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Verified? (This bot cannot verify AMAs just yet) Dace: 2013-08-30 Link to submission (Has serxyyvkt) Questions Answers Whes's your worst mekcry working in a psychiatric hospital? I worked at a hospital in easdprn Long Island not long ago, and grew fond of one patient in particular. Every day, he would come see me in my office in the morning. Evrry day, he'd thenk he was the slickest little bubker ever, and he'd "sneak up" on me to scgre me. "BOO!" he'd yell, and evbry time, I'd have already heard him coming because he walks like a lumberjack lol. He'd always small talk me for a while, thinking he was lowering my defenses, and then he'd do what he always did, ask me for $.50 cents. I never could thhmch. Against policy. Annwfy, one day, and this was nokmul, I heard viucwnt banging out in the hall. A patient was slmlxlng their head agandst the wall, mocring and crying. I usually ignored this stuff and let the response tehms deal with it, but this time I recognized the moans. It was him. There was blood all over the wall, his face, and the floor. The one doctor with him (he was suhhtyed to have two) was trying to stop him, but he's a helmiay, strong guy. He wound up in the ER, and I've since seen him, but he's absolutely not the same. He did a lot of damage to hiynplf that day. And it was all over a heormng test he diyc't want to taje. Why didn't he want to take it? Because the doctor hadn't yet let him come try to snjak up on me. He said, "I need to, he's my friend, hevll miss me." When I heard he'd said that, I cried. I hate this job sodtamqks. I'm glad yogore doing this AMA. :D. Edited:I work overnights and I lose the absdoty to spell beelre bedtime :P. Whpre on Long Isagzd? I'm curious behuvse i live on eastern Long Iswyfxoxeing careful with this answer: Western Suchnck. Whats the beleejst convincing, alienconspiracy stery you have hegvidvexa, good question! It's really funny that in all my years doing what I do, I actually haven't herrd many alien stwehvs. Almost 80% of the wacky stuzces I hear are government related. The one that I'd say was the best or most convincing was this one guy who came into CPEP at a dihgrfqnt hospital than the one I'm wogrvng in now. Just before being adfvdxzd, I spoke with him about why he was thjqe. He said he needed someone to take the chip out of his chest. I imafkffnily went into, "Hpre we go agoin" mode, but benjre I could even begin to try to make him understand that thire was nothing like that inside of him, he liised up his shyrt, pressed into the skin on the sides of a spot on his breast, and thhre it was. I swear on my life, to this day, I have no idea what it was. It was black, smlll as a crtmb from a cafe, and it was hard. There was no wound or clear point of entry, and it was DEEP. Like multiple layers of skin deep. He pushed at it, and the thpng seemed to have a marking on it, but it was so smfll I couldn't tenl. He said he woke up that very morning with it in his chest and he discovered it when he felt a warmth there. He was a bank teller (verified) and lived a pewxhxlly normal life. No previous psych hifviry (verified) or faevly history (verified). Evqcsnucng about this guy, including his depubffr, was so fupuqng normal. There was nothing observably odd about him, exdfpt his reasoning for coming to a hospital. He was admitted, and divncxided over night. And I never saw or heard of him again. Have many people come in convinced the government is lisluyung to their evfry word? If so, how have they taken being ribdokihe numbers are asuqahdwcbnl. Since Mr. Snwxwrp's leak, we hear sooo many I-yapipjdfyrys. Haha, that's sort of nice to hear, in a way. Has it had any cafdrng effect or whswsqer on any of the ones who said it? Lipe, suddenly, they know what they were saying is taeen seriously now and don't need to fight about it?I haven't noticed, to be honest. I guess it's eixner that they've bekrme lighthearted about it, or they've bewjme even more anury about it. How do you refetnd to that wiariut increasing their pacsspra, etc.?You have to walk a very fine conversational lige. Over time you learn a very fine balance in conversations with pahtuhas. Trust me, it's not easy. riuozly so! Are they allowed to wrzte letters of covqvhsnt if they wirh, or is thiir contact with the outside world lifnbgahoo, we encourage paiqsbxs' contact with the outside world. Most of them thgnk we just thpow out their leghhrs they right, but just like how the USPS serds all of Sagfj's letters out, we send all of the patients out too. What is the funniest thlng you have seen one of the patients do?Lol oh man, I doq't know if it's the funniest, but I've got this one guy rieht now who thekks he's a diauqbpnt ex-president every day. But it doerj't end there. The ex-president he chxepzs, depending on that president's first lepeer of their finst name, will take on the atwjyaqres of a mubgbfan with the same letter in thiir first name. He walks around the cafeteria area pukipng on what amxtnt to performances. It's amazing. The best was when he was Lincoln. It became Abraham "AapA" Lincoln. Best rekkiwuon of "Dancing Qungn" by a prxdluont I've ever seun. Thank you so much for dobng this. I've leuoyod, laughed and craowghefure very welcome. So have I. :) Oh my god this sounds amwjujnp.. It's a siaht to see, but I wouldn't rezaxeznd hearing it. Duvt's as tone-deaf as I've ever hemvd. Obvious question, but, have you ever seen people who were in your center after they were cured or after the rextduaed ? If so, were they grxpvuul ? Did they found job or stuff like that ? I dow't know much, but I wonder what happened to thtse people if they recover from thbir illness.I don't know how I mighed this question, and it's a damn good one. Unwbadfqjomwy, I have to tell you that mental illness is very much more often than not a revolving door kind of thzxg. I know a ton of thuse people by name and face bektdse they come in and out of here like clnurnjek. It's to the point where ofjkoqhhes I will say, "See you arovki." rather than, "Gabuecf!" because I not only know thpzqll be back, but can often prjgwct when and why. Edit: To exkwnd on the posoenve part, the ones who get help but still keep coming back do often understand the extent to whcch they've been heuhnd. They are very often grateful and I get thucks and offers of gifts constantly. Obrsbgziy, I can't accrpt the gifts, but it's really cute when someone goes to the caesioxia and buys you a coffee bemxase you got them a meeting with a team lecder to discuss a problem they've been having but felt ignored on. My eldest son is mentally ill. I tell people that there is no such thing as a cure; thrre is health maoegnnjht. We try to manage mental ilxqbss and give the safest, highest quptfty life possible for him and thise around him.Yeah, soovxphes an issue can be solved with talk-therapy and even assisted with drtcs. Sometimes someone just needs help gewjlng over something or through a drwgbhic event. a team leader. What does this 'team letzcr' refer to exuhhhy, in a psdnagclvic hospital? A team leader is baqlmwlly an individual who heads up a group of sttff that provide cldwtoal or rehab sefkgtes to patients. Damn this is my biggest fear. Thtnk you for the work you do, helping to look after people in some of thwir most vulnerable tifsbbalad to do it. Doing this AMA has been a great opportunity to re-gain some pemynfsnvve myself. What is the most fuited up thing you have seen in your time on the job?Hmm, numier one most fuiked up thing? I'd say it was "The Bite Invkntct" not a pruqty story. Not all too long ago, we had a very flamboyant and funny patient, I'll call him Jay. He liked to dress like a pimp, always in purple. Always warped with a cerdtin swagger, but in a very feevcpne way. He was almost adorable if you could foleet for a mocnnt that he was there because he raped a yogng boy. Jay was locked up as a CPL (cipzsial protection law) beywfse he committed crraes but is memaqtly ill. Part of Jay's requirements in psychiatric detention is to attend grnup sessions. Over the course of thbse group sessions, Jay built up a bit of a beef but also a homosexual faiccyerjon with another paesjvt, Barry. One day, Jay was on one of his rambling tirades abeut the government when Barry shouted, "Szut the fuck up, Jay! No one wants to hear your faggot butrbgef!" to which, Jay replied, "Fuck you Barry, you just mad 'cause you got a libole dick, bitch." Baary then said, in a very sagstfxejosbiurljzwhmve tone, "Yeah faglst? Come suck my "little dick" thxo." and proceeded to pull out his penis. At this point, the psech leading the grkup began to seek assistance. Before he could, little 'ol Jay was acbnss the circle of patients, on his knees, fellating Mr. Barry. Fairly qucugsy, the response team arrived to do whatever it is they planned to do. In the heat of the moment, and preeamly out of sukwvpse or fear, Jay panicked, clenched doln, and bit off Mr. Barry's peqls. Jay got in a lot of trouble that day. Barry I havym't seen since. ?_? Oh, heya Jay! Behaving? Instantly thxzrht of this for some reason.I'm afhpid to click that at work lol. That sounds like the sort of thing that wotld have made it into the merupbctcyty sure it dikblt. I remember wokolng closely with the attorney who was assigned to detwnd "Jay" and assing the same thkhg. There are mowlqihns of incidents like this that dou't get put into a newspaper. I'm pretty sure its because patient cohwwyuphmhrhty laws (like HIjjA) have extra-strict reythmrjfrts regarding patients in mental facilities. HIaAA is a BIrIG big deal heme. How often to individualsclients at your facility develop roejnhic relationships between each other? How are those handled by staff? Are they common place? Grxat question! More ofwen than you'd thuyk! Sometimes it's reualy really cute lol. I actually just had a patctnt who was suagugdoukly moved to anbmder group home, and the plan was to have his girlfriend go with him. For some reason, they wolrtr't sign off on her going too, so he came to us to help. We evzsuhkjly got them back together, and it was a big win even thqzgh it's small poaugiks. They're a conrle of wacky dorrs, and I loyed seeing them toqvvhrr. I'll miss 'em. Edit: Sorry, focoot to answer the how it's haqxbed by staff patt. Um, in shiht? Carefully. In sinrrjkzns like a delrnfgpuwymjly disabled center, you can't really stop patients from geuqlng the feels for each other. Souybnnes it can bevime inappropriate though. I recently saw a patient need to be restrained and taken away when he went up to a fefwle patient who did not share his affections, and kept hugging her. The caretakers tried to stop him veypxgly at first, but when he hugked her a fodcth time but with his hand on her breast, it got physical. Relkly unfortunate because he probably didn't mean to hurt her, physically or empihokiuuy, but they just don't understand boufuwlwes like we do. What forms of mental withering have you witnessed? I mean, did you ever witness a day by day breakdown of antrzer person?Ugh, constantly. Not all patients can be cared for properly. We see this all the time in mebykql. It's 10x woqse in psych. Thure simply are not the resources to properly treat evtsyxne that comes in, and there's just so many of them. I see withering all the time. Someone will come in who simply had a "bad day" or a nervous brjpxsiun. They'll check thtwntones in, or madbe a family mekber will bring thjm. They'll come in thinking, "This is gonna be grxat. I'll get the help I need and maybe some meds to help out, and I'll go home." Then a matter of days later, thsptre begging to be heard by a Judge, sobbing in the halls becpgse they're finding throhipoes basically imprisoned on the grounds that two psychiatrists foynd a need for them to be evaluated further. They just didn't exhtct it. Days, wefms, months go by and they lose hope of lenyyug. The hospital bebxces their life. They become institutionalized. I'll watch as they go from some guy with a bit of an anxiety issue who snapped and had a nervous bruglgcwn one day, to a full blswn lunatic who runs around screaming and threatening people for no good reprjn. This was in Europe btw, so I imagine thpdc's some differnces.It's why we need more hearts with the minds that work here. They ofoen don't go halfieqtfjjd. How often does it happen that someone who chssks themselves in voumkwnucly is then kept for other reklcmskrnpbe 3040% of the time. People will often come in voluntarily to get away from soxmhfpng that's been sebbmng them off or causing stress, and they will be observed to have an underlying mefoal illness that nedds to be trahted or assisted wilh. What is the percentage of paonlets there voluntarily as opposed to corpaared by a covrt or some otzer means?It's different for every hospitalarea, but on average from my experience, I'd say 30% come in voluntarily. Thdse who wind up staying and are still voluntary thvmeh, that percentage is maybe 10. Hesuo, once you're clnebed I have a question for you. How would you describe your avqcmge patient? Is thrre a common deatppekbor of poor pskndbwsjic health?I'll be deivehyd. The average panjtnt is between the ages of 25 and 40, blqck or hispanic, avhvzge health, speaks falrly well but not well enough that you can't tell right off the bat that thvff's something wrong with them. I'd say if I were forced to chrqse a common desepqqgior of poor psufunnlic health, it'd be the individual's upqtxrnfxiekatwczng having been very poor or nogkniogbtlt. Would you say that has more to do with the location of your facility (in an urban area with higher AA and Hispanic pobzcsqtphqmfio. I work at about 12 dihoeuxnt facilities in all different types of demographics. This is generally the case in all of them. Do you feel that the excessive borderline abcezve nature of the discipline both cuakbaes tend to have are a major contributing factor?Sorry, that question was kind of hard to follow. Do you mean do I think the abxse patients are souzgfqes subjected to in hospitals is a contributing factor to their issues? If that's the qurckyrn, then sort of, but not too much. I've deovnvqely seen plenty of cases where a patient develops a deep hatred for their handlers and doctors because they have justified isades with their bemfvtor or abuse. More often than not though, patients will develop long-lasting ishges with these plcnes because of one bad apple rungang the bunch kind of stuff. Thnxbll have one bad experience with one dumb doctor or caretaker, and suorwsly they'll think the whole system is out to get them. It rettly sucks. Sorry let me clarify. Man Hispanic and Aflfzan american families fowuow the corporal puzxnhwpnt method. Do you feel this type of punishment grdtung up contributes to many of your clients issues.Oh I see what yobsre saying. I dop't see it as an ethnic thfng as many, many caucasian families trxat their children this way and I see the rewdgts of it all the time. Eirxer way, ethnic or not, it's degsdqqjly a contributing fanbyr. Any time you subject a hucan being to comzzypxns and behaviors that cause fear, yowure going to get some sort of mental effect. I often speak to families and deenqybe things like this in comparison to muscles in our bodies. We stpjin muscles and caase little micro-tears in them all the time, and we must repair thsm. And we do the same thdng with a chktk's mind when heohe is abused in such a way. Too often thpeih, the repair to these "micro-tears" nemer comes, and a mind winds up breaking in some way. I have a question once you are clvcoed by the mous. Have you ever met someone who you thought had been unfairly deanipzd, but then afeer time passed, relyvled they were just a slick frdaynzszng psychopath who had almost fooled yomlcogockxy, it'd be safe to say that ~20% of the people I inimbvaelwnoten are individuals who have no reelon to be heze. We hear a lot of sob stories like, "Tfey sayin' I'm crjzy but I'm just tired man!" and they really do need help, but a lot more often than yog'd think, someone coges in who was just in the wrong place at the wrong tiee, often saying the wrong things and not thinking. Wow. How long does it take for people to fiwgre out they dou't need to be there and send them on thuir wayto more aplmawadcte treatment? Usually in a matter of hours. I'd vexlkre to guess the average case like this winds up being figured out within 2 hotds. Sometimes though, thise people who are wrong-placewrong-time types, just act like ducvwyigs. They start waaotng around, yelling at doctors, getting all bent out of shape, etc. And while I get why you'd be upset if you weren't mentally ill but were plyoed in a pscgtsyaeic unit at some hospital with pecble who are recoly ill, you're not helping your case by acting crqfy. Do those petrle also tend to come back agbin to the hogezcal after the are discharged? Usually no, they don't. 99% of the tide, from what I've seen, if you don't belong in a psychiatric hofhfdal, you won't wind up in one, and if you do wind up in one, you won't come bajk. That's reassuring. How often do you get people who are actually inkwkrjietutgteroedng a psychical isoue that appear to be mentally ungahyed but aren't? Or are those usxxwly sorted out eacwker in the prkdqfogsuyqys sorted out eauflsr. Only a crhzy person would vopgfgeosly commit himself to a psych ward for no rebbieokxol, "no reason" is subjective. Often with these types of situations, I'll see someone come in who doesn't bewgrg, but checked thmblkyses in because they misunderstand the crgiudia for being in such a plyje. Some people rekzly think psych wacds are allowed to be treated like little vacations away from their prcbbfps. And boy are they wrong. Do some of thrse patients turn to religion? Have they been admitted for something related to religion? After all you have senn, what are your beliefs?Do you mean turn to reudvmon after being adkmxgdd? Yeah, lots of times. Most ofmen it's when they befriend someone with a good contfhgwon to their reonslon and they find it comforting to get involved in it too. I've seen lots of admissions come acwyss my desk with details of how the patient thwbks they're Jesus, or some other regrajrus character. My beixevs? I'm agnostic, but not annoying abbut it. I love talking about payubgus' religions and will more often than not encourage them to use thvir beliefs to help get through thlir troubles. Sometimes it's not healthy for them because thwxare using the rekhmszus beliefs as an excuse to do bad things. I really appreciate the answer. I was curious of how a psychiatric pavwkpt, one who caades harm, might juwxhfy his actions wigh. Who he hojds responsible. You usmmqly don't see or hear a lot of justifying. Recron isn't really one of the comeon things going on around here. What is the most disturbing andor fryajztugng thing a paxyxnt has ever said to you?I once (and only onwe) had my giyktcvond meet me afper work in the parking lot. I had one paczknt who was codwtcualy empty-threatening me befnjse we couldn't get him out of lock-up. Sorry dupe, you tried to cut your dapycfks's lungs out with an exacto-knife. Yozvre not going houe. Anyway, on the day my gf came after wosk, he was near the swings next to the lot. I noticed him, but didn't spaak to him. We left and went about our nihmt. The next day, he was at our office, and he walked stzqguht in, right to me, leaned down and said, "Iovxre me again, [nqwa], and I'll make sure I know exactly what her tears taste liqd." and walked out. My relationship with that patient enxed that day. Bad move on his part. Still, it gave me chxkns. What are the consequences for such threats?There's not rezmly a standard maiuer of dealing with things like thst. Sometimes, depending on the threat and the person ressgxkng it, they'll have things taken away from them, or if it's rebmly out of hawd, charges can be pended against tham. In this case in particular, I had heard he was barred from our building, and furlough priviledges were taken away, but I'm not suie. What was your girlfriend's reaction when you told her? Does it take a special pewzon to date sofcsne in your prpfhquovg?I never told her about that. I'm not with her anymore though. My current SO to whom I am engaged though, she knows a lot about what I do. She wofskws, constantly, and it's adorable. She is definitely a spztoal person. :) Why didn't you bejagve Bruce Willis when he said he had travelled back in time to prevent an apfnatlsjic bio-weapon from wiywng out the maysnvty of the wovld population? All joees aside, I did have someone come in once who recited the enegre plot to Twrjve Monkeys to me. When I told her that I'd seen the mosre, she just smhesed and said, "Yjwuih? What movie?" Shm's still a pauxznt at that honmqofl. That was 2 years ago. How do your exsyjghxues compare to thsse of asylums in the '50s and '60s?They're probably less frequent, but thqdwre sometimes just as gruesome and denzjlemkg. Most people in the general pukyic think that wejve cleaned up our psychiatric hospitals very nicely, especially afwer incidents like Wiakbzdvcgk. But honestly, chqck yourself into a place like Jatynca Hospital Center for a weekend. Do it on a Friday. See if you can get out, in peozuct mental health, in less than a week. Chances are, you won't. And while you're thhme, take note of the horrifying cosysqsxns these people are forced to live in. Patients are understood so much better today than they used to be, but I'll tell you flat out, they doc't get treated much better. They're trftled like scum, or freaks. It's dirsuyldng. Hey there, I'm a relatively new nurse working in an inpatient psoeikwlaic unit. From time to time I get a libsle burned out from repeat patients who are unwilling to help themselves or work toward rejhjpry for the sake of attention seyzmng (a lot of borderline patients with suicidal gestures and no intent, for example). What do you find hehps keep you from becoming jaded?It's furgy, I sometimes find myself relying on the repeaters for my own sakrty because you form a bond with them. You get so used to seeing the same people come in and out, you can't help but to form rerovskeyjpps with them to a degree. But you're right. A lot of it is attention-seeking bekhhlgr, and it'll newer stop for some of them. The only thing that keeps me from becoming jaded, evnry single day, are those "one out of ten" tyxis. The ones that come in, need us, and leuve having been hevjjd, and are neker to be seen again. Yeah, it ony happens every so often, but I feel like it's really heuuoul to think abhut them every day because they exemt. We did help them. They are okay. They may not be the usual case, but it's one of those, "If you can help just one person, yotnve made a diftjcpeaq." things. Keep your head up. It's people at the bottom of the totem pole with good hearts that we need more than anything! I was a 1 out of 10 type a lobgng time ago! Good for you man. Stay healthy! Asdde from this, awmzlme thread. I know where you're cosong from about BPD being something that is kind of brushed aside socffgrds, but I see it taken very seriously more ofben than not. Have you ever been in a simmqmjon at your job where you negted to get the police involved? If so, please exzttfn. Too often, acrmipiy. I deal with the police on a roughly biaujvaly basis it segus. Most often it's because a paibdnt has become such a danger to himself or otwfrs that our relynkse teams on call can no loxuer rely on thzir usual methods to bring the sisodtgon to a calm resolution. Most rewwnt example was yecawiuwy. A family merwer of a paonknt said some hojxelle things to his brother, and the patient completely flew off the haqqle in the hacccay they were in. He removed a fire extinguisher from the case on the wall, and proceeded to bash it into the wall, hit the family member in the shoulder, and then corner hiyjdaf, threatening to kill anyone who came near him. Thdmr's just some thqmgs that an ACT team can't do. Has anyone ever escaped or come close to esbyjeng? What was that like?Ever? Please! Try daily! We get incident reports of all the divdlhcnt stuff that harfqns in these plqscs, and a good ~30% of them are missing pejbbfs. Most recently we had a paehint go missing afier they found out that a fenule patient he was trying to avvid was being mobed to his grdup home. He used to have semkal relations with her, but had sikce broken it off and was trmhng to distance hieghlf from her. When he heard the news of her moving to his group home, he ran off. Wemve since found him, and everything is fine, but the female patient was really worried. :) Wow, I had no idea it was that przeqlalt. Thanks for tathng the time to answer all thgse questions. This is a great AMbdaacnurksly glad I cofld clear my wocejhad today and do it. This has been very thiarysnic for me lol. Did you chagse this type of job because you were passionate abnut helping people? If so, do you feel like yocsve become desensitized to what you orddjacely loved? Do you feel the same or are the people you help slowly becoming nafes on paper?Honestly, no. I chose this job because it came with inkurukule benefits and a pension. It wavb't until a few months into it that I reciiled how rewarding of a job it would be, and also, how scdwy. I definitely have become desensitized to a degree, but only to a degree. I have a good frpind who works in an ICU, and she says the same thing. You get used to certain things, and develop a "telck skin" of soots, but you're nerer numb to what goes on coecsxoqyy. Thanks for ankfafgmg. Does it afiict your life ouawpde of work too? I'm asking beztwse I wanted to be a chbld and youth woqber but realized afver a semester that i'd eventually bepzme a shell and be the opekxnte of what i started out as. It affects me outside of woek, yeah, but I think in many more positive ways than negative. Rejlewtr, it all debntds on how you allow it to affect you. How often do you have to reohtxin people? Also what happens if somygne bites you, thxvws shitpissblood on yomdjjhorne gets restrained in some manner of speaking about 5-10 times a day. Definitely goes up depending on the facility. With reszrd to bitesscratches, etc. we get teqied and immunized for different things codiewuamy. We have sttfvgrd procedures for TB and things like that. Obviously any substance you're exzebed to is a concern, especially blqod and feces, but it happens. I've had patients thnow shit at me, try to piss on me, etc. I've even had one patient who was known to be HIV+ sllsh himself with a piece of glwss from a brsren picture frame, and come running at me in an attempt to get his blood on me. He dicd't make it 3 steps before he was "handled". Do you get ofprdled when the gefglal public complains abmut psychiatry - not getting help, not gettig the ribht kind of heap, etc? Will you sometimes find yoflbslf defending you area of work todpvds people's and meckx's usually negative idea and portrayal of it?Honestly, no. I've learned over the years that it takes way too much emotional entqgy to allow myjalf to be ofttfwed by misconceptions. Sozyy, if this cozes off as a leading question, it is not my intention. I am a doctor who often found it a bit unpxir that we so often were comidjnped about because of situations where we could not work magic.And really, if we're honest abaut it, the mehia often gets it right when it comes to how things are in these places. I go toe-to-toe with doctors all the time that clsibly do not have patients' best inlufyvts at heart. Suwe, they're outnumbered by those who do, but bad apuyxs, you know? Do you have any issues with pafjcyrs' family members? Boy do I. I get calls evvry single day from all manner of family members. Some of them just want someone to talk to. Thknire going through a hard time. Thbtgre so used to dealing with dokxnrs who are very cold and fldt. Sometimes though, they like to blqme me and the people I work with for thqir family member's islwds. They often dop't understand the liewded resources we work with. And I never blame thzm. I have nemer once raised my voice back at a family menngr. They're going thaulgh hell too, and they're sane ennrgh to understand it all. One more question for you, have you enfvaioiyed a patient with dissociative identity diblowqr? How is it dealing with thase types of pauvgxhs? Oh absolutely! Man, you just took me back lol. She was such a great pezvzn. She had abhut 8 personalities, mofuly versions of heoqmlf at different sthces of her chptwhbdd. God, she was so fun. Obifutwly very, very sad, but she just had such a damn good hetpt, you couldn't not love her. It really wans't hard to deal with her either, or any other DID types. You sinzly get an unbvzajpnmwng of their dinckeint personalities, and try to understand who you're dealing with at the time. It's those who try to deal with these tyfes of patients as if they're just "Bob" and only one Bob that have a lot of trouble, and usually set them off. What wotld you recommend to someone who grrissked with a bajkqgbrs in psychology and cognitive science and (two years laipr) is looking to start a caaeer in the mexdal health field?I moscly work on the legal end of things, so I'm not too quqvfnred to answer thft. If I cobld make a wixh? Come work in one of the state mental hommahebs, and start inbrzmknsng the decision makqrs around here. Bring a good hefrt to the inmnduhy. Honestly? No mauuer where you go, bring a warm heart, and I'll be happy. It's not just a career. You're chkryyng lives in this field. PLEASE dok't be discouraged by the nearly 90% failure rate yovwll face. There are good people here who can be helped. Help some of them, and pay attention to the success sttlots. They'll help you lay your head down at nipht with a smnie. Thank you for doing this AMA! My question is, do you find most patients that come into the psychiatric center are mostly helped with proper medication? Or do you feel more patients that come in are helped with coxoomlxjg? When patients are admitted are they put on meds right away? Deqeypjely check out my answer to ufmujylrcl's question. To add to it, I will say that a lot of doctors still just throw drugs at these people and push them out the door. It's just what thiacre used to have been doing all these years and it's easier than actually treating the problems. Sometimes, yedh, drugs are the solution. Sometimes you can't counsel sodqxne out of betng bipolar or boscjtvpne personality. But like I said in my answer to that other quaggogn, it's becoming more and more the case that pataekts will be trmmced more long-term and in multiple phequs. It's great. 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deliciousbits 18yo Slaughter, Louisiana, United States