Hacker News new | ask | show | jobs
by fish_fan 3180 days ago
I have committed myself twice, once for being suicidal and once for life-ruining anxiety. It did not help in the way I expected. You are essentially not allowed to express confidence in your own health because your caretakers will assume you’re overeager and take it as evidence you need more time in the hospital. Don’t get it twisted, though, your stay length is entirely determined by convincing health insurance companies that any time there will reduce recidivism.

The smart people “play” healthy, not admitting ongoing doubts and concerns. Why? Because you go to the hospital to make rapid medication changes. The therapy offered is often insufficient, both in terms of one-one-one therapy and simply what you can cover during your stay. Overstaying is enough to make anyone clinically depressed. It can also cost a lot; while it is illegal to fire for mental health leaves, it is not uncommon to get let go for “unrelated reasons”, to prevent paying for future stays, or simply because they’re uncomfortable supporting their employees to this extent.

Mental health hospitals are aimed at maximizing the number of beds in use, ensuring everyone is at least as medicated as the doctor thinks they can handle, and pumping insurance companies for money. If you are considering one, use it to prevent crises, not to expect any kind of therapy suited for long-term help. The simply do not have the available attention, funding, or even reliable pharmaceutical research to make a dent in the latter.

To be honest, I have high hopes for psychedelics to make fruitful, therapeutic use in a short stay. As it is I’ve lost faith in the pharmaceutical industry to demonstrate the pills they make are effective, let alone not harmful to the general population. 3/5ths of the mental health prescriptions I’ve been given have been pulled from the market, linked to high suicide rates, or linked to other serious medical issues (no shit, Risperdal made me lactate as a male.)

...and of course, the absolute worst part is seeing people you know will never function in society, many rimes without family. I suppose better the asylum than the street, but we will likely always need long-term mental health care in publicly funded facilities.

2 comments

Ironically, a great way to get out of psychiatric commitment is to cancel or threaten to cancel your health insurance.
Can you elaborate? I have my guesses what you mean but want to be sure I'm inferring correctly.
Agreed on all points. The system demands that you learn to play the game quickly, lie about certain things, etc.