Advice for Mental Healthcare Workers

Healthcare workers often ask me for advice on how they can better serve or work with mental healthcare patients. In this video, I share my perspective, but also advice from our audience members on what has been most helpful or what they need from mental healthcare professionals. Thank you to everyone who shared!

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43 Comments

  1. Very excellent video, I'm will share with others. Thank you for listening to viewers and expressing this so well.

    When I sought mental health treatment I felt lumped in with a list of symptoms and the social workers seemed to not ever make a personal connection with me to see where I was at, where I was from nor did they seem to have an idea of who I was. I met very few people at the walk-in sessions who were able to remove themselves enough that I didn't feel them projecting onto me, they could listen and give a little conservative advice where to go next. I kept going to public services hoping I'd find someone to help me feel accountable to my goals (but what I really needed was grace to rest and time to figure out life on my own. I would hope for a mentor or instructor type person but it is hard to ask or find someone like that).

    Some counselors would act surprised I had a desire to work again. Worse I know one of my previous counselors (who I did not like much at all) had authority to author her own diagnosis onto my file and it radically changed how any counselor I met after that talked to me. She wasn't the only either, I had another bad experience during quarantines when I went in and allowed myself to sit almost 12 hours in emerge. During that experience I felt the nurses I met in the end were laughing at me, the notes I had to show my fragmented mental state and the fact I fainted while waiting to see someone. I did a virtual referral with a psychiatrist and was prescribed a moderate dose of seroquel/quetiapine (which I did not complete – felt like I was having 3 drinks before bed. I also felt myself adjust to the dose within 2 weeks and refused to increase it after that). It was a couple years before I started having symptoms like hearing a voice in my head, after an assault and my friend's repeated hospitalizations. I went like that for half a year but that symptom has stopped.

    I'm in a relationship with someone who isn't doing well, they use marijuana and became severely alcoholic and being abused by them made me very closed to reality and agoraphobic. It's easy to blame myself since I tend to lean towards isolation and things that are regular to others seem to affect me entirely more. For example "screen addiction"; if I use a computer or phone too much I really lose a sense for what's going on. I miss the version of me that could compulsively read books for hours. That would foster a meditative and relaxed mind state for myself.

    After finding my own quiet space I'm getting ready to step into life again. Reading has helped me, it was hard to focus on it but doing so has paid off well.

    Life is getting better. I did not have a helpful experience with the mental health system however, I feel it was very deleterious to my identity. Just luck of the draw I suppose. Many of the employees I met with seemed to be there for their paychecks. A few seemed to interested in helping people get their lives back.

  2. When i was involuntarily commited (without having threatening someone else or myself) after calling an ambulance because i thought i had a brain aneurysm rupture alot of strange things happened. There was a very thin line between the healthcare workers and the people that werent allowed to leave and that was terrifying. I got the psychological thriller show treatment for the first couple days i was there. I definitely needed some help but damn.
    1) after arriving at the emergency room they took a blood sample and the same nurse refused to take the needle out of my arm after i politely asked several times. Then after she walked back and forth she came back with a needle and began injecting it into the one they used to draw blood without bothering to look at me or mention what was in it. I still dont know what was in it.
    2) they accidentally used a bp cuff that was too small and it left a red blood blister welt on my arm. As i was sitting there in pain my brain told me i had to stay still and not say anything.
    3) that night when i was taken up to the ward (the second one on a higher level) after they refused to tell me how much the mri was going to cost i was met immediately by the chaplan selling me jesus.
    4) they knew i was scared of needles and put one in my arm hours before they needed it. They nurse turned around after putting it in and happy as a clam just walked off.
    5) decided to give me a sedative before the mri even though i wasnt moving around.
    6) the first day after i woke up i thought i might have been assaulted because i guess they had done a cavity search the night before but when i brought it up to the nurse she didnt tell me anything (i remember the nurses taking me to a bathroom to perform it jusy not exactly what they did.)
    7) also the first morning when i woke up the guy walking in to take my vitals had this expression on his face like he wanted to murder someone. (I guess in deep thought but his timing was impeccable)
    8) they only gave me a few personal hygeine items and withheld the others. I guess so i had to ask for them? (I did, the mistake I made was taking the first nurses response that went somewhere along the lines of them not giving out more supplies.)
    9) we could hear them talking about the other patients through the vents that went to our rooms so HIPPA? Also about the fact that i wasnt wearing a bra.
    10) i thought i had been poisoned one day and was sitting there thinking i was about to die. I asked to hold a nurses hand and she looked at me like i was the most disgusting thing she had ever seen.

    When i was discharged i wasnt even sure which hospital i had been taken to and noone went over any of the tests they had done (except that i had a vitamin D deficiency). I signed a contract stating i would do 6 months of therapy which wasnt too bad actually. I realize everyone was being controlled (now, i didnt back then) so i dont blame anyone for these incidents but it was rough.
    Shout out to UNC hospital in north Carolina if anyone cares to explain themselves (they were playing along to the cosmic script)
    Ok i see the parallels now. I was vitamin d deficient so the assault (gross). I originally pushed the nurses hand away who was injecting something into me without explaining what it was and then asked to hold a nurses hand later when i thought i was dying. The mri person told me what he was giving me (the sedative) after the nurse didnt originally. A delusion i had once i got to the hospital was that i had radiation poisoning and needed iodine which i got when i had the mri done. Probably more but i cant see them right now.
    When i was there there was construction outside on that side if the building including soneone going ham with an excavator. I ended up using an excavator at the next job i got when i got out.
    While at that job i noticed the last four digits of my phone number was the default password to the combo locks on all the gates of our main client.
    It could have been worse. But it also could have been so much better. I guess i played my part. As i was leaving the hospital a voice daid "ok, lets give her a break." And they did. For about 9-10 months i believed it had all been just a bout of psychosis.
    Also after i holding the nurses hand while believing i had been poisoned, i died in my head and the worst of the "psychosis" just ended. With like the snap of a finger. The last couple days werent made to be nearly as bad for me and the food was actually decent.

  3. I've listened to some of your videos for a number of years…

    I understand that the medication you say seems not to work for you. Maybe you'll consider the following:

    Therapy and Counseling: Regular sessions with a therapist or counselor can provide coping strategies, emotional support, and a safe space to explore and understand one's feelings.

    Lifestyle Modifications: Hemi-sync, Intense meditation, Pranayama, a balanced diet, elimination diet, mandates on sleep 4 hours at a time, Intense exercise… the goal is to tire out the mind to slow it down… intense anaerobic exercise is a great way for this.

    You have such a strong emotional support group and go through therapy and counseling regularly.

    An Austere and Structured Routine based on the WEEK (NOT Day): Establishing a weekly routine that can bring more stability and predictability. I think this will lower the stress placed on you which is a trigger.

    Holistic Approaches: Exploring holistic approaches such as yoga, acupuncture, or massage therapy may contribute to overall well-being. Additionally, some controversial alternatives: high dosage DMT (toad venom) or high dosage psilocybin (under supervised settings).

    More time in nature.

  4. We love Lauren, you know it's not a bad idea for you to have this channel, it's always good to have the point of view of someone who is actually sick, but you cannot keep on experimenting on yourself and drawing conclusions from experiences. I think you need to establish a scientific method, maybe look at past records of schizo-affective patient.

  5. My brother once told me that there's an app that shows you the effects, and the interaction of the medicine on schizo-affective patients, but what bothers me is that it should be tailored based on records.

  6. My advice to healthcare professionals is to quit their job when they feel they don't know what to do at work. Maybe the psychiatrist has student loans and they probably will lack money after quitting their job but if the psychiatrist stays working when they don't know what they are doing they might end up mentally ill too.

  7. I thought everyone simulated outcomes.. and heard the mind's guesses. I once heard a woman moan when I was dating this guy.. outta nowhere, I was trying to turn in a very important document. I'm on medication for schizophrenia now. Let's see if that helps. Thank you for your resources.

  8. Have you ever exhibited a behavior you thought was normal, and somebody replied to you that you were crazy ? Well they are wrong. They are using your mental illness as a reason to give you that label.

  9. Thank you very much for starting a channel to help people with Schizophrenia. I've been struggling with 24×7 auditory hallucinations for two years and have been on off medications. Did your auditory hallucinations go away entirely with meds? Thank you.

  10. The places I've been and the people I've come across like nurses, techs, even psychiatrists have been so rude. Sometimes I wish I could go back and be a POS to them as they were to me. Just a short story, I was crying and was told to stop or they'll make me mop up the floor. When you give people the power and there's no oversight they'll act however they want. They don't care. Gotta pay $$$$$ for good care. No hospitals use clozaril so I'll never go back.

  11. When you hear the phrase you are not ready for discharge, it really means we can charge your insurance more by keeping you here. They give you weird meds that manipulate your behavior. A real doctor will look for the cause, rather than treat the symptoms. But it doesn't bring in more profit.

  12. Let me tell you how it feels like when God cast out demons that causes this schizophrenic it's extremely hell and you will see black smoke leaving you it's thousands of demons that's controlling your mind and they are cursing God everyday day and night you are screaming so loud everybody can hear you in your complex where you live and God appears in a gold or blue light or in supernatural sun or supernatural cloud in your room casting out demons its a very long process to be free

  13. Totally agree! It beggars belief to me that there are no feedback loops in medicine to aid improvement in patient care. Literally every other industry does this, why not medicine?

  14. Love your work Lauren and Rob. Just an editing note, Lauren vanishes into the orange-pinky flesh coloured chair and the same tone of background on the power point cards is also unappealing.

  15. Free schizophrenia tip to cope naturally with hearing voices. Ask your brain / voices simple questions leading to a point where you've exhausted your knowledge bank to simply remind yourself that the voices are just your sub-conscious and the voices only know the extent of what you know. This helps train your brain in the firm rooting / understanding that voices are just our minds out loud. For example, a very common thing is people talk to voices who have names or they believe are other people. Ask them information you don't know such as, "what's your last name?" "What's your middle name?". Rebuilding the confidence and re-training yourself that the voices are fake goes a long way. They cannot answer questions you don't know because they are your own mind.

  16. This is a weird question, but I run. Try to eat really clean etc- how does one stay in good shape while
    Taking antispsychotiics?

    At this point. All I can think of is Metformin or something else?

  17. I don't know who told you that you have schizophrenia and you imagine people that people attracted to you but the truth is that you are totally normal and so pretty and they are just jealous of you so don't let these horrible people to affect you you deserve better than being treated like ill person

  18. Licensed clinical psychologist here, I really appreciate what you are doing with your channel and this video, it is going to save lives. I appreciate you.

  19. Great feedback, these days young people are working us toward a new model that includes more than the medical. Back in the day it was such a leap for the world to see the science and not a "moral failing" behind the illness. Now a new leap to wholeness of life and self-determination. Retired case manager (yeah old term). I like dynamic feedback, and probably most of us do, some real truth that we do tend to act more when things are in a crisis. But I don't mind being told, yelling is fine by me. Really. I want to be exactly the person you tell whatever in however way you say it. I want to be the person you phone and no need to worry about the words. Any relief in that? If not, then ask for another worker.

  20. I literally just got out of the hospital for mental health issues and I have to say the whole structure including the rooms and hallways especially at the hospital I was at have to change. Nurses need to realize not every patient is completely out of it and if your going through a major depressive episode it's not fun to hear nurses laughing and having a great time literally standing in the hall in front of patients rooms with doors open. Also how they speak and yell at all the patients about meal times and anything really. It's not good for mental health to be yelled at like you should know when you have literally never been there before. I was asked what was the issues about 6 times and it's a very long story so it was so much repetition and having to replay the bad feelings. Find out if the patient trusts their loved ones enough with that information because not all loved ones are that loving or understanding. They need to also let them wear their own clothes or something more than just basic thick paper towel shirts and pants. It's humiliating when your already mentally struggling so much your in the hospital. Sorry it's such a long post I'm just trying to share all my thoughts while they are still fresh in my mind. One more thing if a person goes in voluntarily it should not be changed to involuntary for any reason. It seems like they make up whatever reason they have to, to put you on a hold and make it involuntary and then not even mention it to you.

  21. You are a very entitled and person. You have not had to deal with multiple assaults. Empathy yes. Abuse absolutely never. I’ve witnessed horror and even death from a psych pt to a nurse.

  22. Thank you so much for sharing this. I would add that every suggestion here can and should be applied to all other sorts of medical treatments. All patients are people.

  23. Okay I left your Living Well with Mental Illness Discord. One criticism I have is that intervention shouldn't be done so at an emergency level of crisis. By the time an emergency situation occurs as far as psychosis goes the person may be too far gone to be able to understand direction in order to access the help resources they need. Other than that it was an alright experience. Thanks.

  24. Thank you for addressing over prescribing. I've suffered so much from that in my care process. They gave me ptsd and I was experiencing flashbacks from being forced to take too much.

  25. I had a really horrible experience 12 yrs ago when i attempted suicide from depression and anxiety. I ended up throwing up most on my own bc realized the mistake i made, but i still hallucinated for a few hrs from the amount i took. In the hospital while i was still hallucinating and also crying hysterically bc of what happened, a psychiatrist with a major language barrier was asking me all these in depth questions on how i was feeling.. uh clearly not good! I couldnt even put a thought together let alone a sentence, on top of not being able to understand what he was saying. And then when i got referred to a therapist after that hospital visit, she diagnosed me with major depression and i told her i didnt wanna be on meds bc it was a moment of everything gone wrong all at once and i dont feel this often, and i was only 20 yrs old needing to know how to cope with lifes struggles as an adult better. She automatically referred me to a psychiatrist to get prescribed meds. Never saw her again. Still havent been on meds, and i do have my moments when everything goes wrong at once whenever that occurs, but i know more coping mechanisms as an adult and have a fanatasic therapist that ive had for 5 yrs now.

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