Want treatment, but worried I'll be put into forced care

So recently I sought out therapy again for depression, intrusive thoughts, suicidal ideations, some OCD, anxiety, etc etc. All covered in another thread.

So since I'm just starting out, I have yet to have a full session with the Psychiatrist/Psychotherapist. They pretty much gave me a bottle of Bupropion and sent me on my way, with no dates scheduled for the first visit. I made the choice to call them and schedule one. I will be going to a major institution for that therapy, and I am worried/paranoid that they'll want to keep/force me into a ward after I start talking about my thoughts, feelings, actions. I also want to be treated and get over this, whatever it is. I saw the ward when I was there, looks scary.

I have a great job now, but it requires me to be there, obviously. There is no vacation or sick leave the first year. So to be held against my will may terminate my paycheck, I have a family to support.

Thoughts?

Got a printer ?

I, ______________________, born on ______________________ in ______________________
address ___________________________________________________________, being of sound mind, willfully and voluntarily make known the following:

1.Under no circumstances should I be subjected to psychiatric hospitalization or psychiatric treatments or procedures including but not limited to the following:
•Psychotropic drugs (substances which exert a mind-altering effect, including but not limited to antidepressants, antipsychotics, benzodiazepines, mood stabilizers and tranquilizers);
•Psychosurgical or neurological operation such as lobotomy or leucotomy;
•Convulsive treatments such as electroconvulsive therapy (also known as electroshock, shock treatment or ECT) and insulin shock;
•Deep sleep treatment (narcosis, narcosynthesis, sleep therapy, prolonged narcosis, modified narcosis or neuroleptization);

Any involuntary hospitalization or commitment is a violation of my right to liberty and would therefore constitute a false imprisonment by all those advocating and authorizing such action, against my consent and wishes. If in the future, I am accused of a crime, then I direct that I be subject to due process accorded to the criminally accused and not subjected to psychiatric or psychological assessment, processing, profile, confinement or treatments.

Any of their treatments, given against my expressed wish, are an intrusion upon and thus an assault on my body and constitute, in my view, criminal assault. Any involuntary hospitalization or commitment is a violation of my right to liberty and would therefore constitute a false imprisonment by all those advocating and authorizing such action, against my consent and wishes.


Involuntary hospitalization or commitment is a violation of my civil rights under U.S. Code, Title 42, Chapter 21 § 1983, Civil action for deprivation of rights. Lawsuits for involuntary commitment have resulted in verdicts of $1 million or more against hospitals, doctors and other agencies and personnel:
•Lund vs. Northwest Medical Center, (Case No. Civ. 1805-95, Court of Common Pleas, Venango County, PA, June 16, 2003), jury awarded $1,100,000 million in damages.
•Marion vs. LaFargue Case No. 00 Civ. 0840, 2004 WL 330239, U.S. District Court for the Southern District of New York, February 23, 2004), jury verdict of $1,000,001 in damages.
•Dick vs. Watonwan County (Case No. Civ. 4-82-1.16, U.S. District Court, District of Minnesota, April 11, 1983), more than $1 million in damages awarded to plaintiff.

The above directions apply in all cases, including any instance where:
•It is claimed that my capacity or ability to give instructions may be impaired;
•I am in a state of unconsciousness;
•It is impossible in an actual and legal sense for me to communicate or;
•Any physician, psychiatrist, psychologist, mental health practitioner or law enforcement official or person asserts that the matter is a “life-saving” situation requiring emergency intervention and/or treatment under any involuntary commitment law or similar legal authority.

By this declaration, I release all medical doctors and their organizations as well as therapists from their professional discretion or confidentiality towards provision of information to the above named attorney(s) and other person(s).

and mabey add,

I maintain my right not to have any psychiatric evaluation or diagnosis based upon the Diagnostic and Statistical Manual of Mental Disorders (DSM) as such diagnoses are unreliable. According to Allen Frances, who was chairman of the fourth edition of DSM, “There are no objective tests in psychiatry—no X-ray, laboratory, or exam finding that says definitely that someone does or does not have a mental disorder.” (“Psychiatric Fads and Overdiagnosis,” Psychology Today, 2 June 2010.) Additionally, the DSM system is not scientific. It’s own editors state that “there is no assumption that each category of mental disorder is a completely discrete entity with absolute boundaries dividing it from other mental disorders or from no mental disorder.” (DSM-IV, pg. xxii)
Such codes and descriptions should not be entered into my medical records as this unreliable and unscientific information will remain in my records and may wrongly influence any future medical treatment I might receive.


This declaration is also binding for my lawful agents, guardians, family, executors or any person with the legal or other right to take care of me or my affairs.

The following declaration should be signed and witnessed by a notary public, clergyman, attorney or at least by a trusted friend or reliable family member. Make several copies of the signed document and keep the original in a safe place. Give one copy to each of the persons named below . Provide a copy to your attorney, if you have one.

Cut, copy, edit out stuff ,add your own stuff... you get the idea.

The declaration is also binding for my lawful agents, guardians, family, executors or any person with the legal or other right to take care of me or my affairs.

_______________________ _______________________
Signed Date

_______________________ _______________________
Address:

_______________________ _______________________
Signature of Notary/Justice Name of Notary
of the Peace/attorney, etc.

_______________________ at _______________________
Before me on this date Place where signature is
(date notary witnessed witnessed/notarized the signature)


Again modify to your needs , copy to lawyer ect.

So should I get that signed before I start therapy with psychotherapist, or don't they have the credentials to force you into mental ward? The psychotherapist and the psychiatrist work hand in hand with each other. But if I talked about the Intrusive thoughts I have, and the conversation ended with the therapist and was to start anew with the psychiatrist would that be the time get signatures on that release form? I obviously need to talk to someone, so they might deny treatment if I whip out that document too early, right?

I forgot to add this,

Welcome to MindFreedom Shield Campaign
Members of MindFreedom International use mutual support to protect one another from unwanted coerced psychiatric procedures. Current MindFreedom members may register for the MindFreedom Shield for free. Then if a member with a Shield is threatened with coerced psychiatry, that member can instantly activate a public alert system.

See http://www.mindfreedom.org/shield/mindfreedom-shield-program-overview

Ideation wrote:So should I get that signed before I start therapy with psychotherapist, or don't they have the credentials to force you into mental ward? The psychotherapist and the psychiatrist work hand in hand with each other. But if I talked about the Intrusive thoughts I have, and the conversation ended with the therapist and was to start anew with the psychiatrist would that be the time get signatures on that release form? I obviously need to talk to someone, so they might deny treatment if I whip out that document too early, right?

I realy don't think anyone is going to force inpatient on you, you volonteered to get help. That means a whole lot. A whole whole lot.

That form is more helpful for a lawsuit after the fact. Get it signed asap I guess.

Have you told them you don't care for inpatient psychiatry ?

Haven't spoke to them lately. Therapy is days drive to get to. So there will be a significant amount of items to go over the first real visit, after being on meds for a week or so. That is an interesting alert system, good to know there is an out if things start to get confusing. I will say they didn't let me out of their sight when I was there, and I told them what's been happening for some time. I was handed over with each doctor talking face to face, like a prisoner. But they let me go, so who knows, I am paranoid about other things as well.

Ideation wrote:I have a great job now, but it requires me to be there, obviously. There is no vacation or sick leave the first year. So to be held against my will may terminate my paycheck, I have a family to support.

Thoughts?

People with jobs don't require inpatient, don't wory about it.

Hope my posting that stuff didnt bug you out and feed your fears, sorry.

Copy_Cat wrote:People with jobs don't require inpatient, don't wory about it,

Not true at all. I have had several involuntary inpatient hospitalizations even when I was fully employed.

Inpatient treatment will be deemed necessary if you are found to be in danger of harm yourself or others. If you refuse to go voluntarily, and there is enough of a concern they can involuntarily hospitalize you. You will be required to have a court case (I'm not sure of every state's laws but where I am it is within 72 hours of hospitalization) and see a judge who will determine if the hospitalization is necessary for an extended period of time.

Cheze2 wrote:

Copy_Cat wrote:People with jobs don't require inpatient, don't wory about it,

Not true at all. I have had several involuntary inpatient hospitalizations even when I was fully employed.

Inpatient treatment will be deemed necessary if you are found to be in danger of harm yourself or others. If you refuse to go voluntarily, and there is enough of a concern they can involuntarily hospitalize you. You will be required to have a court case (I'm not sure of every state's laws but where I am it is within 72 hours of hospitalization) and see a judge who will determine if the hospitalization is necessary for an extended period of time.

Whew, that's scary stuff. I was in the military not too long ago and had treatment with bi-monthly visits with the hospital Psychiatrist. I remember there was one time he asked if I had any thoughts of hurting myself, which I did have, but I asked "well what happens if I say yes," there was a pause, and he said "well we will notify your commander and keep you for observation." Then I quickly said that I didn't have those thoughts, and it made him flustered I guess cause he thought I was playing around with him, or maybe he wanted to commit me, I don't know. But I asked why we couldn't just talk about those Ideations? He beat around the bush, and said you either are admitted when you have those thoughts or you're not. *Note* I never hurt anybody or myself at any time.

So here I am untreated, it was never addressed, those thoughts came and went with no rhyme or reason as far as I could tell.

Depending on the therapist, and how well they know you and your history it is often okay to just talk about the thoughts you are experiencing, (so long as they are just thoughts and not actually a plan) Where you are just going back into treatment, obviously discuss whatever you feel you need/want to, however it may be best to leave the dark, grim details of your mind for after you've established a relationship with this person. You could even just let them know that you have general thoughts and would like to discuss them in more detail at a later date when the therapist has gotten to know you.