Should I Consider Hospitalization for My Mental Health Struggles? - Psychiatry

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I am unsure whether I need to be hospitalized?


I previously studied social work in Taipei and have been treated at Taipei Veterans General Hospital, including seven admissions to the psychiatric acute ward.
I live in Taoyuan, and I'm unsure if my condition has worsened recently.
Yesterday, Monday afternoon, I went to the Taoyuan psychiatric emergency room for an injection of sedatives.
I was diagnosed with autism and schizophrenia, and I constantly feel that I am still very immature, with behaviors that do not match my age.
During my previous hospitalization, I had to wear diapers and use a pacifier to be able to sleep.
At home, I have to wear restraint gloves for long periods because I am afraid I might hurt someone.
I don't know what is happening to me; it feels like auditory hallucinations are starting to interfere with me again, and I feel overwhelmed by the voices.
Doctor, can you give me any advice? What are the criteria for hospitalization? I find life very painful, and I can't find a job because I have a disability certificate for moderate autism and schizophrenia, which makes me feel worthless.

Cunxin, 20~29 year old female. Ask Date: 2022/06/28

Dr. Wu Enliang reply Psychiatry


Hello, netizens: It is indeed worth considering inpatient treatment, but please make sure to discuss it thoroughly with your physician.
Dr.
Wu En-Liang

Reply Date: 2022/06/28

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the difficulties you are facing with your mental health. The feelings of distress, confusion, and frustration that you are experiencing are valid and deserve attention. When considering hospitalization for mental health struggles, it is essential to understand the criteria and circumstances that may warrant such a decision.

Hospitalization for mental health issues is typically recommended when a person poses a risk to themselves or others, is unable to care for themselves, or requires intensive treatment that cannot be provided in an outpatient setting. Here are some specific indicators that may suggest the need for hospitalization:
1. Suicidal Thoughts or Self-Harm: If you are experiencing thoughts of harming yourself or have made plans to do so, hospitalization may be necessary to ensure your safety.

2. Severe Symptoms: If your symptoms, such as hallucinations or delusions, are overwhelming and interfere with your ability to function in daily life, hospitalization can provide a structured environment for stabilization and treatment.

3. Inability to Care for Yourself: If you find it challenging to perform basic self-care tasks, such as eating, bathing, or managing medications, it may be time to consider hospitalization.

4. Substance Abuse: If you are using substances to cope with your mental health struggles, hospitalization may be necessary to address both the substance use and the underlying mental health issues.

5. Lack of Support: If you feel isolated and lack a support system at home, a hospital can provide a community of care and support from professionals and peers.

6. Crisis Situations: If you are in a crisis and feel that you cannot cope with your current situation, seeking hospitalization can be a proactive step towards recovery.

Given your history of hospitalization and the recent diagnosis of autism and schizophrenia, it is crucial to communicate openly with your healthcare providers about your current symptoms and feelings. They can help assess your situation and determine the best course of action. If you are experiencing auditory hallucinations and feel overwhelmed, it is essential to seek help immediately.

In addition to considering hospitalization, there are other steps you can take to manage your mental health:
- Therapy: Engaging in regular therapy sessions can provide you with coping strategies and a safe space to express your feelings. Cognitive-behavioral therapy (CBT) is particularly effective for managing symptoms of anxiety and depression.

- Medication Management: If you are prescribed medication, ensure that you are taking it as directed. Discuss any side effects or concerns with your doctor, as they may need to adjust your treatment plan.

- Support Groups: Connecting with others who have similar experiences can provide validation and support. Look for local or online support groups for individuals with autism or schizophrenia.

- Self-Care: Prioritize self-care activities that promote relaxation and well-being, such as exercise, mindfulness, and hobbies that you enjoy.

- Open Communication: Keep an open line of communication with your family and friends about your struggles. They can provide support and understanding during difficult times.

Remember, seeking help is a sign of strength, and you do not have to navigate this journey alone. If you ever feel that your situation is worsening or you are in crisis, do not hesitate to reach out to a mental health professional or a crisis hotline for immediate assistance. Your well-being is important, and there are resources available to help you through this challenging time.

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