I am one of those pathological, chronic self-examiners. A form of self-centeredness that concerns itself with worrying that things I said and did will affect others who have long forgotten about, or did not even notice, what I did, said, or thought; and also with analyzing every thought and feeling I have to examine and judge my motivations and their truth or falsehood. It may arise from all those inappropriate behaviors I “acted out” (God, do I hate that term) and said and thought in the past that were NOT forgotten, were held against me, swung around to bite me in the ass, and so forth.
In any case, were I to have been truly ashamed of what had occurred in the crisis assessment, that tendency toward self-examination would be the reason that after a week or so of self-flagellation, I would fall over myself apologizing to everyone concerned for the scene I caused. Which, of course, did not happen. To begin with, I did not cause the scene.
It was later denied by the therapist, and in a so-called investigation of the complaint I lodged, that she was yelling at me and my husband as we left the building. Well, yes, she was. A trained crisis counselor. Yelling out the glass doors into the cold, polished and windowed lobby in front of God, the receptionists, the pens with giant flowers on them, and everybody else: “You had better be back here on Monday morning!”
Very professional.
I arrived at that institution for responsible reasons; to seek treatment for my condition before a crisis occurred that would have a damaging impact on my family. Instead, the crisis was initiated there in the therapy session. It was by no means over when I was thrown out, or as they call it, “left voluntarily.” I was in far worse condition than when I arrived. Truth be told, I struggled into my old, deteriorating car, whose door is literally falling off, in a truly suicidal state of mind. I was ready to kill myself. There was no help, no hope.
There was the list of things, embedded in my mind, that I had planted there myself to automatically prevent suicide. They were MY safety, which I invented, with no help, suggestion or input from their behavioral therapy, whether dialectical or cognitive.
Why was she yelling? Maybe it was indirectly because I froze when I saw the police officers. That instinctive reaction to past trauma and abuse may have been interpreted as me subsiding from my “tantrum” at the prospect of “punishment” by the authorities, which of course would lead one to the conclusion that I had “worked myself up to it” as she put it, for the purpose of creating a scene, flouting every behavioral skill that I had ever been taught. This is only speculation on my part. A mere crazy person cannot fathom the sublime workings of the vast, disciplined minds of her betters, even if her betters are just kids.
When one breaks apart as I broke apart, the one thing they need is tolerance and competence from their therapist(s). If an institution’s “trained professionals” cannot discern the difference between a real breakdown and a tantrum thrown for the purpose of making a scene, but the institution stands with moral certainty behind their employee’s incompetence as professional, appropriate and effective handling of the situation, then that institution needs to be nuked.
I of course filed a grievance, instead of engaging in the more favored behavioral skill of “Opposite Action” by apologizing and sending them roses. They responded to the grievance with what they called an investigation, which, as described in the Resolution of Grievance they sent me afterward, consisted of interviewing the therapist about what happened. They did not interview my husband, who was there, the only witness throughout the farce.
Throughout the Resolution of Grievance, the language referred to everything the therapist said and/or chose to write down during the session as factual and honest. Throughout the same document, the language referred to everything I reported that I experienced, observed, felt, and heard, as mere “belief.” As in: ‘[Therapist] did (or said, or said you did) blah blah blah. You believed that blah blah blah. So the therapist was correct, and you were incorrect, because you merely believed, while whatever the therapist said is what actually occurred.’
This language conveyed quite clearly that they held nothing I said as credible. It demonstrated total lack of respect for the patient as an intelligent human being. It revealed that the patient’s point of view is insignificant to them, because they view the patient as insignificant and, indeed, crazy.
Do I want this institution nuked? I don’t want this institution nuked because it is my only treatment alternative in this tiny, redneck town. So, what do I do? Protest their “Resolution” of my grievance? Their Grievance Resolution invites me to. Or should I bend over and take it up the ass because if I would only practice the skill called “Radical Acceptance” my ass would hurt less.
In the end, I wrote out my entire dispute to the “Grievance Resolution” and then employed the behavioral skill of “Opposite Action” by not sending them the disputing response. Now I practice the behavioral skill of “Interpersonal Effectiveness” by being as sweet as sugar, or at least as sweet as I can be, whenever protocol and hoop-jumping require me to be in their office. So you see, the behavioral skills as practiced save me from alienating the guardians of my only avenue to my doctor who prescribes the live-saving medications. Isn’t behavioral therapy beautiful?
A couple of days after the incident, the medical assistant called and told me that my doctor had prescribed a change in my medication. I noticed INSTANT improvement (which is rare). I had gone in there seeking just this kind of treatment–medical–and had I received it when needed, none of the rest of this would have happened.
Within three days of the incident, people from Social Services invaded my kids’ school, ripped them from their classrooms, and threw them into closed, lonely rooms and interrogated them. Then they came to my house and tried to be disarming. They found no danger to the children, only love and an uncommon maturity and intense loyalty to their mother on the part of the children.
The one thing I have learned from all this is that the mental-health institution is NOT a safe place to go when I am in crisis or in imminent danger of crisis. All crises must be worked out on my own now, as there is no safety, respect, or confidentiality extant in the institution any longer, if ever indeed there was. I go to the treatment center only as needed in order to continue medical management by my very competent and respectfully-behaving psychiatrist.
Siege of the Spirit 