Mental health clinics can be pressure cookers for patients

An individual with a psychotic disorder goes to a mental health clinic. He is safe for himself and others but he is seriously ill. He is on low dosages of an antipsychotic. He thinks off to the side that National Security Forces are tracking his every movement. The psychiatrist does an hour interview and then sends him to a psychotherapist who asks him what is going on and after some reluctance he talks about how the National Security Forces are watching every move he makes. The psychotherapist listens sympathetically. The psychotherapist sends him to a med nurse who demands that he increase the dosage of the antipsychotic or maybe add a second antipsychotic. The patient does so and the patient is now a zombie.The patient goes back to the psychotherapist. She says new medications take awhile to work. The psychotherapist recommends some group therapy sessions where maybe inspirational books are read. The psychotherapist asks about the National Security Forces. The patient does not have the energy to think about the National Security Forces or anything else.

The patient decides to never again talk about the National Security Forces. He goes to every group suggested as the clinic can adjust his meds again at any time after what he has said about the National Security Forces. He attends groups, says positive things about the inspirational books and the med nures allows him to decrease his dosages. He is on dosages he was on when he first entered the clinic. The National Security Forces are again on his case but he is safe for himself and others. He is still disabled by a severe mental illness. The team who has been treating him have a meeting and decide that the patient is doing much better now. The psychotherapist tells the patient that he is ready to go back to work. The mental health clinic tells funding authorities thanks to all the services provided by the mental health clinic, where a range of services are required, that another patient is ready for work.

So at the mental health clinic if a patient is safe for himself and others but still severely mentally ill he is either dangerously ill or completely well. And if he is dangerously ill the proferred solution is to accept zombiehood. And of course the patient can not explain what is going on to family. Family thinks that the mental health team just wants to listen sympathetically, in a warm, professsionally caring environment to their ill relative. While listening pleasantly what the mental health team is also doing is generating billable hours and reporting either successes to funding authorities or why the mental health clinics need more funds.

Very frequently individuals on mental health teams are well-intentioned, however, they are on jobs. One might think if the record shows that an individual has had a long history of schizophrenia that efforts to get some one back in the job market would cease, that patients just picking prescriptions for medications and not running up costs would count as a victory but not so. Mental health clinics can be pressure cookers for patients.

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