A
Little Visit to Psychiatric Hell
By Jennifer Haynes
“I see you don’t agree with my decision?”
“No, I don’t,” I said firmly. “I want to go home.”
I fought back the tears. Dr. Corbin wasn’t going to see my cry.
“You’re only going to be there for a couple of days.”
“I don’t want to go. I don’t need to.” I was
sitting cross-legged on the uncomfortable bed I had gotten used to sleeping
on. I put my elbows on my legs and put my head in my hands, my palms over
my eyes. I couldn’t cry. I had to fight it.
“You’ll be out of there quickly,” Dr. Corbin said.
“I just want you to be observed.”
I just shook my head. The tears were ready to come.
“Your mom will be coming to pick you up at 11 o’clock today
and she’ll drive you to Chattanooga. Won’t you be glad to
see your mom?”
I didn’t make a sound. I didn’t move an inch. Why did no
one believe I could go home now? I’d be stuck in a psychiatric hospital
forever.
“You’ll feel better when you’re out. We just have to
be sure, and the insurance won’t pay for you to stay here any longer.”
Silence.
Why couldn’t I just go home?
“I’m sorry you don’t agree with my decision. 11 o’clock
this afternoon. Good luck, Jennifer.”
“BASTARD!” I screamed in my mind, but the room was silent.
“Well, goodbye.” And he left.
As soon as I heard the door close, a sob escaped and I couldn’t
hold it in. I just cried and cried.
I had also cried a lot yesterday. During the day a few of the counselors
had said they thought I was being sent to Valley, a level four security
hospital, relaxed with more freedom. Vanderbilt was level one; very tight
security. However, I didn’t really believe any of them because I
was better. They had no reason to send me there.
I was in Vanderbilt 2 ½ weeks for self-mutilation. I had between
one to two hundred cuts total up and down each arm. A week after being
admitted there, I gave in to the impulse and used what was available to
me: my fingernails. I put three big scratches on one arm, two on the other,
and three on my legs. I never thought I could use something besides a
razor blade. It scared me. And after getting them cleaned out every day,
being asked questions by the other patients as they watched and waited
behind me in line to get their medicine, and having the cut get infected,
I could honestly say that I never wanted to do it again. It was a bad
decision on my part. So I knew they wouldn’t send me anywhere after
so much progress. I was planning a future, I was ready to enjoy life on
the outside world, even while I struggled with depression, I wanted to
go to church. They wouldn’t do that to me.
But later on, during group, after I had talked about hoping to go home
soon, David, one of the counselors, said I was being sent to Valley. No,
I thought to myself. Surely not.
“It’s written in your chart,” he said.
My fate was sealed. After a couple seconds I put my head in my hands
and cried, even though I had been asked a question. I was silent, but
for me it was intense. It was like the end of the world. They didn’t
make me leave the room since I wasn’t making any noise, and I cried
the whole time. At the end of the group, David came back to me and asked
how I was doing.
“I don’t want to go,” I said, still crying in my hands.
He dismissed group; everyone was supposed to go back to their rooms, but
I didn’t move, and they let me stay where I was. Besides, I could
go in there and really damage myself; Lord knows I was thinking about
it. I didn’t go to dinner, so they brought something in, and I ate
what I could. David came in.
“How are you feeling?”
“Angry.”
“Well, talk about it. Don’t do something to yourself.”
“Dr. Corbin is a bastard,” I said, and started crying again.
“Maybe he is. I don’t really know him.” Then he left.
They wanted to have group, and I said I didn’t want to participate.
They didn’t want me to be in my room by myself, so I sat at the
end of the hall. My friend Amy came to me and I lifted my head up. She
told me I’d be okay. She hugged me. I took my medication and went
to sleep.
And that all leads up to the moment of Dr. Corbin’s departure. One
hour left. I packed my things and tried not to cry. But when my mom came
in, I did. I was going to miss everyone, all my new friends, a few who
had an understanding of self-mutilation because they too had done it.
All the progress was meaningless.
I went silently to the car, not saying a word. The only talking I did
besides tell them what I wanted to eat, was telling my mom I didn’t
need to go. Over and over. Three hours. I also got loud in the waiting
room, very close to yelling. And then it was time; the lady called us
back to sign me in. I just kept my head down and only spoke when a question
couldn’t be answered by a head movement. I cried for a little while,
but it was useless.
When my mom was leaving, we stood and she hugged me, but I didn’t
hug her back. It was like hugging a dead tree. I showed no reaction and
didn’t even look at her. Then she kissed my head and said “I
love you.” I didn’t say anything, and then she was gone.
I was led into a room, and everyone was busy drawing. A man named Tom
handed me a sheet of paper with two holding hands on it, and we had to
draw ourselves holding hands with our neighbor. It was supposed to be
therapeutic. I complied, because I had no other choice.
Still pissed off, I didn’t try too hard. I just took the entire
time without accomplishing much. I thought this was the kind of stuff
they do in movies. I never imagined psychiatry ever actually relying on
this stereotypical stuff...the stuff that makes it all look like a big
joke. No one could really take this seriously, could they? I mean, isn’t
it a common belief that people subjected to this sort of mental therapy
came out brainwashed? Perhaps movies have more truth to them than I thought.
After this, we separated into our two groups; the news kids, and the
advanced. Since I had already been in Vanderbilt for 2 ½ weeks,
I was put in the advanced group, with the ones who had been in there for
a while…some had been in over a month. I thought this was an indication
of a long stay, not just a few days of observation.
Our group went into the game room, and a kid named Joe took out the dominoes.
We all watched him stand them up in a row and make them fall, when our
“counselor” Tom suggested we do something together. We all
grabbed one or two and stood them up, and the rest of us watched Joe do
the rest. We had done our part. Everyone then was introducing themselves
to me, telling me how long they’d been in and what for. Quite a
few people basically called that place home because they’d have
to wait there in between homes. They were all nice enough, but I would
have given just about anything to be somewhere else.
When dinnertime came around, I was beginning to worry about my mom. Columbia
was such a long ways away, and it would get dark; she could have gotten
in a wreck. And if she died, I never would have forgiven myself for my
actions earlier. She would think I didn’t love her. What would I
do then?
The food was good, better than at Vanderbilt, but that didn’t make
any difference. All I wanted was to go home. I was longing for the comfort
of my bed, and I didn’t want to see anyone more than I wanted to
see David. I wanted to see Michelle, but with all that was going on, she
was very taxing on my emotional strength, and I felt betrayed by almost
everyone else.
We were then given time to work on our MAD/SAD notebooks. It consisted
of a blue notebook, and two sections, one for each emotion. There were
sheets to fill out teaching the right and wrong ways to deal with being
angry or sad. And it all went right along with that stereotypical idea
of what they’d tell you at a psychiatric hospital. I couldn’t
believe I was there. I knew it was the wrong place to put me.
When we had to go down to gym, I had my first “Feelings Check.”
Everyone sat around in a circle, and then one by one introduced ourselves,
saying whether we were red, yellow or green, red being the worst, green
being the best, and then we’d rate our day on a scale of one to
ten. I had to start.
“So, Jennifer,” Tom said, “how do you rate yourself?”
I had to decide quickly whether to lie or tell the truth. They were there
to help, right?
“I guess red. And one.”
“Why so low?”
“Because I’m worried about my mom driving home, and I miss
everybody.”
“Ok. Well, Joe, you’re next...”
That was it? I thought to myself. That doesn’t seem very therapeutic.
I didn’t even listen to what everyone else said.
After Feelings Check we were supposed to play basketball, which was the
only thing available to do. No volleyballs or tennis balls like at Vanderbilt.
No mat tag. No hackey sack. I hated basketball, and I was so depressed
I refused to participate.
I was not the only one sitting out. A boy named Mitch didn’t play
either because he had gotten in trouble earlier in the day. I started
to cry a little bit.
“Why are you upset?” Mitch asked.
“I want to go home,” I said.
I kept crying, and a few minutes later Joe came over.
“What’s wrong?”
“I’m worried about my mom, and I want to go home.”
“Maybe they’ll let you call and check up on her,” he
suggested.
“1 doubt it,” I said.
“Well, you should try.”
“I don’t know if we can do that,” Tom said after I
asked him.
“I just want to know if she’s okay,” I pleaded.
“We’ll see when we go back upstairs. Why don’t you
play right now?”
Pacified for the moment, I shot a few baskets before gym time was over.
When we went back up, I asked a lady named Michelle if I could call and
she said, “No, you can only talk on the phone Wednesdays and Saturdays.
We can’t call out from here.”
This was even worse. Not only did I not know if my mom was okay, but
it would still be two days before I’d get to talk to her. As I got
back with my group, I felt trapped and hopeless. I was going to start
crying again.
“Okay, everyone get quiet and in line,” Tom said. People
were whispering to each other. “No talking,” he said firmly.
It didn’t stop and I felt my control starting to slip. “That’s
it,” he said. “Everyone sit facing the wall. We’ll have
a time out.”
A time out? I couldn’t take it. I leaned my head against the wall
and just cried.
Tom had me get up and go sit at a table. “You all know better than
to talk in line,” he said. “And now Jennifer’s crying.
She’s probably upset that she got in trouble even though she was
behaving. You have to consider how your actions will affect other people.”
What kind of a childish place was this? Time out’s facing the wall...no
therapy groups...not even any caffeine. I’d rather be at Vanderbilt
any day.
Tom decided to leave me at the table while he took the rest of the group
to put away chairs downstairs. I put my head down and cried for a long
time before anyone came to talk to me. I had missed out on snack time
and shower time. Everyone could see me, but I didn’t care. I thought
my mom was dead. A lady named Shelley sat down at the table.
“Why are you crying?”
“I’m worried about my mom. It’s a long drive and I’m
afraid something happened. I want to call her and make sure she got there,
but Tom says I can’t. Not even for a second.”
“Let me ask,” she said, and went to talk to someone. “Can
we let this girl check on her mom? We’re not allowed, are we?”
“No,” the other person said bluntly.
It was time to go to bed, and I didn’t have a room. While they
got that set up, I stopped crying long enough for a lady to check all
of my things and take what I couldn’t have. After she left, I saw
another lady sitting by the wall. I decided to try one more time.
“Can I talk to you?” I said as I walked over.
“Sure.”
“I’m really worried about my mom.” I started crying
again. “Something could have happened. All I want is someone to
call her. I don’t care if they hang up as soon as she answers. Then
I can stop crying. Can’t you do anything?”
“Go ask the lady at the front desk. I don’t think we can
do that.”
Still crying, I went and asked, and of course the answer was no. Then
my room was ready and they made me go to bed without any Halcion, my sleeping
medication. I heard my soon-to-be roommate Sarah say to a counselor, “She’s
not in my room, is she? I don’t want her in my room.”
The love and sympathy at this place was overwhelming. It was definitely
what I needed to help me stop self-mutilating and feeling depressed.
I cried for a long time, and I listened to the counselors talk in the
hall. They were getting ready to change shifts. Then I realized they weren’t
counselors. To them this was just a job like working at McDonald’s
or the Psychic Network. This wasn’t the kind of place that you could
go up to someone and ask for some help with your problem. At least at
Vanderbilt I knew the counselors cared about the kids, even though it
could be called “tough love.”
The next morning, I was disappointed at breakfast. No one cooked anything
for us. All we got was cereal and skim milk, with orange juice to drink
that was half frozen. As I ate my orange juice, I realized I would have
to lie or I’d never get out. I would hide my true feelings. I couldn’t
wait for my chance to impress the psychiatrist. I knew what to say.
After we got dressed and brushed our teeth, we had chores to do. Vacuuming,
cleaning the shower, sink, mirror, toilet, and floor of the bathroom,
and moving the mattresses out of the quiet rooms and hallways into the
other patients’ rooms. I had to clean the shower. I thought people
were supposed to be hired to do this sort of thing in a hospital. This
seemed like some place for kids with no discipline, not somewhere for
a person dealing with self-mutilation and depression to be.
For a brief time I was excited because I had been told I was going to
see “the doctor” soon. I thought this meant psychiatrist,
but it was just a regular doctor to do a check-up, and I had to show him
my scratches and cuts.
At school they wouldn’t let me work on my schoolwork that I pretended
to have. I had to listen to the teacher talk about goal setting. As we
worked on our goal sheet, the lady with us had to tell everyone to be
quiet. When she looked away from the students, someone said, “Bitch.”
“What did I just hear?” she asked. “Did someone call
me a bitch? I heard someone say ‘bitch.’ Who has the disrespect
to call me a bitch? I won’t tolerate it.”
How many more times is she going to say that word? I thought.
After goal setting class, we had lunch. And then we went outside to play
kickball, which I had grown to like at Vanderbilt. I liked it that when
I’d make a good catch the counselors praised me as well as my teammates
and rivals. Although I usually don’t think I deserve any praise,
it’s nice to get. I could remember one instance in particular, where
I was the pitcher and rolled the ball, and when the person kicked it,
I jumped a little to the left and BOOM, it hit my chest and I caught it.
I didn’t even have half a second to think about it. David said,
“That was a great catch, Jennifer! That was really good.”
And he patted me on the back. After that I was always one of the first
to get picked for a team. And we never kept score. It was nice for a change.
However, here at Valley, the game was more competitive than I liked,
even though the counselor’s tried to make it be friendly. It wasn’t
very fun.
Back in school again, they let me work on my own things. Namely, reading
As I Lay Dying, by William Faulkner, for the second time, and lots of
catch-up chemistry and AP history. It wasn’t too bad because I got
to go to a different room just for the kids that had their own schoolwork
to do. And then once again it was time to work on my MAD/SAD notebook.
We sat outside and a car drove up. It was Dr. McGuire. I assumed this
was our psychiatrist. I was right about that part, but we weren’t
going to have therapy until tomorrow. A few kids ran to tell her things
occasionally, and then she left. So we didn’t even get to talk to
our doctor everyday so she could monitor our progress? This upset me a
great deal.
When gym time rolled around, we had our Feelings Check. It was my turn.
“Oh, I’d say green. And something around a 7.”
“That’s much better than yesterday.”
“Yes.” I knew what they wanted to hear. “I was being
irrational yesterday. If something had happened to my mom, they would
have called me.”
“Very good,” he said, and continued around the circle. It
had worked! He believed me. I had calmed since the day before, but I really
was still worried, not to mention extremely depressed.
And then it was time to play.
“Okay, we’re going to play red light green light today,”
Tom said. I couldn’t believe what I had just heard. “It makes
you all interact with each other and pay attention to what each other
person is doing.”
If I had heard this yesterday, I would have thought it was a joke. But
I knew now this place was different than Vanderbilt. This place would
have us do something stupid like red light green light. Somehow I endured
the torture.
Later that evening we had to put away chairs, and then watch the news.
We each had to write down one fact that we learned and share it with the
group. Then we got to go into the TV room, but before we could watch TV,
we had to do a worksheet. It was an empty plate, and we were supposed
to draw healthy foods on it. What did this have to do with therapy? After
that we watched Full House, got a time out on our way to the cafeteria,
ate a snack, had a final Feelings Check, then took showers and went to
bed.
I thought I should try to introduce myself to my roommate since I had
been too busy crying last night.
“My name’s Jennifer. I got put in here for depression. Why
are you here?”
“None of your business,” Sarah said.
“Sorry I asked.” I didn’t hide the fact that it pissed
me off. That was rude.
Something was wrong with Sarah. I didn’t know what exactly. Half
of her head was shaved, perhaps because of some surgery, but I had no
way to know for sure. Obviously, she wasn’t too friendly.
The next day I had to clean the sink. Breakfast was the same, at school
I got to do my own work the whole time, but during the time we had worked
on our MAD/SAD notebooks the other day, we were led to a waiting room
for Dr. McGuire’s office. I couldn’t wait. I was finally going
to get to talk to my psychiatrist. I’d tell her whatever it took
to get out of here. And it was obvious I’d have to lie the whole
time.
To my surprise, we were all led into her office at the same time, and
there was another doctor there, Dr. Miller. He seemed like a nice enough
person.
Turned out Valley was based on group therapy and cooperation. Instead
of talking about how we were feeling, part of the time we talked about
how to distinguish ourselves from the new kids by using different colored
folders, and the rest of the time Dr. McGuire was teaching Dr. Miller
how to do things and run a group. Nobody was talking to us. I really needed
to talk to my mom. There was no variation in our evening routine. I went
to sleep just praying my mom would remember the time difference and call
when I was allowed to talk. I wanted free of this monotonous, meaningless,
undeserved hell.
When I woke up and ate my cereal and orange juice, I got to clean the
shower again. Other than that, everything was exactly the same as yesterday,
and the day before that.
At five, I was eagerly waiting for them to tell me my mom was on the
phone. I didn’t think she’d get through. Why had I been put
here? This wasn’t any sort of psychiatric hospital. There was no
therapy. No emphasis on the real reasons behind our problems. I didn’t
know if I could live like this for a month. I was tired of playing along.
I wasn’t happy; I was miserable. I didn’t feel any better.
I was so depressed that I wanted to cut myself again, but I didn’t.
Only because I was scared that instead of trying to help me, they’d
punish me, and keep me longer. They never would have acknowledged the
fact that the only reason I still felt depressed was that I was in there
instead of at home.
So they wanted to play the game? Well, that’s exactly what I was
going to do. I would fill the MAD/SAD notebook with as much bullshit and
formerly-depressed now-fully-recovered teenager lingo as they could handle.
The next worksheet: list the warning signs of being MAD. Get help from
a counselor.
That sounded easy enough. My face gets hot, I cry, I have violent thoughts,
hmmmm…I had run out of ideas. Guessed I’d have to go get some
help. I saw the counselor walk by that had checked me in.
Hello bitch, I though to myself.
“Excuse me, but could you help me with this?” I asked.
“Why, of course!”
“I can’t seem to think of another warning sign of me getting
angry. This is all I’ve got.” I showed her the sheet.
“Hmmm…well, I’ve noticed you get a little bit pouty,”
she said, making a pouting face and talking to me as if I was five.
“Oh, yeah, I didn’t think of that one. Thank you.”
“No problem,” she said, walking away.
Fuck you, I said to myself.
“Jennifer?” a woman called, entering my hall.
“Yes?” I tried to hide my hope and eagerness for the phone.
“Your mother’s on the phone. Come this way.”
As I stood and walked calmly behind the lady, I could picture myself
running down the hall, shoving people out of the way.
When we reached the desk, I said, “Thank you” as she handed
me the phone, but I was thinking, Give me the phone, you‘re the
bitch who wouldn’t let me call my mother for two seconds to check
on her. I had lost all respect for these people. I smiled to her as I
sat down.
“Hello.”
“Hi!” my mom said.
“I miss you,” I told her.
“I miss you too.”
“This place is horrible.”
“Why?” she asked.
I lost control. I started crying. “You have to get me out. I can’t
stay here. Please, don’t leave me here.” I couldn’t
stop.
“What is it, Jennifer?”
I told her everything. Time outs, a roommate that hated me, no individual
doctor sessions, a brand new doctor that spent our group session time
learning from the other doctor. Drawing pictures. Red light green light
for gym. Time outs against the wall. And I just kept going and going until
“Time’s up,” the desk lady said.
“Okay, just a sec.” I didn’t want to stay. “They’re
making me get off. Please get me out. I don’t want to be here anymore.
I miss you. I love you.”
“Time’s up,” the lady repeated.
“I’ll do what I can, Jennifer,” my mom said. “I
love you. Goodbye.”
“Bye,” I said, feeling like I was sinking into the pit of
Hell itself, and no one could save me. I got myself under control and
went to work again on my notebook.
Once again, later, I had to help put away chairs. As I did, I was sad
that I was so far away that my mom couldn’t even visit. I felt like
I’d never see her again. How could she possibly get me out of this?
On the way to the cafeteria, we had a long time out facing the wall,
and I visualized ramming my fist through it several times.
“Okay,” Tom said. “You all don’t get a snack.
We’re going upstairs to do a Situation Photograph.”
A couple people groaned. I had no idea what we were going to do. When
we got upstairs, we were all given a sheet of notebook paper.
“Number and answer the questions as I say them,” Tom instructed.
“First question: what did I do wrong?”
I couldn’t believe the silly punishment. You didn’t do this
to teenagers. But I wrote: well, I didn’t do anything wrong. Everyone
else was talking in line.
“Next, what could I have done differently?”
My answer: I didn’t need to act differently. I suppose everyone
should have acted like me.
“Alright now, next: what were the consequences?”
My answer: I learned that it doesn’t matter if I behave or not
because if someone else acts up, I’m going to get punished even
though I’m innocent.
“Jennifer,” a woman said. “Come out into the call.”
I followed her. “You need to pack. Your mom’s coming to get
you.”
“You’re kidding!” I said excitedly.
“No, I’m not,” she said bluntly. “Don’t
be so loud. Go pack.”
YES!!! I yelled in my mind. I had a big smile on my face. As I walked
into my room, a counselor said, “Why are you so happy?”
“I get to go home,” I said, not hiding my emotions anymore.
“Good job,” she said.
I packed. Soon it was shower time for everyone. Sarah came up to me.
“Are you leaving?” she asked.
“Yes.”
“How long will it be? I don’t want you in my room anymore.
I’m not supposed to have a roommate.”
“I’m leaving tonight.”
Everyone congratulated me as I told them. They all went to bed and I
sat at the counselor’s table.
“You’re going home?” Tom asked.
“Yep.”
“Well, good for you,” he said. “Good luck.”
“Thanks.”
I waited. And then there she was. My hero, my saint, my angel.. my mom
came up and hugged me. Phil was grabbing one of my bags.
“How did you get me out?” I asked as we left.
“Well, I just called Dr. Miller, and he just decided to let you
out because he thought you were fine. That way I didn’t have to
take you out against doctor’s orders. They put that in your record.”
As I drifted to sleep in the car, I couldn’t wait to get to my
own bed. And not once did I feel sad to leave. I’d NEVER end up
in a place like that again.
Summer of ‘00
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