Thursday, November 27, 2008

Psychiatry Madness


So, I can't really put up a picture of the awesome psychiatrist that I worked with because of HIPPAA and privacy and laws and such. So, let it be known that all names and details have been changed and modified to protect the identities of my fair colleagues and patients. But, I thought the comic was pretty good.
"They'll never find me, I'll just tell them you're Dr. Martin and I'm Dr. Chang," Dr. Martin joked, pitting me against a patient's pugnacious family. Their son was in here against his will, it was illegal, this place was a crap-hole, he didn't do anything wrong . . . of course, I think by now in his career, there is absolutely nothing that Dr. Martin has not heard. And he maintains the same acidly unaffected sarcasm throughout. His patients seem to be unable to affect him, yet he is somehow able to change his patients in the course of 15 minutes. He is of the school of dialectical behavioral therapy, wherein he gives his patients back exactly what they give to him and teaches them to modify the way that they interact in order to have more interpersonal success. So, he is bold and sassy. He will swear back at patients. And by the end, the belligerent youth with an attitude problem who made the ER doc cry and was yelling at half the nursing staff was repeating the words, "Keep my words sweet like sugar in case I have to eat them" and writing an apology letter to the ER doc. Talk about an abrupt change. I think Dr. Martin is amazing.
And he deals with some amazing and amazingly difficult individuals. He wanted us to really just "marinate in the craziness" of the psych ward. And that we did. Sheila had pickled her brain with alcohol and couldn't walk without her walker, but was so excited that she was going to join a basketball team. And there was Peter, who had his first schizophrenic break and was a cybertronic robot with metal for bones who you might catch near the wall "recharging." And Sally's make-up and outfits typically got darker and more flamboyant as the day went on--in parallel with her emotions. And Kara's hypersexuality, where you might find her naked on the bed screaming at the demons to "get off her." There is never a dull moment in the Regions psych ward. I learned a ton and I definitely have a lot of respect for both the people who struggle with mental illness and the doctors, nurses and support staff who help them in their struggle. My favorite image, of course given to me by Dr. Martin, is that of dreams invading your reality. And how sometimes you need drugs to help keep those thoughts in your dreams where they belong. Or you can write a book about it.

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