Instead of criminalizing or denigrating patients who repeatedly appear to 'drain' mental health services while not showing improvement, how about looking at why services aren't helping?

I know of ways I could've been better assisted in mh treatment, & here's a thread:

1/6
-Make sure first that the patient has a safe home with funds for food & hygiene.
-Be very sparing with medication.
-Now you need to listen. Much stabilization can happen if you let a person pour out everything bothering them. Don't comment, just show that you're listening.

2/6
-Many people are embarrassed to say that they don't understand money. And employment. And relationships. They get twisted up inside pretending to go along as if they do, so
-workshops for basic & complex life skills might serve some patients better than CBT or DBT.

3/6
I'm sure we can all think up life skills parents didn't impart or we didn't learn along the way.

-Many people are shy to talk about chronic conditions that are exhausting or embarrassing (IBS, migraines) & managing those is vital. Do that, knowing each person is different.

4/6
-Be very clear, in a kind way, that this hospitalization will last x amt of days, we'll do x, & then you can choose to move onto x or x. Uncertainty or being dropped produces anxiety.
-More centers in communities with safe space for talking, doing, practicing life, plz!

5/6
These are my suggestions, based on my decades in mh services. Feel free to make your own, please.

6/6
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More from @rwillowfish

12 Mar
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Because you're not allowed that opportunity, especially when you're by yourself.

On one psych detention,
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2020, a helluva year for everyone & I had my share of it. Beyond the pandemic, justice & rights movements, US presidential election, west coast on fire while gulf coast hurricane-pelted, mixed with randomness like murder hornets,

(thread 1/9)
I was left to recover myself from psychiatrist stopping 5 meds, no taper, then covering up her actions. Jan-March I largely spent nursing myself through withdrawal illness, reaching out on twitter for help & finding the right community,

(2/9)
while at the same time pursuing a psychiatrist switch at the mental health center. This involved filing a human rights complaint, but since the psych lied, my claims of rights violations were deemed baseless, but I held my ground. Yet,

(3/9)
Read 10 tweets
2 Dec 20
So people say, if you just complied with & worked with your psychiatrists, why would you have problems? And if you did, just file a complaint or even take them to court maybe?

Here's why that doesn't work. (a thread)
Suppose I just want note that I was noncompliant with medications removed from that hospital record. Well, that will be challenged by the ruling of human rights dept at mh ctr, which favored the psychiatrist's denial that she cold stopped meds.

That's only part of the fight.
Then I have to bring in this psychiatrist's poly-drugging of me for 3 years that led to worse bipolar symptoms, desires to self-harm, and greatly increased psych hospitalizations, as I continued to comply with her recommended treatments.
Read 6 tweets

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