Always Changing
MVP
Now there's a man with a sense of humor..
I've said this before but I've always been told to only be there if you're absolutely suicidal.
When I?m talking with a client and they seem to be having a hard time just getting themselves together to carry out daily tasks, I know that they probably need more than I can do in an hour, or even two hours, a week. This is especially true if they are not sleeping or eating, talking about death, or just too emotional to perform work or household responsibilities. If they seem hopeless or have recently experienced an important personal loss, I take this into consideration, as well. Certainly, if death comes up, I want to know more about their thoughts, but I don?t automatically assume they need to be hospitalized. It does mean I need to pay attention and take some kind of action. The first action is to really listen and ask questions to get more of an idea of what their thoughts are (previous attempts, clear intent, plan, means, making preparations, justifying suicide, etc). I want to know if they really want to die or if they just want anything that will make them feel different. I want to know what or who matters to them or reasons they have for wanting to stay alive/keep trying.
I rarely have clients hospitalized. When I do, its generally voluntary and it is for clear overwhelming suicidal thinking. What I am more likely to do with a client who is having severe symptoms and significant problems functioning is suggest that they participate in the intensive day programs that take place at several local hospitals. Some call them intensive outpatient or partial hospitalization programs. They are outpatient and usually take place from 9:00 am to 3:00 pm. These programs involve individual and group counseling and support sessions, skills training in emotion regulation, consulting with psychiatrists, and family education/counseling. I would much rather someone do this than have to stay overnight in the hospital, particularly when they have a family at home. This is much less frightening to clients than the idea of inpatient hospitalization. Plus, it is easier to get someone into one of these programs than it is to try getting them admitted into the psychiatric unit of a hospital.
from the comments at: When Should You Consider Hospitalization for Depression? | World of Psychology
Funding ? the majority of service providers are funded by fees collected from Medicaid.
Currently, many providers are moving away from the partial hospitalization model of day treatment and are adopting a psychosocial rehabilitation (PSR) model instead. The focus of PSR is on patient (or "member," as they are often referred to) empowerment, while seeking to "rehabilitate" patients with chronic mental illness so they can function more independently in the local community (see Clubhouse Model of Psychosocial Rehabilitation for a description of these types of services).
Partial hospitalization - Wikipedia, the free encyclopedia
Ive noticed that I;m starting to want to talk the antihistimines every time i start to feel it wareing off.
Forgive me for taking this out of context to the rest of your post Greenstarz, But haven't you said somewhere that you wish some else could make the decision for you?.I could call the hospital................ I wouldn't have to tell them how bad it is, so that they don't just automatically say, "come in right now" and not let me give my reasons for wanting to not go in.
I can relate and understand this so well. :hug:I know it's not impossible to do, but it is very very hard for me,
spiking high anxiety, Seriously depressed, Si'ing, suicidal at times, distorted thinking, self medicating . And you are trying to cope on your own with this.i don't kno w whats wrong with me,
and that is a direct quote from Antihistamine Overdose | Overdose Symptoms I don't want to be overdramatic, but have you been keeping track of how many antihistamines you are taking??Another situation that often leads to antihistamine overdose is when Benadryl is used recreationally. Use of antihistamines in high doses delivers a deliriant effect. The effect has been described as dreaming while being awake, including visual and auditory hallucinations. The difference between these hallucinations and those that are experienced by users of LSD is that those hallucinating on Benadryl are not able to tell the difference between the hallucinations and reality. Habitual abuse of diphenhydramine is not common because the hallucinations are frequently unpleasant. Also, people who are inexperienced at using hallucinogenics are likely to feel panic.
They say in that link that if you think you have overdosed on antihistamines to call 911 ASAP.Overdose beyond the recreational range of eight to ten pills, can be very serious. Taking 30 or more pills can lead to heart attack, coma, and death. Symptoms of antihistamine overdose include: agitation, blurred vision, coma, confusion, delirium, diarrhea, drowsiness, dry mouth, flushing of the face, inability to urinate, lack of sweat, fever, motor skill deficits, nausea, rapid heart rate, and unsteadiness.
antihistamine for my hives
i feel so hopeless that i will ever truly find relief from this.
Your feelings of hopelessness and total despair are just symptoms of depressive illness, not facts. If you think you are hopeless, you will naturally feel this way. Your feelings only trace the illogical pattern of your thinking. Only an expert, who has treated hundreds of depressed individuals, would be in a position to give a meaningful prognosis for recovery. Your suicidal urge merely indicates the need for treatment. Thus, your conviction that you are "hopeless" nearly always proves you are not. Therapy, not suicide, is indicated. Although generalizations can be misleading, I let the following rule of thumb guide me: Patients who feel hopeless never actually are hopeless.
The conviction of hopelessness is one of the most curious aspects of depressive illness. In fact, the degree of hopelessness experienced by seriously depressed patients who have an excellent prognosis is usually greater than in terminal malignancy patients with a poor prognosis.
Feeling Good: The New Mood Therapy