My Psychotic Break

I pretty much have to write about this.

A month or so ago, I found myself in a spiral of irritation. My sleep pattern slipped from not much to none at all. I was unsettled by something in my relationship and let it fill my mind. I spent the entire day of Sunday yelling at Janice. That’s what I remember.

In a lull of my mania, I asked for something to relax, Janice handed me a few of her pills. After that it gets hazy. The next thing I remember is the phone waking me. It was the police, they were outside my door and would like me to come out with my hands in the air. In my mind, I thought it was Sunday evening. It was Monday evening.

What I have been able to put together is that I was increasingly irrational, and threatened to kill myself quite convincingly. Janice was able to show me texts I had sent; I was horrible. But at this point in time all I knew was that I had fallen asleep and she had left.

I threw on some clothes, and slowly opened the door, revealing myself hands first. There was a nice little barricade set up down the hall, and the glint of laser sights from the rifles pointed at me. I invited them in, they placed handcuff on my wrists, and we took a ride to the hospital. My memory is still shaky at this point, I remember moments but not entire scenes. I know I was well mannered entering the hospital, and I know I lost all contact with reality shortly after arriving. I remember trying to bite one of the nurses, and seeing Janice through the glass door of my room. Later, they took me to a mental hospital, I had been involuntarily committed.

I arrived at the hospital Tuesday about noon, and suddenly realized I was missing an entire day. In my mind I was angry at Janice, thinking she had drugged and abandoned me. The conditions were as one might expect, a few steps up from Ken Kesey’s Oregon State Hospital, but the vibe remained. “Long Distance” calls had to be dialed from a special room, and for some reason anything out of the area code was considered long distance. It took another two days to get in touch with Janice. I think that was a good thing, I hadn’t quite figured out what had happened yet. She had been the person who had signed the order for involuntary commitment.

After release I was able to read the notes from my intake interview. I was described as having a flat affect. I remember slowly waking into reality, realizing the time lost, feeling shock.

It became rapidly apparent that the way out was to comply with treatment. I attended all the groups I could, making friends with the other mental patients. It was a fascinating microcosm of society, we had all, in effect, been equalized, stripped of our individuality. The depth of our mental illnesses determined our ability to recover. Some folks would obviously wait their time out and be released, some folks I seriously hope are never released, but I did not meet anyone who did not belong there. When I was able to realize that, I was able to realize that I belonged there, opening my mind to correcting my mistakes.

The groups were educational, not always about the subjects for which they were designed. One group about red flags put a bright light on one person’s attitudes about relationships, and also showed the folks paying attention that everything goes both ways. Had it not been such a hetero-normative group the message might have sunk in better.

I was (of course) open about my sexuality, I figured it would confuse the staff and spare me a room mate. It did, I was the only male without a room mate. A couple of women opened up about their sexuality, as far as I could see no one was uncomfortable in our group. We quickly became known as “The cool kids,” sitting at our own table at meals; then we slowly became “The old folks” as we dispensed our wisdom to the younger folks. The camaraderie helped us all.

As the week passed, new people arrived, most of them faceless, keeping to themselves, a few more aggressive, pointing out to us how we had felt during the early hours of our incarceration. I could see how I had been and was glad I had not been able to talk to Janice until after I calmed down. One person was particularly intimidating, and knew how to play the staff. He was what they called a “frequent flyer,” someone who had been there repeatedly. The staff knew he wouldn’t follow through on his threats, but we the patients did not. The tension was palpable, and I would like to think that my explanation to staff was a part of my release. I could see it from both sides and explained the difference between physical safety and emotional safety to a couple of nurses, people trained in the field who had just turned a blind eye to the purpose of the facility.

My medications were interesting. I received prompt attention because I take Truvada, an anti HIV drug. They wanted to know if I was HIV positive, so I was processed through medical quickly. Because I had drugs in my system (the ones Janice gave me) when I was admitted, they diagnosed me as a drug addict, and gave me anti-withdrawal meds all week. I received my anti-depressants as usual, but because Truvada and Fosamax are expensive they asked me to have them brought in. Remember the Long Distance issue? Knowing they would have to put out thousands for my meds helped me get permission to make phone calls.

That first phone call with Janice, on Thursday, was overwhelming. I was disgusted by the things she told me I had done as she gave me the timeline of my missing day. I thanked her for having me admitted. I was astounded that she cared for me, and missed me so much. I gave her the number to call in, so I could hear from her, and returned to my group. They could tell I had spoken to Janice, I was glowing. She called every evening, and for that time I was free, not incarcerated. She came to visit and time stood still.

I was released on Monday, and the morning was pure stress. I was told my regular psychiatrist had not been contacted, and I couldn’t be released without appointments with her in the next week. It was less than an hour before my scheduled release when I finally got my post hospitalization therapy schedule. We drove home and spent the rest of the day talking. I had the epiphany that the psychotic break was related to having never fully grieved Emma, and was up all night organizing her shrine, telling stories about each item.

As a result of my commitment, I am no longer eligible to own firearms. I agree. I had no idea what I was doing for over twenty four hours, had I chosen to resort to violence I had a solid arsenal and a couple thousand rounds of ammunition. The possibility I could have another break is higher after having one, so I have no issue with surrendering my weapons. The police were exceptionally nice, assisting with selling the firearms and returning items that were borderline inappropriate, like a set of rolling papers in packages designed by Olivia De Berardinas. I did like the expression on the detective’s face when he said how nice my rifles were, and don’t want to imagine the look when he entered the bedroom with the swing.

My doctors have been interesting, the “What happened?” opening was almost funny. Because what happened was not funny. My brain broke. You can call it a nervous breakdown or psychotic break or whatever makes you comfortable, but I did a hard reboot. I did things I do not remember any part of. I had conversations and wrote texts of which I have no memory. I am better, but the experience was moving. I am fortunate that Janice, against her normal intuition, called 911 and followed through in committing me. I needed the rest. I still need rest, but have spent the intervening month helping Janice move her mother in law (her husband passed away) into my home. I have watched my friend’s final performances before “retiring” to Arizona after fifty years in the music business and spent late nights hanging with musicians several times. I know I am slowing down relative to what I was before, but when I look at it I can not call it “slow.”

I know the path to illness and can avoid it, I am building my resources to be prepared.

 

Family ties

My family has never been much for communication. They believe they communicate, they certainly talk a great deal, but the contact required for actual communication is not always present.

My previous favorite example was a letter my father wrote to me. At one point in the Two Thousands, my company had a contract with the Philadelphia Water Department. There were old pictures on the walls, one of a gas chromatograph from my father’s old company. I sent him a picture of it, and talked about some things going on in my life at the time. His response was a four page history of the Beckman GC-4 (the one in the picture).

Today he exceeded his previous record.

Months after berating me for my life of sin, he sent a short note about what he had been doing and what was happening in his life. I responded with an equally neutral update on my comings and goings, leading off with a mention that I was recently released from a mental hospital following an exhaustion induced psychotic break, mentioning Janice and her Mother in Law who are now living with me, telling him my cat survived cancer, letting him know about future plans. I also mentioned that President Trump’s abandonment of the Kurds could not be rationalized.

A few days later I received his response. He did not comment on any of the things I mentioned, not a word about the psychotic break; instead a two line defense (and praise) of President Trump’s tactics. Love Dad.

Since the break, I have been considering the concept of erasure. So perhaps I’m a little sensitive. My life meant nothing to him.

I’ll write more about the break next time. It was a fascinating experience.

My family has always been interesting. They all tend to be complex amalgams of various points of view, and they are all focused on one of them at a time. Sometimes that is a good thing, sometimes it is challenging. My eldest son is still focused on some issue that came up after he stopped seeing me.

This is a contrast to Janice. Her family is closer, and her extended family is endless. Sometimes seeing the universe as your family is a bit off-putting to me, I’m doing my best to find a compromise. Janice’s husband ended his life a few years ago, which did not slow her when her former Mother in Law (Connie) needed a place to stay. Now that Janice has moved in with me, so did her Mother in Law. It has certainly brought some changes to our lives, but none that we would not welcome. Connie has been a wonderful addition to my home, to my family.

Connie promptly had a heart attack after moving in and is in the local hospital, and Janice’s children will be visiting today, more family.

I wasn’t sure I would like this. My previous explorations into mixed families have been horrendous failures. Janice’s family has been wonderful, there has never been any friction. As a counterpoint to my own family, they have been humbling. Not that my family is unusually cold, it is just the contrast.

I find it pleasant to have a family to care for, it’s nice to have people to cook for, little things to do for each other. Rather than an increase in stress, it is having a calming effect. This is the peace I have needed. I am grounded and stable.