How are you doing? - Kiwi Farms Wellness Check

[long waters]

Had 3 ciders and I think I may be drunk now.
Long short of it is, I was busy all day and barely had time to eat or drink anything all day. When I got home I was like 3-4 pounds lighter than this morning, so I had a big ol pizza and some cider to make up for it. I almost never have any alcohol so I feel very much beyond tipsy right now, ahh...

 

[Gregis]

Noted. Thank you. I’ll find something,
Why can’t we invent a nutrient paste/pill you can just take daily and that’s you sorted..?

lol this is how you British managed to forget how to avoid scurvy, always trying to muck around with what works

 

[tack så mycket]

How would you feel if you were given responsibilities you were capable of, that didn’t overwhelm too much, but pushed you a bit, but you absolutely 100% couldn’t shirk?
I ask because your dog seems like a positive thing for you - she’s something you overcome your issues to care for, isn’t she? You get up and walk her, you clearly care for her even though the things you do you might ittwise struggle with (like you might not get up, dressed and out but you go it for the dog.)
Is there another, small responsibility like that you could have that would kind of stack (does that make sense?)
You can talk and talk in therapy but just from my perspective (and I don’t know you at all so maybe I’m way off, in which case forgive my presumption) your dog has done more good for you than meds and therapy? By which of course I don’t mean quit drugs and therapy I’m just noting that maybe another thing like that might help.

@PetiteFeet I wanted to chime in here and add my 2 cents. My perspective is a little different from the one presented by @Otterly but I think it's related.

When I was suffering with really bad depression, I hated myself so much that I was not able to look after myself.

Eventually I reached a breaking point and I started approaching my own self-care in a completely detatched way, as if I was responsible for a pet or a domesticated animal.
I didn't have a pet at the time, but nonetheless, I thought about the way I cared for myself in terms of what I would deem acceptable for an animal in my care.

Would I make a pet dog sleep in a dirty bed? No - so I washed my bedding regularly.
Would I have fed a dog crisps and frozen pizza for months on end?
No - so I shopped for groceries and cooked healthy meals.
Would I keep a dog inside watching TV and getting no fresh air or exercise?
No - so I went outside every day and got 30 minutes of exercise.

We are very flawed but surely, on a humanitarian level, we are owed the same basic care and respect that is owed to our dogs and cats? You are worthy of this, at the very least.

 

[Sneed's Feed n Seed]

Thanks, but I'm not institutionalised or anything like that. It's closer to outpatient than anything. The way hospitals work here is they've bundled up every little arm or branch that belongs under psychiatry in the same building.
I've never been sectioned and it'll be the last thing I will be, they clearly don't take me seriously.

The wrong person hearing the wrong sadbrain thoughts at the wrong time can get you committed. Be careful.

 

[PetiteFeet]

How would you feel if you were given responsibilities you were capable of, that didn’t overwhelm too much, but pushed you a bit, but you absolutely 100% couldn’t shirk?
I ask because your dog seems like a positive thing for you - she’s something you overcome your issues to care for, isn’t she? You get up and walk her, you clearly care for her even though the things you do you might ittwise struggle with (like you might not get up, dressed and out but you go it for the dog.)
Is there another, small responsibility like that you could have that would kind of stack (does that make sense?)
You can talk and talk in therapy but just from my perspective (and I don’t know you at all so maybe I’m way off, in which case forgive my presumption) your dog has done more good for you than meds and therapy? By which of course I don’t mean quit drugs and therapy I’m just noting that maybe another thing like that might help.

I already live on my own and manage the majority of my daily life, but aside from that I don't really have any responsibilities as such. My tard wrangler (you've used a better word before, but I've forgotten it orz) is supposed to help me figure out little things I can do to "learn" and take better care of myself in the long run, she also helps me find social programmes and healthcare programmes that fit my profile. My problem is I have phases where I can suddenly revert and essentially have to relearn everything; I was attending a school programme for 1.5 years with no missed days and suddenly last summer, I just never managed to return. A switch had been flipped for no apparent reason.
So now I've been working my way back to start that up again, and we have plans to go to the school in person next week and sign me up for two new sets of classes after summer vacation is over.

I used to live in a group home and I really don't want to live at such a situation again, mostly because my needs would be neglected again and I'd self-isolate and internalise vs the other diagnoses who externalise their problems.

The other problem is my therapist. She's the reason I have my dog in the first place and she's helped me a lot and still helps me a lot, but she specialises in depression and anxiety, and what I really need is help with my personality disorder instead.
That's also what I more or less have said and keep saying when I've been at the ward these past few months, that I have been placed in the wrong department and I need serious help with my PD. I accepted that I needed help with my depressive symptoms before they could help me with my PD, but months later and one drug later I still don't feel better even if I have been ideating a lot less than six months ago.

I feel cursed, I'm not immediately a threat to myself, nor am I ill enough to section but I'm also not well enough to function in the programmes that I am offered. I'm stuck in this perma-limbo of sitting at home, internalising my self-hatred while the few things I can actually execute myself slowly erode into nothingness.
I have dreams and things I want to actualise but I am my own jailer.
I've attempted to look into workbooks and things I could do alone but then I freeze up and get overwhelmed. I can't start from A and work my way to B etc. without being handheld through it, and my wrangler says she's not allowed to be my therapist so I don't know what my next step would be.

 

[Sneed's Feed n Seed]

As someone who's been to a psych ward, I gotta contest, sorry.

I am too, because it's time for statistics, because anecdotes do not change the data. Individual experiences don't generalize. Psychiatric studies disagree with you. The people you treat as experts themselves said this, so saying "it's good" while disagreeing with the system itself saying it's bad is literally incoherent. You cannot simultaneously say "psychiatry is fine and good" and ignore psych itself saying it is not.

tl;dr psychiatric studies over millions of patient years and multiple decades indicates a systemic problem and you don't need to go "BUT I LIKED IT" over the bodies of a lot of dead people. Behold the dead people.

All-cause Standard Mortality:
Norway (2020) 5-year prospective study. All-cause SMR 6.7. First two years post-discharge 8.3 (male) 6.1 (female). Frontiers in Psychiatry, "Mortality Among Patients Discharged From an Acute Psychiatric Department"

Taiwan (2024) Adolescents and young adults after first psychiatric admission. 3-fold increased risk of death from any cause (HR: 2.97-2.83) 10-fold increased risk of suicide (HR: 11.13-9.23) Journal of Affective Disorders, "All-cause and suicide mortality after first psychiatric admission"

UK Readmission Study (2022) Dose-response mortality by readmission count. 1 non-identical readmission: HR 2.4 (2.2-2.7). 2+ non-identical episodes: HR 3.0 (2.7-3.4). 1 identical readmission: HR 4.7 (3.6-6.1). 2+ identical episodes: HR 5.0 (3.8-6.7). Source: PubMed, "Frequent identical admission-readmission episodes"

Suicide-specific Mortality:
Chung et al. (2019) - BMJ Open, 34 papers, 29 studies:

• First week post-discharge: 2,950 suicides per 100,000 person-years (95% CI: 1,740-5,000)
• First month post-discharge: 2,060 per 100,000 person-years (95% CI: 1,300-3,280)
• 24 studies, 1,928 suicides in 60,880 patient-years (first week data)
• 29 studies, 3,551 suicides in 222,546 patient-years (first month data)

For context, the global suicide rate is approximately 11.4 per 100,000 person-years. That first-week rate is roughly ~300x the general population. First month is 180x. First 3 months 100x. 3-12 months 57x. 1-5 years 44x. 5-10 years 32x. 10+ years 24x. Note this is times, not percent.

Diagnosis specific SMRs exist from Germany: Males with depression 111x the gen pop, females with depression 41x; males with schizophrenia 66x, females with schizophrenia 110x.

A notable thing is the lack of followup care (and the fact that it is refused for reasons that should be obvious, being locked up, drugged up, and tied up fucks people up). However, for people who had meaningful and desired follow-up within 7 days, they had a much lower suicide risk. At any rate, only 50% of discharged patients get help the first week and 67% the first month. The fact that they need such aftercare is also an admission of harm.

Inpatient (as in still in the ward) suicide is 50x gen pop, and has gotten worse over the last three decades. Frontiers in Psychiatry.

The key to this from the MacArthur Violence Risk Assessment Study is: Coercion -> Suicide attempts.

Restraint leads to PTSD. 25-47% (yes the error bars are shit) get PTSD after restraint across multiple studies. 52% of ED patients have trauma history.

Honestly I'm glad you had a good experience! I'd rather someone not be uselessly traumatized into being worse. Unfortunately, the majority of everyone else does not, and, Psychiatry itself admits it's killing people.

PHP/IOP works better anyway. I'll get to that.

Most psych wards are separated into floors, depending on how severe the issue is.

I've visited wards. The ones I remember had a "forensic" floor through glass, while the one I went to was much more open, and full of suicidal people, AND anxious people, AND people detoxing. The detoxing people were cons and were bullying everyone else as the nurses let it happen. The person I was visiting went on a 72h hold for yapping and released the very moment the 72h hold was finished. My anecdote doesn't change your anecdote, your anecdote doesn't change mine, and neither of them have anything to do with Psychiatric studies show that SMRs and suicide rates are sky fucking high.

here's plenty of studies saying shit like ohhh you'll wanna kill yourself ohhhh it'll make you worse, but you have to remember they are interviewing the insane and expecting a coherent response.

This is factually wrong. The studies showing elevated suicide risk aren't self-report surveys where someone answers incoherently. They're mortality data. Death certificates, national registries, cohort tracking. Dead people don't fill out questionnaires. Dead people don't fill them out insane or otherwise, coherent or otherwise.

90% of the time when I met someone who went to a psych ward and they said they got suicidal from it, their reasoning was "The nurses deadnamed me ". The other 10% was "The nurses misgendered me ".

It is now clear you're ego-protecting what you went through. This is Kiwi Farms. Someone leaping in front of facts (being a faggot) will be called a faggot.

You're a faggot. Sorry you had mental health issues. Please do not be a faggot. The facts I speak to come from the very experts you trust to hold yourself and others captive, so how do you coherently disagree with those very people, precisely?

I was improved from my psych ward visit, not only cause I got help but also it was AMAZING to know people like me ARE out there. But I am crazy, like coocoo crazy, so if you're not coocoo crazy it's not worth it really. Very expensive.

I'm glad you were helped. I never said some people are helped. I never spoke about who was helped. I spoke about mortality rates and suicide rates in particular. Some people being helped while others kill themselves at sky high rates can both be true.

It is a lot of money so only go through with it if you're actually crazy, if you're just depressed then the money to help ratio just isn't worth it.

So you concede there are people who aren't helped by it, but again, you side-step "the people you yourself hold to be authorities and trustworthy experts say people die from it." Right.

The IOP section.

The Cochrane Review. Significantly faster decrease in psychopathological symptoms. There is no need for people to suffer. It conservatively states "At least one in five patients currently admitted to inpatient care could feasibly be cared for in an acute day hospital."
Marshall et al. - Cochrane Database of Systematic Reviews, updated 2011 and 2022. Marshall M, Crowther R, Sledge WH, Rathbone J, Soares-Weiser K. Cochrane Database Syst Rev. 2022, Issue 3. Art. No.: CD004026

Horvitz-Lennon et al. (2001) "A very large body of evidence that acute partial hospitalization is an excellent alternative to inpatient care with equal or better efficacy than inpatient care, yet without some of its deleterious side effects"

Bateman & Fonagy (1999). The Bateman & Fonagy BPD trial. PHP patients showed significant improvements in: Frequency of suicide attempts, acts of self-harm, number and duration of inpatient admissions, depressive symptoms, anxiety, general distress, interpersonal functioning, social adjustment, and most notably standard care group showed limited or no change on most measures.

THE TL;DR​

You clearly feel the need to rationalize what you went through. You clearly went through something. You trust psychiatry. You either did not feel coerced or feel it was necessary. However, psychiatry itself, the people you trust and validate and defer to, admits it kills a lot of people who are not you.

If you weren't literally boomer-bootstrapping "I got hurt, you should too, IT WAS GOOD FOR ME!!" over something that kills people, I'd be at least 50% less of a dick about it, but you are.

 

[Getmeout]

I am too, because it's time for statistics, because anecdotes do not change the data. Individual experiences don't generalize.

Ultimately what I'm getting at is inevitably if you are crazy enough, you will be committed to a ward at some point in your life, and it's not really helpful to go in expecting the absolute worst to happen. No one wants to be taken to some hospital, so you'll naturally avoid that. But if it gets to a point where you can't avoid it, it helps no one going under the impression that you'll be dead by the time you come out. In a nutshell, I'm trying to use my own positive experience as proof that @PetiteFeet shouldn't just hang herself in a bathroom if her shrink makes her go to a ward.

I'm not trying to say nothing ever happens at wards, they do! I just don't see how it's helpful to... Idk, scare her like this? This idea that her life is OVER and she will D I E upon one decision? I get you want her to be wary of saying anything that will make them send her away, but humans are naturally selfish. Naturally anyone will refrain from admitting to plans that harm themselves or others if it means they'll be sent away.

You clearly feel the need to rationalize what you went through. You clearly went through something. You trust psychiatry. You either did not feel coerced or feel it was necessary. However, psychiatry itself, the people you trust and validate and defer to, admits it kills a lot of people who are not you.

This is kinda weird and gay, man, you don't know me. I trust what works, and psychiatry has worked for me. Anti-psychiatry made me attempt suicide. It's just up to what makes me not consider leaping off a building, that's how it works for everyone at the end of the day. Some people psychiatry works for, others it doesn't. Remember Butter? She's someone who psychiatry worked for, but she still went the anti-psychiatry route for social validation. Last I checked, she's still going insane and still self-harming. Everyone's different, and I personally don't let random aging pawns of pedophiles dictate how I live my life just cause they make all da faxx and stuhtisticzz. Just do what works, what helps you live, that's all a human has to do. Live.

Reading your comment, it seems you're under this impression that I have a deep trust for psychiatrists (I never said that) and that I think Petite should go to a psych ward (I also never said that), and ergo I am a "faggot".

 

[Blamo2000]

So I wasted around 10 emails because none of the "internal customers" can fucking talk straight and just do vague posting and bouncing responsibility. Like bro, if you stated the problem and the solution, we would have already resolved the issue.

 

[Sneed's Feed n Seed]

I am a faggot

And a literal fucking retard!

random aging pawns of pedophiles

Chung et al. (2017, 2019) - Daniel Thomas Chung, School of Psychiatry, UNSW.
Christopher James Ryan, Discipline of Psychiatry, University of Sydney.
Swaran Preet Singh, Head of Mental Health and Wellbeing, Warwick Medical School.
Matthew Large, Conjoint Professor of Psychiatry at UNSW, Medical Superintendent of Mental Health at Eastern Suburbs Mental Health Service, Prince of Wales Hospital. Large is a leading critic of current risk assessment practices in mental health care and a highly ranked international researcher in both suicide and homicide. 12,460 citations.

(JAMA Psychiatry is the American Medical Association's flagship psychiatry journal, btw.)

Bateman & Fonagy (1999) - Anthony Bateman, FRCPsych, Consultant Psychiatrist and Psychotherapist, Anna Freud Centre, Visiting Professor UCL, Honorary Professor in Psychotherapy at University of Copenhagen. Peter Fonagy, OBE, FBA, FMedSci, Freud Memorial Professor of Psychoanalysis at UCL, CEO of the Anna Freud Centre, Senior Investigator of the British National Institute for Health Research. Over 400 peer-reviewed publications. These two literally developed mentalization-based treatment - they are the psychiatric establishment.

Marshall et al. (Cochrane) - Max Marshall, School of Psychiatry and Behavioural Sciences, University of Manchester. Published through the Cochrane Collaboration, which is the gold standard for systematic evidence review in medicine, period.

You're flailing. You say psychiatry is good, which is why you defend psychiatry from people quoting psychiatrists to talk about how psychiatry has problems it needs to fix and a death toll it tallied up. You call renowned psychiatrists "random aging pawns of pedophiles."

You, (literally called getmeout, lmao): PSYCHIATRY IS FINE!
Practicing clinical psychiatrists running psychiatric hospitals who counted their own patients dying: "Random aging pawns of pedophiles. Don't listen to them! Also don't scare people. SEND THEM WHERE I WAS SENT!"

Ultimately what I'm getting at is inevitably if you are crazy enough, you will be committed to a ward at some point in your life, and it's not really helpful to go in expecting the absolute worst to happen.

You're rationalizing your own trauma instead of getting any help for it while advocating for pushing people into psychiatric incarceration without informed consent.

You weren't helped, you were made to construct a clearly very brittle edifice and call it a self.

No one wants to be taken to some hospital, so you'll naturally avoid that. But if it gets to a point where you can't avoid it, it helps no one going under the impression that you'll be dead by the time you come out. In a nutshell, I'm trying to use my own positive experience as proof that @PetiteFeet shouldn't just hang herself in a bathroom if her shrink makes her go to a ward.

Or you could READ my entire post and look at PHP, IOP, and wraparound services. Like I fucking mentioned. Your entire thesis is "trick them into going" and "ignore the actual experts I myself trust who say this can kill people and other things (PHP, IOP) work better. You're a moron, or trying to rationalize your own shit in a way that hurts others.

Sneed

I'm not trying to say nothing ever happens at wards, they do! I just don't see how it's helpful to... Idk, scare her like this?

The point is to inform people and tell them about alternatives.

This idea that her life is OVER and she will D I E upon one decision?

The psychiatrists who know psychiatry and math better than you say her chances are much higher if she goes to a ward. Maybe they didn't fix you that well? Or made you worse?

Naturally anyone will refrain from admitting to plans that harm themselves or others if it means they'll be sent away.

Or, you go to something that's effective and doesn't make them into you.

This is kinda weird and gay, man, you don't know me. I trust what works, and psychiatry has worked for me. Anti-psychiatry made me attempt suicide.

"I have to rationalize what I went through or I feel bad."

You want to get other people hurt, hide facts, and make it about you. Fuck you.

Some people psychiatry works for, others it doesn't.

How about we get better at not harming people, trying other methods (IOP and PHP, I'll stop repeating for you now) and get better at diagnostics? How about the patients who clearly aren't well (you) listen to the doctors you trust enough to send people to when they themselves say things about efficacy?

Just do what works, what helps you live, that's all a human has to do. Live.

Psychiatry itself says what it does.

Reading your comment, it seems you're under this impression that I have a deep trust for psychiatrists (I never said that) and that I think Petite should go to a psych ward (I also never said that)

No, you just want to hide facts from people to make them do something that is known to cause harm. You want to run interference from people repeating what the very experts you want to trick people into being locked up with say.

You think it's inevitable and good and works and don't talk about any actual hard evidence to the contrary.

ergo I am a "faggot".

Ecce Homo

 

[Friend of Dorothy Parker]

I think @PetiteFeet made clear that "ward" in her country encompasses a suite of types of treatment, not, or not merely, inpatient lockup.

Thanks, but I'm not institutionalised or anything like that. It's closer to outpatient than anything. The way hospitals work here is they've bundled up every little arm or branch that belongs under psychiatry in the same building.
I've never been sectioned and it'll be the last thing I will be, they clearly don't take me seriously.

There are ways to present information without going ad hominem.

Thread tax: I have the worst fucking song (or fragments of a song) stuck in my head. "We Are the World" is a fresh hell I couldn't have designed to be worse.

 

[Getmeout]

You're flailing. You say psychiatry is good, which is why you defend psychiatry from people quoting psychiatrists to talk about how psychiatry has problems it needs to fix and a death toll it tallied up. You call renowned psychiatrists "random aging pawns of pedophiles."

You, (literally called getmeout, lmao): PSYCHIATRY IS FINE!
Practicing clinical psychiatrists running psychiatric hospitals who counted their own patients dying: "Random aging pawns of pedophiles. Don't listen to them! Also don't scare people. SEND THEM WHERE I WAS SENT!"

You're building a strawman, you're taking very neutral statements of mine (Psychiatry is fine, fine meaning "Acceptable, ok, won't immediately kill you") and turning them into dickriding positive statements (EVERYONE MILDLY DEPRESSED SHOULD BE SENT TO A PSYCH WARD), I'm getting the vibe that the reason why you're doing this is because you've been itching to have this imaginary debate with... Someone (As you said, you wanted to flood the thread with statistics n' garbage) and since I mildly contested you, I am that imaginary opposition now.

"I have to rationalize what I went through or I feel bad."

You want to get other people hurt, hide facts, and make it about you. Fuck you.

I don't wanna do anything, I don't have power. We are on a niche forum, I literally can't hurt you nor anyone. My opinions are not a threat, I don't even know how to vote, dude. This is weird and parasocial, and feels a little like projecting. You don't seem well tbh.

Or you could READ my entire post and look at PHP, IOP, and wraparound services.

There's willing inpatient and unwilling inpatient when it comes to psych wards if you're bad enough. Willing inpatient is when you agree to go, unwilling inpatient is when they make you go. If you say "I wanna kill myself and everyone around me", you can't just say "No thank you" when they say they're going to take you to a ward. (Ig unless you're black, then they'll let you just be schizophrenic in public and lacerate people with machetes on subways. )

That was my point, if Petite ever gets to a point where her only options are willing inpatient and unwilling, first she should choose willing inpatient cause that's a lot less of a hassle and you're going either way. And two, she can bounce back, it's not over after that.

Your argument is that she should avoid being sent to one, and I'm saying ya naturally anyone will avoid that, as I said us humans naturally think of ourselves and how comfortable we will be in a situation first! But if it gets to a point where she is sent there, generally atp you CAN'T just say "No thank you! I'm good, teehee! :3", and I am telling her that atp it's not a guarantee that her life will be ruined. I'm hopepilled, but you want me to despairmaxx!

You're rationalizing your own trauma

This will be my last reply to you. You need to cool down and this conversation isn't fruitful.

 

[Unnecessary Surgery Land]

I left my house in shambles before leaving to visit family for a month and now I’m home and have to pay the price by cleaning all day.

 

[Sneed's Feed n Seed]

You're building a strawman, you're taking very neutral statements of mine

"Neutral statements" such as:

• interviewing the insane and expecting a coherent response
• 90% of complaints are about deadnaming
• random aging pawns of pedophiles

You open by dismissing fifty years of mortality data (presented by the Psychiatrists you're defending from their own statements because of your own sentiments) as incoherent ramblings from crazy people.

I don't wanna do anything, I don't have power. We are on a niche forum, I literally can't hurt you nor anyone. My opinions are not a threat, I don't even know how to vote, dude.

Except you literally just did something: you ran interference against mortality data in front of a suicidal person. You chose to do that. You tried to control what a vulnerable person is allowed to know before making a decision. Does informed consent matter to you, ma'am?

You also chose to copy, verbatim, bog standard gaslighting at me.

If you don't know how to vote, why the fuck are you censoring published pertinent science from other people to trick them into doing something?

I'm getting the vibe that the reason why you're doing this is because you've been itching to have this imaginary debate with... Someone

This entirely started with you trying to interrupt discussion of facts, from practicing psychiatrists, about psychiatry, because of how you feel about it being criticized.

Your defensiveness about the experience is understandable, of course:

I've been to a psych ward too and ya, it was fun choosing meals and them actually be okay-ish, and to meet people who you talk to them and you're like. Oh! So they're JUST as weird as you! I had to leave early though cause my mom kept talking about how me being gone made her want to kill herself and coldly asking "So are you done with your little fit yet?" whenever I called to check on her. I still remember how bad she yelled at me when I came back, thinking back to it makes me want to vomit.

However, nothing justifies trickery, burying facts, silencing, or removing informed consent from people so you feel better about yourself.

(As you said, you wanted to flood the thread with statistics n' garbage)

I was sorry I had to make people do math. I'm not sorry that I'm correcting you and giving people informed consent.

statistics n' garbage

I'm quoting psychiatry itself. You can't just go "I don't like this, I'll call it 'n garbage" with anyone who isn't also lying to themselves.

since I mildly contested you, I am that imaginary opposition now.

No, you're a real person choosing to lie to people to trick them into doing what you did so you feel things you want to feel for yourself, despite harm that might come to them, because you have the double think of TRUST PSYCHIATRISTS, but go out of your way to stop people from sharing what they publish.

This is weird and parasocial, and feels a little like projecting. You don't seem well tbh.

So I'm being curbsided by the patient who defends psychiatry against its own well-researched statements. I'd ask if you're well:

The meds really are working, this is the first time in a while I've felt... Fine. Not manic or anxious, just... Fine.

But you've already shared that with the milieu.

There's willing inpatient and unwilling inpatient

Except Arizona's model exists. Soteria exists. Open Dialog. PHP and IOP. But more critically, you just conceded the coercion point. So much for consent! The MacArthur study I cited found 67% perceived coercion and that perceived coercion independently predicted post-discharge suicide attempts. You describe the exact mechanism documented in the study you called garbage, and you do not realize it.

"If Petite ever gets to a point where her only options are willing inpatient and unwilling inpatient"

You are not a doctor. You are not a nurse. You can't even vote, dude. How about you get to the point you can read about PHP, IOP, and wraparound services (I've posted about them like 3 times, fuck sake), and now Soteria, Open Dialog, etc, and consider them, instead of "JUST DO WHAT I DID!! DO WHAT I DID!! DON'T THINK A BOUT IT! HIDE THE FACTS!!"

"She can bounce back, it's not over after that"

The psychiatrists you trust this much that you hide facts about psychiatry spoken by psychiatrists from future patients themselves disagree with you. Your cope presented as anecdotal prediction (which is entirely about yourself) is contradicted by the psychiatrists you so desperately want to submit yourself and others to.

"I'm hopepilled, but you want me to despairmaxx!"

I literally just want you to read.



The fact that you're actually black only makes this funnier.

You're rationalizing your own trauma" → [meme image]

Your first mistake was assuming I'm a halfway decent person.

This will be my last reply to you. You need to cool down and this conversation isn't fruitful.

Quoting shitty staff ain't a flex, hun.

Neither is being so transparently traumatized by a psych ward, what with you leaving your shit on the Farms to be read. Almost entirely in this thread.

Man. I don't know. My leading theory rn though is the fact that I didn't really have friends growing up, so I desperately seek them out now.

So who is egging you on with this, I wonder, here on the farms?

if I'm friends with someone and I'm spending that friendship KNOWING that if I admit something that's not immoral, they will dump me... Are we really friends? Or are they rather friends with this imaginary version of me. Idk.

I do hope you're not doing it for their approval.

The food was shockingly good too.

I've been to a psych ward too and ya, it was fun choosing meals and them actually be okay-ish

Ever since I had my ED phase at 17

So which was it? You clearly have issues with eating. You go from shockingly good to okay-ish, and you're using food quality as a positive indicator of a ward experience while having a disordered relationship with food.

"So are you done with your little fit yet?"

We'd all love to know, hon.

You need help.
You don't need to censor or hide information from people.
I think the ward stabilized you, but you're clearly not put back together enough to be a person without it as some defining experience that keeps 'you' together.
Your own statements before and during this stupid argument about hiding facts and dismissing Psychiatry's own statements while defending it for your own ego and psyche are a great example of how treatment and therapy can go wrong and fuck people up.

I rest my case.

 

[Sneed's Feed n Seed]

Regarding suicide treatment as inpatient or not at all:

Safety Planning Intervention (SPI) - Stanley et al. (201, JAMA Psychiatry. 45% fewer suicidal behaviors vs usual care over 6 months. 2x more likely to attend outpatient treatment. Brief intervention, ~30 minutes. Recognized best practice by the Suicide Prevention Resource Center.

https://pmc.ncbi.nlm.nih.gov/articles/PMC6142908/

DBT - Linehan et al. (2006), Archives of General Psychiatry. Two-year RCT. Outpatient. DBT patients half as likely to attempt suicide (HR 2.66, p=.005), fewer hospitalizations, fewer ED visits, lower dropout.

https://archive.connect.h1.co/article/14771/

CAMS - Multiple RCTs. Reduces suicidal ideation, improves therapeutic alliance, fewer post-discharge suicide attempts. Works outpatient and inpatient.

https://pmc.ncbi.nlm.nih.gov/articles/PMC10017970/

(Zero Suicide Institute / Suicide Prevention Resource Center): "Treatment and support of persons with suicide risk should be carried out in the least restrictive setting appropriate for the individual. Interventions should be designed to work with the person in outpatient treatment with an array of support and avoid hospitalization if at all possible."

https://zerosuicide.edc.org/sites/default/files/TREAT.pdf

 

[Motherf*cker]

Every day I feel like I'm skydiving without a parachute and at this point I'm just enjoying that I'm still falling and not splattered onto the ground.

 

[Getmeout]

Thread tax: I have the worst fucking song (or fragments of a song) stuck in my head. "We Are the World" is a fresh hell I couldn't have designed to be worse.

At least you have a song made by 80s black guys stuck in your head, you don't wanna know what would happen if a song made by 90S BLACK GUYS was stuck in your head!