Wow thanks for that addition…
Amen...I cannot stand how people can appear to judge a population or portion of people on a few negative cases. WBC in my opinion is evil, judgmental
and disgusting. But that doesn't mark similar faiths as the same. I don't regret my time. I am going to try hard to walk out of the ER on friday
morning and not look back, but get real Kyo, I know darn well I am gonna be an emotional mess even though I know it is time for me to leave for my own
health and that of others
Yours is a star-worthy post for recognition that a five person sample does not taint a population
There are generally three diagnoses that can mix mood issues with legitimate psychosis such as paranoia, hallucination and delusion.
Schizoaffective disorder carries with it psychotic symptoms during mood related problems. So in this case, when someone is manic, they will also
undergo one or several psychotic symptoms.
What many don’t know is that Bipolar and Major Depression can also carry with it psychotic features during extreme depression or extreme mania. The
typical difference is to look at affect ((how they are physically responding in relation to their mood))
Mania brings with it excited and unstoppable energy that feels invincible. Everything is great and grand and perfect. Also, mania can bring with it
intense irritability and anger. Schizoaffective features often carry a flat affect. So even though someone may be manic, their face and body won’t
show it. It will be dull and listless. But yes, bipolar and MDD can have psychotic symptoms
I agree…and part of the problem is the extreme loss of beds. When I was a medic intern in the trauma center, I saw crisis workers who had a TON of
psychiatric hospitals, each with dozens and dozens of beds to choose from. Hospitals were clamoring to try and fill beds. My own state has 9 stated
facilities. Now, on my overnight shift if my main hospital is full, I have approximately 27 facilities inside this rather large state with a rather
large city to choose from. Almost invariably I will hear the words “at capacity.” Now we only have 5 state facilities left. It’s ugly…very
So that became an impetus for the push towards reclassifying what “unable to care for self” means. Nowadays, for me to involuntarily admit someone
for “unable to care for self,” I have to show that this person has not eaten, bathed and left the house for weeks. Then when I DO have that
criteria met, labs are ordered ((which are ordered for all mental health emergencies)) and then because finally after two weeks they ate a muffin or
banana to satisfy their families, their potassium level is over 3.0 and the court says “well her potassium and sodium are fine…she must be
I am going to have to disagree on several points here…graciously as I am able of course
1. Veterans with true PTSD do often turn to alcohol…very true. But even with alcohol I will RARELY get them to even mention they were IN the war let
alone chatter on about the war.
2. Yes veterans often do lie and they have damn good reason. You CANNOT ever, for the safety of any traumatized client, request or push for them to
detail a story until they are extremely prepared and ready on THEIR terms not ours. It is dangerous to the client to force any details unless they
know of it, are ready and have been given safeties to get out of the story when it is too much. I specialize in PTSD and during my time with the
hospitals, in training sessions, in client-paired sessions and my own therapy sessions, I learned real fast that even when, after ages, a veteran or
trauma survivor is prepared, it may and does often take multiple sessions to get safely through the details.
3. No offense, but “leaking the information” isn’t going to change anything at all. It isn’t awfully difficult to read someone not giving you
a full story on something traumatic. If you are delving into a life story or even glossing things, certain facts will be completely void or filled
with massive holes. Every one who lies when it comes to mental illness, trauma, whatever WILL trip at some point. There is no perfect liar. Yeah it
may take a while, but it'll come. Instinct is powerful and I do not in any way pretend to be some master reader of people but when enough people lie
to you over time you know the drill. You don’t have to have a degree to know when something is off or when a trauma survivor is filling you with BS.
The good liars are going to be effective whether you leak said info or not to be honest. And there is no one way to tell a PTSD survivor whether it be
war, personal assault or disaster related. I’ve seen the gamut that ranges from the flattest affect I’ve ever known who had the deadest eyes, to
all fake smiles, to tearful and labile and expansive and to the explosive anger. PTSD does not fit into a single neat category of outward and inward
signs. It’s is quite variable even in the true cases of war-related PTSD.
With that said, I absolutely agree about perception of homelessness and how and why residents get kicked out. Sometimes it is utter BS and sometimes
it is wholly justified. In one week we lost two at our shelter for stealing. One guy straight up stole 9 tablets from an electronics store whose
protection levels lacked the capabilities of big box stores and the other stole several pops from a gas station on camera.
I’ve seen the panhandlers as well and several of them are really good at not smiling or laughing when getting a payout despite the fact they live in
the suburbs in a 300k house.
edit on 31-12-2014 by KyoZero because: (no reason given)