some help that they weren't being given prior

feel free to ask for the hospital to let you know exactly what your discharge instructions rare. they will generally be setting you up with a lot of appointments upon discharge. this will usually involve an appointment with a therapist and a medication manager if they want you to stay on medication. keep up with these appointments, they will help. if you and your therapist do not get along well, feel free to find out how to find a new therapist

discharge can take a few hours longer than you make expect due to the amount of paperwork and appointments mentioned above. if it takes a long time for you, that is not abnormal

ASK FOR RESOURCES LIKE SOCIAL WORKERS, CASE MANAGEMENT AND SO ON. THIS IS HUGE: if you have EVER been admitted in-patient for mental health reasons you almost always qualify for case management services through your insurance. if you don't have insurance you still may qualify for low or no cost services. these are people who can help you sign up for government and public assistance. they can help you figure out how to pay your bills. they can help you find transportation, help with rent, help navigate addiction, help with signing up for housing programs and so on.

"severe" mental health (schizophrenia, bipolar disorder, PTSD, dissociative identity disorder, autism, personality disorders, OCD, and other conditions) & substance use disorder diagnoses often qualify you for discounted housing programs, bill/rental assistance, resources for navigating and escaping homelessness, help with children & family, and other great resources. take advantage of them especially if you genuinely struggle with these things

certain things may vary depending on where you're located, but this is what i've experienced going to hospitals in 3 different states. i hope this information can be helpful to some. if you have any questions feel free to ask i'm happy to help!