When it is Time to go to the Hospital: 11 Steps to Take Before and After Admission

I don’t do well in mental health settings.

I don’t look sick.

I don’t act like a ‘mental patient’.

Not all people with mental illness end up homeless and hallucinating
on the street.

I also have expectations.

I expect my treatment providers to be as passionate an advocate as I was
when I was a treatment provider.

If you have Dissociative Identity Disorder and you are you are about to enter treatment at a Behavioral Health facility it’s a good idea to prepare.


Don’t assume that behavioral health professionals are trained psychotherapists. Psychotherapy treats the mind. Behavioral Health treats behaviors.


If your primary treatment provider is an outside therapist, ask him or
her to communicate your treatment status and history to the facility.
All decisions regarding your stay should be made by your therapist.


Confirm that intake physician at the treatment facility has spoken to
your outside therapist after you arrive .


Ask if the staff knows how to treat dissociative symptoms.


If you have concerns about the quality of your treatment, speak to the
attending psychiatrist.


Do treat the staff with respect and consideration. Most people want
to do a good job.


Do tell the staff about suicidal thoughts or self-destructive alternates.


Discuss your physical health and if one is needed, ask for a physical.


If you are diabetic or have high blood pressure, ask the staff to check your blood pressure and sugar levels. Diabetes and high blood pressure affect mood.


Ask for a medication assessment.  Mention all unusual side effects or problems.


Don’t enter a hospital or day clinic alone. Ask your partner and friends to call and ask about your progress.  Make sure that you sign the releases the clinic needs to discuss your case with friends and family.

(c) Rob Goldstein 2017-2018

This post is specific to people with Dissociative and other Trauma
related disorders.

Some of this information may not apply to you.

More reading:

Advocacy for mental health: roles for consumer and family organizations and governments

The Importance of Self-Advocacy in Mental Health Recovery

The Self Advocacy Toolkit

stand up against stigma, no health without mental health


Why I’m Dumping The Numeric Pain Scale As A Chronic Illness Patient

Good post about chronic illness and chronic pain

This Little Lyme of Mine

We’ve all been there, sitting on the exam table as the nurse goes through the usual list of questions. Then there it is, the question I despise more than anything: On a scale of 0-10, how would you rate your current pain level? Many of us worry about giving the wrong answer, or at least the wrong impression. We don’t want to be perceived as whiners, hypochondriacs, and especially not drug seekers. We want our pain taken seriously and taken care of. While I do share these concerns, I find another concern to be of more importance.

The traditional numeric pain scale is really only meant for measuring acute pain. It is useless when it comes to the realm of chronic pain. When we battle pain for a long period of time, our perception of that pain changes, so what may have previously been a 7, we now consider to be…

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