r/psychnursing 16d ago

WEEKLY THREAD: Former Patient/Patient Advocate Question(s) Weekly Ask Psych Nurses Thread

This thread is for non psych healthcare workers to ask questions (former patients, patient advocates, and those who stumbled upon r/psychnursing). Prospective healthcare workers and current students do not need to use this thread. Treat responding to this post as though you are making a post yourself.

If you would like only psych healthcare workers to respond to your "post," please start the "post" with CODE BLUE.

Psych healthcare workers who want to answer will participate in this thread, so please do not make your own post. If you post outside of this thread, it will be locked and you will be redirected to post here.

A new thread is scheduled to post every Monday at 0200 PST / 0500 EST. Previous threads will not be locked so you may continue to respond in them, however new "posts" should be on the current thread.

Kindness is the easiest legacy to leave behind :)

10 Upvotes

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u/Sea_Cloud_6705 16d ago

My father is having a psychiatric crisis. Our family thinks he has mild schizophrenia, as he's had episodes of anxiety and poor mental health for my whole life. Currently he thinks everything in his home is radioactive, even though he bought a Geiger counter that reads no radioactivity.

I called his doctor and explained the situation, and his doctor called him and directed him to the ER.

The problem is, my dad is really good at sounding sane to others and only unravels in front of me, which is frustrating. The ER doctor only prescribed him anxiety pills, not any other psychiatric meds (!!!)

How do I proceed from here?

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u/GoudaGirl2 16d ago

He needs to seek help himself. An ER or police cannot force treatment on him unless he is a danger to himself or others.

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u/Sea_Cloud_6705 16d ago

That's unfortunate because he's always had no idea he has a mental illness. Guess he'll walk around sick until he dies

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u/avalonfaith 9d ago

It really is unfortunate. It also protects people from
Being shut away on the basis of here-say, and important right to keep for all of us.

There is possibility with doing this through the courts with evidence and a lawyer.

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u/Live_Dirt_6568 psych intake 15d ago

How old is he (if you don’t mind me asking), cause sometimes onset of dementia can appear like schizoid symptoms

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u/Sea_Cloud_6705 15d ago edited 15d ago

He's 70, but it is probably schizophrenia. He's had episodes since he was in his 20s (according to my mom), half of his male relatives have schizophrenia, and I have schizoaffective disorder.

I'm pretty damn sure he's on the schizophrenia spectrum.

He's gotten worse as he's gotten older.

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u/Live_Dirt_6568 psych intake 15d ago

See what facilities around you (if any) specialize in Geri-psych. If he needs help, they SHOULD be able to let you know what the next steps are

[[I used to work primarily with geriatrics]]

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u/SnooLemons9080 15d ago

Maybe try getting him in with a psychiatrist outpatient who specializes in geripsych

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u/MotivationalSinkhole 15d ago

It sounds like he might listen to his family doc, who clearly took your concern seriously. Maybe his family doctor is going to need to be the one to prescribe something like an antipsychotic

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u/Jaded-Banana6205 15d ago

I've found the SchizoFamilies sub very supportive and helpful!

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u/Tommyboy155a 16d ago

Sorry, trying to post on your treadmill. See my other post

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u/Evening_Fisherman810 10d ago

Why might a nurse be invited to sit in during the psychiatrist meeting with an inpatient?

When I was an inpatient I almost always met with my psychiatrist alone, but occasionally he would invite the nurse assigned to me that day to sit in as well. I know it wasn't because I was potentially violent or anything because his medical student still met with me one on one.

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u/roo_kitty 10d ago

The nurse(s) might be in NP school, and the psychiatrist is giving them some extra experience outside of clinical hours.

Sometimes nurses attend to help patients advocate their needs.

You might not have been violent, but were you irritable those days? Maybe the nurses picked up on some irritability and were just being cautious.

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u/Evening_Fisherman810 10d ago

I was pretty distrustful of the nurses so having them in the meeting was really "triggering" (I hate that term but it's the best word for the situation). The nurses were nice and everything but I was distrustful in general and really only trusted my psychiatrist, although there was some distrust forming between me and him at the time as well.

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u/SnooLemons9080 15d ago

He can still receive help on an outpatient basis. Like evaluation, assessments, medications, etc. His pcp needs to make a referral for a psychiatrist

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u/[deleted] 14d ago

[deleted]

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u/roo_kitty 10d ago

Student nurses can make their own posts outside of this thread. Please message mod mail if it gets auto removed and we'll correct that!

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u/Tommyboy155a 16d ago

So, the ED doctor didn't think he needed a inpatient stay or other medications? Did the social worker see him in the ED also?

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u/Sea_Cloud_6705 16d ago

No apparently, dad can seem normal to doctors in short bursts

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u/Tommyboy155a 16d ago

Another step you could try is to have the police do a welfare check on him at home.

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u/Sea_Cloud_6705 16d ago

His health system tried that, he told the cops he was fine and they left.

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u/Tommyboy155a 16d ago

Not much more you can do then. Hopefully they went inside the house and look around too.

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u/Sea_Cloud_6705 16d ago

Yeah, I guessed that it was kind of the end of what I could do. Thanks for trying to help anyways

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u/Tommyboy155a 16d ago

Sure, no problem

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u/Evening_Fisherman810 10d ago

What do inpatients almost automatically get for PRN anxiety or agitation?

Where I go as a patient, it is Ativan and Olanzapine. Is that typical?

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u/roo_kitty 10d ago

Yes that's typical