Thirteen years ago, shortly after Jason and I were married, I went through an incredibly difficult time emotionally. One night, I cut on myself with a razor over forty times. The cuts weren't deep, but they were a sign of a serious problem. Jason drove me all the way from our apartment to a hospital in Portland, OR about 25 miles away. Jason was a paramedic in Portland at the time, so for privacy concerns (he didn't need his co-workers asking him why his wife was in the ER), we were put in a room and they closed the curtains. Unfortunately, the social worker thought the closed curtains were a sign that we had already been helped and we waited a LONG time, I believe it was about an hour and a half, before the social worker realized that no one had been in to see me yet and finally came in to talk to us. By that time (45 minute drive + 1.5 hr wait), I had calmed down and was back in a "rational" frame of mind. Because I had already begun seeing a therapist the week before and didn't want to harm myself at that immediate moment, they sent me home with no treatment whatsoever. No lock up. No meds, and I don't believe they called my therapist either.
Fast-forward to last October. I downed a bunch of Ambien in a suicide attempt. I was taken by ambulance to Memorial Hospital, then transferred to Doctor's Behavioral Health (Mental Hospital), where I was put on a suicide watch for two days. I saw a psychiatrist there twice, for about ten minutes each time. I declined meds, and was released, with no follow up. I was not under the care of a therapist or a psychiatrist and no appointment was made for me by the staff to see one.
Why am I telling you these things? Because I want you to understand that if you have someone in your life who is struggling with depression, who is hurting themselves in anyway, you CANNOT count on the institutions or the hospitals to make sure they are safe and/or getting the treatment they need. I also want to point out that most people with mental illness, be it anxiety or depression (I can't speak for any other mental illnesses because I haven't experienced them), are incredibly overwhelmed. Even the smallest decisions of day to day life can seem insurmountable. When you can barely drag yourself out of bed and can't decide what you want to eat, or even if you want to eat, calling the insurance company, finding out what your coverage is, then calling several doctors before you find one who is accepting new patients, then making an appointment, getting to that appointment and then explaining what is going on with you is about tantamount to summitting Mount Everest! If you have a loved one who is steeped in depression or overcome with anxiety, offer to help them navigate the world of insurance and doctors. You may not want to be "pushy" or "interfere in their business" but I'm going to say it again: the institutions will not keep them safe. They may help you figure out how to keep them safe, but if you check them in and leave it at that, more times than not, they will not get adequate help. I honestly don't know where I would be today if I didn't have the help and support of my husband through those incredibly challenging and dangerous times. So be nosy. You just might save a life.
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