If your primary treatment provider is an outside therapist, ask him or
her to communicate your treatment status and history to the facility.
Confirm that the counselors at the treatment facility have spoken to
your primary therapist when you arrive for your first day.
Ask if the staff knows how to treat trauma symptoms.
Do not enable staff ignorance; you have every right to expect your treatment providers to know what they’re treating and to know how to treat it. Speak to the attending psychiatrist if you have concerns. If that fails, make use of grievance procedures to get the most out of your treatment.
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
This post is specific to people with Dissociative and other Trauma
This sometimes makes it look like I’m lying, but it’s really trying to fill the
This may be more obvious on social networks than in daily life.
The people in my daily life respond to the alters but don’t call them by name.
Bobby had a chat this morning with the landlady.
She enjoys his sense of play.
The alters come and go without being noticed by people who don’t live with me; they never announce themselves and they all think of themselves as the “real” me.
All parts of me are loyal and all parts of me remember people who treat
I don’t have alternates that secretly troll, hack or seek to hurt other people.
In fact, my alternates will unite out of love for someone.
I recall a set of interesting questions I got when I won a Leibster award in 2014.
Here is how I would answer some of those questions today.
Why did you start blogging?
I started blogging in the fall of 2013. I tried to blog for a few weeks but didn’t have the focus or confidence, so I shut down the blog.
In the fall of 2014 I discovered a network of mental health advocates on WordPress. Reading their blogs gave me a sense of focus; in September of 2014 I re-opened the blog with The Chat.
I blog as a way to communicate with my therapist, but I know that publicly documenting a process so personal is a political act.
What has surprised you most about blogging?
That people support me and read my blog. I know I’m not a power blogger but I’m pleased that so many people read me so consistently.
What one thing would you change about your current life?
I want to have better symptom management skills.
What is one special thing from your childhood that you treasure?
My memories of my Grandmother.
What is one of your favorite things to do and why?
My alternates have their own focus. Mateo likes to build computers, Bobby likes to listen to music, Matthew is interested in religion, and I am interested in politics.
Most of my political stance is based on life experience.
I consider it cowardly to be silent about economic and social policies that are designed to destroy people.
I think of my mind as proof of the human spirit.
It’s a quantum mind with different versions of me living
on separate timelines.
It offends me that HMO’s treat the brain like a second-rate organ.
I am a man of faith but I don’t believe in organized religion.
Our species has the gift of reason and when we use it we can see the mysterious.
Albert Einstein said;
The most beautiful thing we can experience is the mysterious. It is the source of all true art and science. He to whom the emotion is a stranger, who can no longer pause to wonder and stand wrapped in awe, is as good as dead —his eyes are closed. The insight into the mystery of life, coupled though it be with fear, has also given rise to religion. To know what is impenetrable to us really exists, manifesting itself as the highest wisdom and the most radiant beauty, which our dull faculties can comprehend only in their most primitive forms—this knowledge, this feeling is at the center of true religiousness.”