One of the symptoms of schizophrenia is that the sufferer doesn't recognize they are ill, and therefore, resists treatment. If you have a loved one with a severe mental illness, especially schizophrenia, you may need to seek treatment for them against their will. This is part one of my experience in getting my son the psychiatric help he needed.
“Eliott thumped his fist on the round,
wood-laminate topped table. “I shouldn’t
be here!” he yelled. We sat across from
each other on orange, hard plastic chairs in a small visiting room in the
locked psychiatric unit of Portland Adventist Hospital the morning after his
first night of an emergency evaluation. A
window gave view to a small enclosed courtyard garden where supervised patients
could go for fresh air. Eliott closed
the heavy drapes before we sat down. Windows
make him nervous.
He is twenty-three now, almost
twenty-four, and stands just over six feet tall. Even so, and even with the short beard, I
still saw my little boy sitting across from me.
He is my first child, my baby.
Eliott likes to keep his nearly black hair cut close to the scalp, but he
hadn’t had a haircut in a long time and the curl was coming out. The thick, poofy mass was a little wild, like
I remembered from summer vacations back when he was too busy riding his bike
and playing with the neighborhood kids to get a haircut.
“The people here are crazy, Mom. I’m not crazy, what’s happening to me is
real.” His voice was quiet and
serious. He needed me to believe
him. “The guy I have to share a room
with talks all this crap about aliens – can you believe that?” He stood and went to the doorway, where he
tipped his head toward a sixty-ish woman in the hall. She clutched a small stuffed dog and wore
loosely fitted, pale blue polyester pants and a stained white sweatshirt. She muttered to herself. “This old lady just stands at the door talking
to herself in some weird kind of language.
She keeps trying to open the door.
Doesn’t she know we’re locked in?
I’m not like these people, Mom. I
gotta get out of this place.”
Even though this was his second
hospitalization, I was still alarmed to see my boy locked in this place. But if not here, where did he belong? A day earlier he was ranting about the FBI
and radio waves and mind control. He was
out in the woods off of Highway 26, and threatened to shoot himself while I
listened on the phone. He was
hysterical, I was hysterical. But now,
not even twenty-four hours later, he is calm.
Well, relatively calm, considering he’s locked away with crazy
people. “I know you don’t want to be here,
Eliott, but there’s nothing we can do about it right now.”
Eliott crossed the room and peered
through a slit in the curtain. “Last
night when I was in bed some girl was screaming her lungs out and then she
cried all night.” He faced me
again. “All day people sit around like
zombies and stare off into nothing. Come
on, Mom, you know I shouldn’t be here with these people. I’m not crazy.” He sat back down in the plastic chair and
propped his elbows on the table, his forehead leaning onto his hands. “You have to believe me, Mom, the radio
signals were messing with my mind, but now that I got away from them I’m okay.”
“I know this is hard, Eliott, but if
people really are spying on you or trying to hurt you, then use this time to rest
and relax. Nobody can get to you in
here. You’re safe here.” I’ve learned not to directly challenge his
delusions because that just pushes him away.
It’s a fine line. I don’t tell
him I believe him, but I try not to tell him I don’t.
“Maybe…but what if they’re here? I’m telling you, Mom, Patrick-Dad knows what
he’s doing and he’s lying if he says he didn’t make all this happen. You know him; you know what he’s like. He’s evil.
And he’s not gonna stop until he breaks me. I don’t even think he can stop it anymore. He got
so many people involved, and they got other people involved, and now it’s
bigger than anything that even Patrick-Dad can stop. They want to hurt me, Mom. You don’t know what it’s like.”
Eliott’s eyes fix on the table. I lean in low and try to coax his eyes up to
look at mine. “I want to understand what
it’s like, Eliott, to know what you’re going through. First, though, I need you to be safe. You’re here because you had a gun and said
you were going to kill yourself, and because you made threats against your dad,
not because people don’t believe you.”
“No, I’m here because Michael-Dad
called the police on me. Why did he do
that?”
“Because I told him what you were
saying to me on the phone. You were
driving around with a gun, making threats, and we didn’t know where you
were. I told him you had a gun and he
needed to call the crisis unit if you showed up at home. They brought the police.”
He jumps up from the table and shoves
his plastic chair, plastic and metal crashing across the room, hitting the wall
behind him. “You did this to me? I
thought you were on my side!”
“I am on your side, Eliott.” I pick up the chair. “Sit down, honey, let’s just talk.”
He slumps back into the chair, but
won’t make eye contact. “If you’re on my
side, then get me out. Tell them I’m not
crazy. I only had the gun because I
figured out how Patrick-Dad was spying on me and making my thoughts be heard by
the people spying on me. I wasn’t going to
kill myself; I needed the gun to protect myself because they were gonna try to
stop me from telling the FBI. And I
never said I was going to kill Patrick-Dad.
I swear I didn’t. You made that
up. See?
They put me in here because of what you said, so they’ll let me out if
you tell them to.”
“Things aren’t so simple,
Eliott. You need to stay here for now
and do what the doctors tell you to do.
It’s the only way out of all of this.”
He pleads, he yells, he makes no sense.
I counter over and over that I want him to be safe and listen to the
doctors. Round and round. “I love you, Eliott, but I have to go
now.” I give him a long hug. “I’ll be back later.”
“Mom, wait,” he calls as I near the
exit. “Bring me some ear plugs and a
mouth guard, OK?” I know why he wants
the mouth guard. He’s told me before how
the shape of his teeth and the way his tongue fits against his teeth causes his
thoughts to echo or vibrate somehow in his mouth, making his thoughts seem like
someone else’s voice talking to him. He’s
tried hard to explain it to me a couple of times, sure it caused the key to the
voices he heard. I don’t ask him to
explain today. I will bring him a mouth
guard.
******
I wait in line to enter the
courthouse and pull the hearing notice from my pocket one more time. The simple paper reads nine a.m., April 24th,
2008, courtroom 210. The woman in front
of me, her cell phone pressed to her ear, gripes about the morning traffic, the
homeless man who asked her for money on the sidewalk, and the endless petty
concerns of a self-absorbed person who doesn’t know about real problems. Behind me, a man who I guess to be in his
late forties, with graying hair, an expensive looking suit and polished shoes,
stands so close I feel his breath on my head and the edge of his briefcase digs
into the back of my leg. I want to step
down hard on his foot. I want to give a
little push to the woman in front of me and tell her to move up, and that, by
the way, nobody cares about her parking troubles or that the Starbucks girl
gave her the wrong drink. I’m in no mood
for this line. I’m here to testify at my
son’s psychiatric commitment hearing, and I shouldn’t have to wait in line to
do something I dread.
Finally, security checkpoint in
sight, I slip off my slightly scuffed, burgundy colored shoes with the kitten
heels, and drop them in the plastic bin with my watch, purse, and cell
phone. My belongings and I pass through
the metal detector with no beeping or secondary examination, so I guess there’s
nothing to stop me now. I step back into
my shoes, gather my things, and climb the wide marble staircase to the second
floor. Something about the clickety
sound of my shoes on the sleek, hard marble, and the steady rhythm of my steps
calms me. This is the right thing to do,
and I am strong enough for the task.
Courtroom 210 is my destination. I go left at the top of the stairs and start
down a long hallway. How impressive this
neo-classically designed courthouse must have been when it was built in the
early 1900’s. The marble floors remain, but
the great bones of the building are now buried beneath cheap renovations, circa
1960. I peer through open doors at
courtrooms with acoustically tiled ceilings, fluorescent lights in plastic
rectangular boxes, and awkward partitions.
I pick up my pace as I reach the end of the first hallway and take a
right into another long hallway. I hurry
past door after door, and kick myself for not asking for directions at the
information desk. As I round the corner
into a third hallway, I know I turned the wrong way at the top of the
stairs. Damn! Where is courtroom 210? I start to fret about finding the right room in
time, but spot my ex-husband, Patrick, and his wife, Tracy, at the end of the
hallway talking to a man I don’t recognize.
Thank God! I’m in the right place, and the hearing hasn’t started yet.
Patrick seems older than usual, I
think as I get closer. His striking “Italian
good looks,” which both our boys inherited, are dulled by exhaustion and
stress. He’s in his early fifties, and
still has the slender but muscular body of a ballet dancer, which was once his
career. People usually think he’s around
forty. Today, as he stands talking to
the younger man in the suit, he looks his age or more. His olive colored skin is reddish and
irritated, and creases in his face pull the corners of his lips down and push
his eyebrows into a flat line over his eyes.
His wife, Tracy, a dancer like him but much younger, wears her
medium-long, straight brown hair pulled back in a pony tail. Her slight figure nearly disappears behind
the two men.
“Hi, I’m Eliott’s mom,” I say to the
man I don’t recognize.
He extends his hand as he introduces
himself and explains he’s from the District Attorney’s office. I swear I’m listening to him, yet I can’t
tell you his name, he’s just “the man in the suit.”
“I’ve been telling Patrick a little
about what you can expect in the hearing,” the man in the suit says to me. “There are three hearings scheduled, and
they’ve started the first one already. I
think it’s going to be short, and as soon as it concludes you can go in. The
judge, the attorneys, the defendant (your son in this case), and a few other
people will be seated at a long table at the front of the room. Witnesses will be called to a seat at the
table to testify. Several rows of chairs
are on the other side of the room. You’ll
take a seat in one of the first two rows, which are reserved for witnesses
waiting to be called. Hearings like this
are open to the public, and there are a lot of people in attendance today. The witnesses and people involved with the other
hearing will be in there of course, but there are also a couple of rows filled
with a group of students from Portland State University who are here to observe
as part of a class. And as you may know,
today is ‘take your son or daughter to work day,’ so there are also a few kids
in the room.”
I look hard at the floor and try to
blink away the impromptu tears before I look up again. Poor Eliott, I think. My heart hurts for him. How cruel this is. He’ll be captive in front of a room full of
strangers, his personal hell on display.
How can I do this to him? How is this
not betrayal?
The man in the suit goes on about
what to expect, and what we will be asked.
“The judge may ask you a couple of questions directly, but most of the
questions will be from two psychiatrists who are serving as examiners, the
public defender for your son, and me.
You are witnesses for the D.A.
The police officer and crisis unit worker who responded to the call and
took him to the hospital will also testify.
The psychiatrist who’s treated him the last three days and the court
investigator who evaluated him in the hospital have submitted written reports
into evidence, so they won’t be here. All
of the questioners will try to determine if he will be safe if released from
the hospital, and whether he would be a danger to anyone else. The judge may release him, even if he is ill
and needs treatment; the only questions to the court are whether he presents a
danger to himself or others, and if he can take care of his most basic needs. The public defender is there to speak for
Eliott, and will argue for Eliott’s freedom to decide for himself whether he
wants treatment.
“So I have to get up there and say
we’re afraid of him or think he’ll go right back out and try to kill himself?”
I ask.
“Your job is to describe what
happened on the day the police were called.
You don’t have to give your opinion, just tell them about the
conversations you had with him. They
might also want to know about violent behavior or threats you’ve witnessed in
the past.”
“He wants out so badly. He’s terrified,” I tell him. “I don’t know if he’ll forgive me. If he doesn’t trust me how will I be able to
help him at all?” My stomach is a knot,
and my whole body feels set for flight. Should
I tell the man in the suit I’ve changed my mind, and if they let him out I’ll
make sure he’s safe and won’t hurt anybody?
I fight the urge to leave. “I
know Eliott needs more than I can do for him and needs to be in the hospital,”
I say. “He hasn’t even agreed to work with the doctors and refuses
medication. He’s convinced he’s not ill,
so he can’t get possibly get better without treatment. I guess this is the right thing to do.”
The door opened, and several people
filed out. D.A. guy gestured us into the
room and we took our seats.
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