« Overheard | Main | Woman Holding A Dog In A Tutu (B/W) »

Monday, July 28, 2014


Having spent a lot of time around (probably) schizo-affective friends and relatives, who were resistant to treatment and physiologically to available meds, and also professionally with psychotic as well as "merely" disturbed young people, I believe passionately that taking the time to understand the context and content of seemingly nonsensical delusions helps the person and helps one live and work w them. This doesn't mean I dont hammer on people to work with their clinicians, I do. But the doctors need to do a lot more listening and caregiving to be effective. What people are "raving" about isn't always nonsense, tho it is often reality or something read or seen then distorted almost beyond recognition. At best, the meds serve as elephant tranquillizer, to stop some charges. Meds are primarily for the benefit of the people around the patient, rather than the patient.

Which is why people who have patient, kind clinicians and tolerant relatives tend to do better, and to be more willing to take said meds. People do for love what reason alone won't talk them into. Being cared for heals. However, extreme psychosis, like mania, is terrifying and dangerous for all involved. Deinstitutionalization has been a disaster for the families. However much they love their ill relatives. Caring for someone out of their head takes a huge toll on marriages, jobs, and the mental health of the caregiver. Dumping the severely mentally ill on the street or back to families increasingly fragmented and less able to care for a troubled member (care in the community is BS--communities dont want the mentally ill there, and families fall apart, exhausted, broke, scared under the burden of lifelong care). I agree that horrible things happen in other countries, but life in the modern American city and suburbs is hardly supportive for the severely mentally ill either. Also, in my experience, the sickest people I know have not been able to find good doctors. They get the young ones, the foreigners w cultural blindness, the hacks, the ones w no social skills. The best doctors work w the healthiest, most appealing , richest patients--crazy! Not to mention the suspicion by the outside world. My greatest fear was always that a thuggish cop wd beat a sick relative to death, mistaking their illness for menace.

Agree, R. And penetrating true mania is a fool's errand, but people should learn that for themeselves by trying to do so. I've tried. It teaches you plenty about manic thinking.

The comments to this entry are closed.