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How To Admit Yourself To A Psychiatric Hospital

When To Seek Hospitalization

  • Consider seeking hospitalization if you're experiencing symptoms that put you or others at risk, including:
  • Suicidal ideation
  • Hallucinations
  • Substance abuse requiring detox

  • Hospitalization can also be helpful if you are finding yourself unable to function properly due to your illness.

Before Admission

  • Ask a trusted friend or family member to assist you with the admission process and paperwork.

  • If possible, contact the hospital ahead of time to learn about their rules and procedures, and what items to bring.

  • Inquire about visiting hours and telephone access.

Hospital Rules To Expect

  • Being in a locked ward initially with restricted freedom of movement.

  • Certain items like belts, razors, and shoelaces may be locked away for safety.

  • Following a schedule for meals, treatments, activities, and bedtime.

  • Sharing a room with someone else.

During Admission

  • A psychiatrist will evaluate you to determine an appropriate treatment plan.

  • The goal is to assess your physical and mental state, differentiate between medical conditions and psychiatric disorders, and decide on treatments.

  • Your treatment plan may involve working with various mental health professionals.

  • You will likely participate in individual, group, or family therapy and may receive psychiatric medications.

  • Hospital staff will also manage insurance approvals for your stay.

Your Rights as a Patient

  • You have the right to:
  • Be informed about tests and treatments, including risks and benefits.
  • Refuse unnecessary or unsafe tests or treatments.
  • Refuse experimental treatment or training sessions involving students or observers.
  • Keep your hospitalization confidential unless you consent otherwise.

  • The exception to the right to sign yourself out is if the hospital staff deems you a danger to yourself or others. In such cases, you must be released within 2 to 7 days upon formal request, depending on state laws.

  • If you have problems getting released, contact your state's protection and advocacy agency.

After Discharge

  • Consult your healthcare providers about your discharge plan, including follow-up appointments and referrals for ongoing treatment.

  • Follow-up care is crucial to minimize relapse risk, as most medications take 2-3 weeks to take effect, and hospital stays are typically shorter.

  • Enlist the help of trusted individuals to support you during this transition. You can also refer them to resources for helping someone with depression.

  • Be mindful of the increased suicide risk after discharge and seek support from professionals, friends, and family.

  • Establish a regular routine and take care of yourself by eating well, exercising, and getting enough sleep.

  • Be gentle with yourself, and recognize that recovery is a gradual process.

Crisis Plan of Action

  • Create a plan and compile necessary information in case of future hospitalization, including:
  • Doctor's contact information
  • Trusted friends, family, or support group contacts
  • Health issues and allergies
  • List of medications
  • Insurance information
  • Preferred hospital

  • Consider an advance directive and medical power of attorney to authorize a trusted person to make medical decisions on your behalf if necessary.

Summary

  • Checking into a hospital for depression can be difficult, but it's essential to recognize when it's appropriate.

  • Common reasons for admission include psychosis, mania, substance misuse, or suicidal thoughts/behaviors.

  • There are resources available to help you, and effective treatments exist for depression.

  • After admission, a treatment team will evaluate your symptoms, develop a treatment plan, and work to stabilize your condition.

  • Following discharge, it's crucial to work with a follow-up team, adhere to medication and treatment plans, and seek support from loved ones when needed.

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