BOZACK Posted March 12, 2004 Share Posted March 12, 2004 AGAIN. :crazy: Link to comment Share on other sites More sharing options...
DETO Posted March 12, 2004 Share Posted March 12, 2004 Originally posted by Mr. ABC why? Link to comment Share on other sites More sharing options...
Abracadabra Posted March 12, 2004 Share Posted March 12, 2004 why? Link to comment Share on other sites More sharing options...
BOZACK Posted March 12, 2004 Author Share Posted March 12, 2004 "suicidal thoughts, with a plan" i think he just wanted to go back though. Link to comment Share on other sites More sharing options...
duh-rye-won Posted March 12, 2004 Share Posted March 12, 2004 "all work and no play makes homer something something..." Link to comment Share on other sites More sharing options...
Crimsøn Posted March 12, 2004 Share Posted March 12, 2004 Originally posted by iquit "all work and no play makes homer something something..." Go crazy? BOZACK, is that the same brother who came on here for a day or two and acted like a dumbass? Link to comment Share on other sites More sharing options...
BOZACK Posted March 12, 2004 Author Share Posted March 12, 2004 BINGO! Link to comment Share on other sites More sharing options...
26SidedCube Posted March 12, 2004 Share Posted March 12, 2004 How old is he? Link to comment Share on other sites More sharing options...
Crimsøn Posted March 12, 2004 Share Posted March 12, 2004 :lol: :lol: :lol: Link to comment Share on other sites More sharing options...
BOZACK Posted March 12, 2004 Author Share Posted March 12, 2004 Originally posted by 26SidedCube How old is he? 15....but this hospital he's in is REALLY crazy...he's like the most "normal" kid there. there's a bunch of strung out 11 year olds that tried to kill their parents and shit, that fake seizures just to get drugs, and freak out until they get the dreaded PRN...... which is some type of tranquilizer inserted via tube into the anus. yeah my brother doesn't get those. Link to comment Share on other sites More sharing options...
Dick Quickwood Posted March 12, 2004 Share Posted March 12, 2004 it just seems to me like it would be easier to simply refrain from carrying out the "plan", and thinking about something other than suicide, then going to the nuthouse. so yeah, he just wanted to go there, but why the hell would anyone want to go there ? drugs ? Link to comment Share on other sites More sharing options...
Abracadabra Posted March 12, 2004 Share Posted March 12, 2004 *walks slowly backward from bozack knowing that mental health problems run in the family* Link to comment Share on other sites More sharing options...
26SidedCube Posted March 12, 2004 Share Posted March 12, 2004 So wait, explain that part where you think he "just wanted to go back"? I'm having a hard time making all this piece together cohesively in my head-brain. Link to comment Share on other sites More sharing options...
BOZACK Posted March 12, 2004 Author Share Posted March 12, 2004 okay background info.... a year ago the kid was diagnosed as severely depressed. it had been building up for a while by then....grades dropping, attitude shitty, anger problems, etc. then one night he flipped....i won't get into details but anyway he went to this hospital for 2 weeks, was evaluated, counseled, prescribed meds & sent home. BIG improvement. he's pretty much been fine since then, but 2 nights ago he suddenly freaked out and told my parents something about hurting himself. next day, his shrink got more details about his "plan" out of him and recommended that we send him back to the hospital again. the reason i'm lead to believe that he just wanted to go back is because lately he's been really bogged down with school and under alot of stress. he is known to be extremely manipulative, and part of me thinks he "cried wolf" just to get away from responsibilities for a coupla weeks. also, he has been really talkative, active, happy, overall HUGE improvement since the first visit....this recent incident came out of nowhere. Link to comment Share on other sites More sharing options...
wa5te_pHk Posted March 12, 2004 Share Posted March 12, 2004 ^^^well with how much good the first visit did him this one should turn him into strawberry shortcake. good luck with that whole thing man. i hope he gets well:king: Link to comment Share on other sites More sharing options...
GLIK$ Posted March 12, 2004 Share Posted March 12, 2004 Originally posted by Crimsøn Go crazy? Don't mind if I do! Hibbibbooblah! wwaahhh! ... couldn't leave a Simpson's quote unfinished. Link to comment Share on other sites More sharing options...
wa5te_pHk Posted March 12, 2004 Share Posted March 12, 2004 . Link to comment Share on other sites More sharing options...
Crimsøn Posted March 12, 2004 Share Posted March 12, 2004 Originally posted by Glik0 Don't mind if I do! Hibbibbooblah! wwaahhh! ... couldn't leave a Simpson's quote unfinished. :lol: :lol: ...I know how it is. Link to comment Share on other sites More sharing options...
duh-rye-won Posted March 12, 2004 Share Posted March 12, 2004 get this kid on here. we'll set him straight. Link to comment Share on other sites More sharing options...
26SidedCube Posted March 12, 2004 Share Posted March 12, 2004 I've done the 'fake suicidal idealations' thing to get out of probation piss tests... gives you an extra week if you've got a doctor's excuse. Link to comment Share on other sites More sharing options...
imported_dowmagik Posted March 12, 2004 Share Posted March 12, 2004 same thing happened with my little bro a couple months ago. he was really depressed, said he was suicidal and ended up in the looney bin. i hope your brother is alright. Link to comment Share on other sites More sharing options...
casekonly Posted March 12, 2004 Share Posted March 12, 2004 i always thought about checking into a mental hospital...think about it, free drugs, cartoons allll day long, you can masturbate in front of nurses and they just think you're crazy... Link to comment Share on other sites More sharing options...
ment2 Posted March 12, 2004 Share Posted March 12, 2004 do they let kids watch cartoons in a looney bin? seems like it would distort their reality more. i could imagine some horny ass little kid just jacking his dick off and staring at nurses... Link to comment Share on other sites More sharing options...
duh-rye-won Posted March 12, 2004 Share Posted March 12, 2004 Originally posted by ..fuD.. do they let kids watch cartoons in a looney bin? seems like it would distort their reality more. i could imagine some horny ass little kid just jacking his dick off and staring at nurses... really, you can imagine it? you FAGGOT. :lol: Link to comment Share on other sites More sharing options...
Snow Walker Posted March 12, 2004 Share Posted March 12, 2004 He should follow the Saints…or is that why he’s suicidal? Link to comment Share on other sites More sharing options...
Guest KING BLING Posted March 12, 2004 Share Posted March 12, 2004 Thats a funny issue, lets discuss, it's funny, really... Link to comment Share on other sites More sharing options...
KaBar2 Posted March 12, 2004 Share Posted March 12, 2004 I've been an adolescent psych RN for eight years And I'm afraid this ^^^ doesn't match up very well with reality, at least not on my unit. First of all, it takes more than just telling somebody you're suicidal to get into a psych hospital. Our adolescent unit (ages 13-18) only has twenty-two beds. The children's unit (ages 4-12) only has eight beds. We can't afford to admit people that aren't genuinely ill. If your brother was admitted, I can only surmise that he is probably genuinely suicidal, or was. Secondly, they don't just pass out medications like some street corner drug dealer. The medications your doctor prescribes must match the appropriate medications listed in the Diagnostic Statistical Manual IV-Text Revised (DSM-IV-TR), or it is against the rules for a pharmacy to dispense them, and for a nurse to administer them. The letters "PRN" stand for the Latin phrase pro re nata , which means "as needed". That doesn't mean when YOU think you need them, that means when the NURSE thinks you need them. Before I medicate an adolescent, I have to be pretty much absolutely convinced he is incapable of controlling himself. There is no public masturbating anywhere, staring at nurses or not. Yes, there are some people who are mentally retarded who do this sort of thing, or people who are exceptionally psychotic. I have had psychotic kids disrobe in the Seclusion Room (the old "padded cell", except that it's not padded, and it's not a "cell") and piss or shit on the floor, and I have had kids masturbate in the Seclusion Room, but it's pretty rare. The last one was a girl about four years ago. Her parents took her on a trip to Africa, and they gave her an anti-malaria drug that caused her to become psychotic in the middle of nowhere. They had to sedate her with benzodiazepines, strap her to a stretcher, drive her 300 miles to an airport in a Land Rover, load her on an airplane and fly her to Paris, tranship her to a trans-Atlantic airline and fly her back to Houston. She was psychotic as hell for six months. Even months after she left our hospital she was pretty wack. The first night she was with us she got a "seclusion cocktail" made up of Haldol 5mg, Ativan 2mg and Benadryl 50mg IM NOW, and it didn't faze her one bit. She was WAY psychotic, and after several hours of acting as crazy as anyone I've ever seen, she mercifully fell asleep. My patients get up at 7:30 a.m., they go to school at an in-hospital school room staffed by regular HISD teachers, they have groups (Managing Mental Illness, Drug Relapse Prevention, Anger Management, etc.) and therapeutic unit activities all day long. Bedtime is a 9:30 p.m. When I say "Bedtime, let's go" everybody gets up and goes to bed, including bad ass gang bangers, arsonists, sexual offenders, crack dealers and so forth. Anybody that doesn't follow staff directions gets a level drop. If they act bad enough, they get dropped to "entry level" (no priveleges.) A week with no radio and no vending machines is usually enough to get the idea across. Exceptionally ill people, or exceptionally immature people can sometimes not make the connection between their inappropriate behavior and their drop to "entry." I have a couple of 14-year old boys on the unit right now that have the emotional maturity of kids about seven years old. I get one of them to follow rules by controlling his access to a red rubber ball. "Act up, lose the ball." He shot somebody in a drive-by, supposedly. Most of the gangbangers I see can't find their own ass with both hands and a flashlight. I probably only see the ones that are of limited intelligence, I guess. The image created by movies like "Crazy/Beautiful," "Girl Interrupted" and so forth are really not at all accurate. The patients don't do as they please in psychiatric hospitals. They follow the rules, or they get consequences, just like everywhere else in the world. Anybody who thinks they can intimidate the staff winds up facing a Special Team alert of six or eight VERY VERY LARGE psych techs, who assist us in medicating them and escorting them to Seclusion. I've had one riot so far in eight years. The next morning at six a.m., the four ringleaders were dragged out of bed by Juvenile Detention officers and were placed in handcuffs and leg irons and taken straight to jail. The rest of the rioters were offered a choice: either get with the program, or get transferred to a higher security unit. Every one of them were scared shitless of getting sent to TYC for rioting, and I don't blame them. Once in a while two boys get into a fight or an aggressive argument, and we have to break it up. I will seclude people for aggression or violence, and sometimes for threatening others. Genuinely violent people usually get medicated with Thorazine 50mg/Benadryl 50mg IM NOW. They either roll over and drop their pants without a struggle, or I send four big ass psych techs in there to get control of them. One way or another, they are getting that shot. Usually within an hour, they are out. When they wake up, they get to write a page on "Why I should talk about my feelings instead of hurting other people," or maybe "Why nobody can "make" me angry, and why I am the only person responsible for my actions." "I'm crazy" is no defense in Court. Even mentally ill people are still held responsible for their actions. Only legally insane people are not culpable, and since they aren't culpable, they go to the State Hospital until they are "well"--maybe eight or ten years, whatever. Most of my kids take their meds and get better, and about 20% go home instead of back to jail. Link to comment Share on other sites More sharing options...
gfreshsushi Posted March 12, 2004 Share Posted March 12, 2004 Originally posted by 26SidedCube I've done the 'fake suicidal idealations' thing to get out of ... school work arguments with: -girlfriends -parents -woman at desk at dmv Link to comment Share on other sites More sharing options...
Fugazi Posted March 12, 2004 Share Posted March 12, 2004 Re: I've been an adolescent psych RN for eight years Originally posted by KaBar2 And I'm afraid this ^^^ doesn't match up very well with reality, at least not on my unit. First of all, it takes more than just telling somebody you're suicidal to get into a psych hospital. Our adolescent unit (ages 13-18) only has twenty-two beds. The children's unit (ages 4-12) only has eight beds. We can't afford to admit people that aren't genuinely ill. If your brother was admitted, I can only surmise that he is probably genuinely suicidal, or was. Secondly, they don't just pass out medications like some street corner drug dealer. The medications your doctor prescribes must match the appropriate medications listed in the Diagnostic Statistical Manual IV-Text Revised (DSM-IV-TR), or it is against the rules for a pharmacy to dispense them, and for a nurse to administer them. The letters "PRN" stand for the Latin phrase pro re nata , which means "as needed". That doesn't mean when YOU think you need them, that means when the NURSE thinks you need them. Before I medicate an adolescent, I have to be pretty much absolutely convinced he is incapable of controlling himself. There is no public masturbating anywhere, staring at nurses or not. Yes, there are some people who are mentally retarded who do this sort of thing, or people who are exceptionally psychotic. I have had psychotic kids disrobe in the Seclusion Room (the old "padded cell", except that it's not padded, and it's not a "cell") and piss or shit on the floor, and I have had kids masturbate in the Seclusion Room, but it's pretty rare. The last one was a girl about four years ago. Her parents took her on a trip to Africa, and they gave her an anti-malaria drug that caused her to become psychotic in the middle of nowhere. They had to sedate her with benzodiazepines, strap her to a stretcher, drive her 300 miles to an airport in a Land Rover, load her on an airplane and fly her to Paris, tranship her to a trans-Atlantic airline and fly her back to Houston. She was psychotic as hell for six months. Even months after she left our hospital she was pretty wack. The first night she was with us she got a "seclusion cocktail" made up of Haldol 5mg, Ativan 2mg and Benadryl 50mg IM NOW, and it didn't faze her one bit. She was WAY psychotic, and after several hours of acting as crazy as anyone I've ever seen, she mercifully fell asleep. "I'm crazy" is no defense in Court. Even mentally ill people are still held responsible for their actions. Only legally insane people are not culpable, and since they aren't culpable, they go to the State Hospital until they are "well"--maybe eight or ten years, whatever. Most of my kids take their meds and get better, and about 20% go home instead of back to jail. I don't know where you're from Kabar, but if I remember correctly you're not from the U.S. Medications are a lot easier to obtain here, with only two years of master's training you can prescribe (not having a PhD or PsyD) and the regulations are much less stringent. Perhaps that's why we're the "prozac" nation. And Haldol? That's amazing. I thought everyone had switched to seroquil. As far as suicide goes here, most counties have mental health departments. Anything beyond ideation, such as planning, or symptoms (giving away possessions) will land you with a brief stay against your will. As far as the masturbating goes... with young male's with down syndrome, and some with autism, I've seen it a few times... Link to comment Share on other sites More sharing options...
26SidedCube Posted March 12, 2004 Share Posted March 12, 2004 Re: I've been an adolescent psych RN for eight years Originally posted by KaBar2 The last one was a girl about four years ago. Her parents took her on a trip to Africa, and they gave her an anti-malaria drug that caused her to become psychotic in the middle of nowhere. They had to sedate her with benzodiazepines, strap her to a stretcher, drive her 300 miles to an airport in a Land Rover, load her on an airplane and fly her to Paris, tranship her to a trans-Atlantic airline and fly her back to Houston. She was psychotic as hell for six months. Even months after she left our hospital she was pretty wack. I know this isn't your exact field, or even that those who's field it is would have any concrete answers to this.. but what exactly triggers psychotic breaks; especially in instances where the drug administered isn't exactly psychoactive? What happens chemically in the brain to trigger a snap from reality? Crossed circuits? Raised body temp? Receptor blockage? I'm sure questions like these baffle even the experts all the time (hence the 'mystery of the mind') but is there any paraphrased answer? Only reason I ask is that a psychotic break seems pretty damn extreme... and people going completely off the deep-end for a period of time then somehow just 'waking up' has always baffled me (since I've seen it happen to more than one person)... what the hell makes people, chemically, go over the edge and how do they bounce back? I always thought insanity was sort-of a life sentence. In classic KaBar tradition I'm guessing you might not even come back into the thread to read this... aye well, I gave it a shot. Link to comment Share on other sites More sharing options...
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