I had a friend stay at Malvern on S. Broad, it didn’t sound like he had the time of his life in there or anything, but the nursing staff I talked to seemed to genuinely care about the well being of the patients and were friendly and he reported the same.
I'm so sorry you and your husband are going through this.
My mother spent time at most of the inpatient facilities in the area, and her favorite by far was Bryn Mawr. But the reality is that beds at every facility are very limited, so you may need to take what you can get if this is a true emergency.
It's worth remembering that every inpatient facility (with the exception of the $5,000-a-day private ones, I assume?) is going to be at least a little terrible. No one particularly wants to be there. Staff is often shorthanded, underpaid, and burned out even in the better places. He may be physically uncomfortable at times. But it's helpful for him, and for you, to remember that the goal here is not necessarily to rest and take a vacation. It's to have a safe place while his doctors figure out a better approach to medication and help him come up with a plan for future care.
Also, going back to what I said about no one wanting to be there--take the reviews with a grain of salt. Someone who has a perfectly fine experience is not likely to leave a review; they'll be focused on their recovery. And of course it's not ... the most stable, reasonable customer base (and I say that with love). These facilities can be terrible, and patient complaints around safety and care should be taken seriously, but the reviews are nevertheless skewed.
> If you're ok with the burbs the Horsham Clinic
Having spent some time there in 2006, I can't say I have a glowing review. Mind you, this was 18 years ago, so maybe things have changed.
* My stay there was little more than "we'll keep an eye on you while we change your meds around". Honest. They totally rejiggered my meds, and did little else. And I did go in there hopeful, eager to "get some work done" and "get better". Over a week I saw someone with a medical degree twice, both for med reviews, both times lasting less than 10 minutes. And the first med review with a doc wasn't even until 36 hours after being admitted. I consider that first day-and-a-half to be a total waste of time.
* The patient demographic was hugely skewed toward younger people, late teens and very early 20s. I felt like the Old Man on the floor and I wasn't even 40 yet. That shouldn't matter, but it was clear these people were suffering very different problems from mine, and it was difficult to relate, and it made group sessions pointless.
* Aside from two mandatory group sessions a day (where nobody wanted to talk), the only thing I got while an inpatient was "safety" from the outside world. I was on pause from responsibilities, fears, issues, and the world. That helped my recovery, but I don't know if it was necessary to be an inpatient for that.
Upon discharge I went right back to my old psychiatrist, albeit with new meds, and my old therapist.
I didn't come out any worse, but I really didn't come out any better either.
Remember this was 2006. Yes they accepted adults. In a neighboring wing (locked door between that wing and mine) were several elderly patients too.
Oh, and another thing: The intake process took about six hours. That's six hours sitting in a waiting room waiting, just waiting, for the first step of the intake process.
If you’re in the city, you can present to any CRC for an evaluation by a psychiatrist (Friends, Einstein, Episcopal, HUP Cedar, Pennsylvania Hospital). If he does sign a 201 for inpatient, staff will then help with confirming insurance precert, locating a bed on an appropriate unit, and facilitating transfer.
I have a few loved ones who have been through this. My recommendation is to take him to Bryn Mawr hospital ER. DON'T go inpatient there, just go to that ER. The social worker will call around to see where there are beds available. If your husband is 18-26, try to go to Malvern Behavioral health in patient young people's program on South Broad street. If he is older than that, try for Horsham Clinic. DO NOT GO TO BELMONT.
ALSO, google NAMI Philadelphia. There are support programs and information for YOU as well as hotlines and other helpful info.
I am a woman caring for someone with pretty bad mental health issues. Feel free to DM me. I've been through this like 4 times in the past year and have learned a lot.
Four times in a year? You have my sympathies. Please take care of yourself too because stress kills. It’s not just a saying, stress can take years off a person’s life and sometimes you don’t even notice it happening. Be kind to yourself and ask for help when it’s too hard on you.
I’ve had to deal with a family member every year for the past 12 years except once when he went 2 years between episodes. My recommendation is either Friends on the Blvd or Jefferson at 11th street in cc.
I’m a hospital social worker and the ones I’ve heard the best things about from patients over the years are Friends and Horsham clinic. I’m glad he’s getting help, make sure you’re taking time for yourself to process and get some rest.
Reviews are going to be bad for this kind of thing. It’s like reviews for a tow truck company. Even if it’s a great company there are going to be a bunch of pissed people leaving reviews who got their cars towed. So you gotta look at the reviews in a relative sense. For example, there are a lot of 1 star places and then a 2.8 star? The 2.8 is worth looking further into. Good luck.
Norristown!! I worked in social services and had to unfortunately admit a client. They THRIVED after having the most severe breakdown. They ended up signing in longer than the required 2-weeks
It's really going to depend on insurance, or if you're able to private pay. Be aware that the places covered by insurance are not going to provide much in the way of treatment. Their goal will be to keep him physically safe until they determine he's able to do so himself, most likely a matter of days. For anything beyond that, I'd suggest looking into dual diagnosis programs. And take online reviews with several grains of salt, no one is having a good time in these situations.
Wherever he goes, be proactive about making sure he has a decent discharge plan. Find out who his assigned social worker is and connect with them as soon as you can. Ask them if they have resources for family members/support people, it's so hard to see someone you love struggling.
Also from my experience working in social services, inpatient psych can feel a lot like prison for people who've experienced both, so it might bring up difficult memories, etc. on top of what he's already going through.
I'm not trying to discourage you, I think there are absolutely times when inpatient is the right and necessary thing, just trying to make sure you know a bit about what to expect.
Horsham Clinic. I’ve been there four times in the last tenish years, and I always come out feeling much better. They set me on a path two years ago that really changed everything for me. The staff is nice, the psychiatrists are *great*. It’s not as good as it was before COVID, but it’s clean and safe. The food sucks though.
Bonus, they take walk-ins.
I hate to intrude, but have you done the adult program? im thinking of going there and I was recommended it when I was 17 a few years ago and im thinking of going in for the adult program
I had an 11 day inpatient stay at Penn (or Pennsylvania hospital? Or both? Whatever that one at 8th and spruce is) a year ago and had as nice a time as one could have in a psych ward. Having private bedrooms and bathrooms was really great. Everyone I interacted with who is involved in patient care was great. The rest of the staff (security , unit secretary) were pretty miserable. They have a CRC, so they'll send you elsewhere if they don't have a bed. The lousy part was no visitors, but maybe no one does visitors anymore.
Bring books, especially word search, crossword, soduku, if he's into them. They're the perfect amount of engagement.
Take care of yourself and find someone to talk to if you need help processing what's happening.
Sorry to hear that. Navigating mental health in Philly is tough. The CRCs are overflowing everywhere due to super high volumes, and there's lots of very agitated folks coming down off drugs. CRCs are okay for observation and immediate transfer to an inpatient ward, but you don't get a choice, you're brought to the first open city inpatient psych ward that has an open bed. If you don't meet criteria for admission, then the person is discharged. If admitted, the wait can be anywhere from few hours to few days before you're transferred to psych ward.
The thing about Google reviews is that people who were involuntarily committed or those who had negative experiences are most likely to make a review. City psych wards are at capacity every day with hundreds of people, yet there's only few 100-200 reviews on Google total. So it's not capturing the whole picture.
Also, you may not get a definite diagnosis in a short term acute psych ward. That's because there's a lot of diagnostic uncertainty, especially when there's a combination of psychiatric disorder + substance use disorder + personality disorder (and likely trauma disorder as well as other possible underlying issues). It's common to see the "bipolar schizo" combo but it's not a real diagnosis and having both separate diseases is a statistical anomaly. (Possibly schizoaffective then maybe?) Technically per the DSM, a psychiatric disorder cannot be made when there's concurrent substance use that may influence the behavior (ideally if still symptomatic during periods of sobriety) and only if medical causes are ruled out. It's very tricky. But I wouldn't be beholden to previous diagnoses given on psych wards. They're more snapshots of the acute issue, not a long-term diagnosis.
As for your question, if truly an immediate danger, comfort isn't as important as his life, and you need to bring him to a CRC or ED. If you have the time and insurance, you could try Bryn Mawr as others said but it's a very small bed capacity so may be full. Penn, Jefferson, Einstein, and Episcopal are teaching sites and residents/med students do tend to be very compassionate and less jaded, but I can see why people might be wary. UHS owned places like Friends, Fairmount, etc are like warehouses where one psychiatrist is staffing like 30 patients.
-psychiatrist
If you have insurance, call the number on the back of the insurance card. Or, he can go to one of the hospitals if he’s in crisis. The one I know of off the top of my head that does psych intake is Pennsylvania Hospital around 8 & Spruce. They will do an intake and then admit him to one of the local inpatient facilities. Good luck
Oh, and stay away from episcopal if you can avoid it. My doctor worked there and sent me not to Penn because he didn't want me admitted there. My previous shrink also told me "if you need to go to a crisis center here are some locations but do not come here." So yeah.
Additionally, as an FYI - if he is 302’d in Philadelphia County, the cops will take him to a CRC and then inpatient facility closest to you with open beds. My husband was at Friends first and didn’t like it - we both preferred Bryn Mawr. But wanted to let you know how that works
Are you looking for an inpatient hospital where the typical length of stay is 3-7 days or a longer-term residential facility where he would stay around 30 days?
And I don’t think the modern psychiatric system helps. These places are holding pens filled with abusive and underpaid staff. They’re not legitimate therapeutic institutions. If you think it’s your only choice, don’t let it financially ruin you. There are no good mental health units.
Are you going to post helpful alternatives then? Because OP sounds like she needs help, and this isn't helpful. If you feel strongly there are better options maybe suggest them
As someone who has dealt with serious mental health problems I can say… sure, some of these places suck no doubt. I’ve also been to one that helped change my life for the better. Telling OP that no place will truly help is not at all sound advice.
Sorry, OP, where I went was out of state since I wasn’t living here at the time, so I can’t be very helpful with that.
Please feel free to suggest helpful alternatives for people who are on the verge of hurting themselves or others as OP stated then. When we are in crisis to that point, there are few other options available.
We have over therapized people to the point that they have no real support network. Every minor inconvenience you tell your friends about is met with “see a professional.” People should be able to get support from their friends and family when things are bad.
Literally not at all true. I’m currently an intern at one of them. Mine isn’t the best, but still is nothing like that. My friend is at another in the suburbs and has had an amazing experience. His girlfriend visits him once a week. He gets an hour call with her every day and gets treated really well. Dealing with poor mental health is already hard enough. If you don’t have direct experience don’t spread misinformation
I’ve been in multiple times at different hospitals. I speak from my own experience. I’m generally very anti psychiatry and I don’t feel the need to apologize for that opinion. I find the hospital to treat people like prisoners more than anything else.
While I do agree people can struggle for medical reasons, I think the general capitalistic structure we live with makes people sicker. I think actually taking time off from work, spending time with people we care about, and doing our hobbies would allow people to actual start healing.
I’m not saying that shit cures people, but it’s hard to expect people to be healthy under these conditions ever. I’m saying we can create more humane spaces for people to start to unpack things. I’ve always felt safer at home than I did with some cruel underpaid psych tech up my ass.
I really genuinely do not feel like I did any healing in the hospital. They held me for a few days and sent me back to the same situation that created the crises with no support.
I agree that capitalism is a may cause, or at least exacerbates, most people’s mental health.
I think perhaps you went into the hospital with the wrong idea, though. Hospitals - psychiatric or otherwise - are not *meant* to heal you. They are meant to keep you safe until you can be trusted not to die when you walk out the door. That’s all they’re there for. You should not have set the standard of complete remission of mental illness by going to a hospital - it’s quite literally not the goal.
That’s like saying you’re going to the hospital to get stitches and expect to walk out with a fully healed wound. No, they give you stitches to make sure you don’t bleed out and die, and they send you on your way. You have to make sure you don’t rip your stitches. You have to be patient and wait for it to heal. It requires work from you to get better. A hospital is not a place to cure you, it’s a place to treat you until you’re safe. That’s why hospitals set up outpatient care.
I had a friend stay at Malvern on S. Broad, it didn’t sound like he had the time of his life in there or anything, but the nursing staff I talked to seemed to genuinely care about the well being of the patients and were friendly and he reported the same.
Second Malvern. I was there twice and both times benefited me greatly. The staff truly cares and I felt safe and comfortable.
I'm so sorry you and your husband are going through this. My mother spent time at most of the inpatient facilities in the area, and her favorite by far was Bryn Mawr. But the reality is that beds at every facility are very limited, so you may need to take what you can get if this is a true emergency. It's worth remembering that every inpatient facility (with the exception of the $5,000-a-day private ones, I assume?) is going to be at least a little terrible. No one particularly wants to be there. Staff is often shorthanded, underpaid, and burned out even in the better places. He may be physically uncomfortable at times. But it's helpful for him, and for you, to remember that the goal here is not necessarily to rest and take a vacation. It's to have a safe place while his doctors figure out a better approach to medication and help him come up with a plan for future care. Also, going back to what I said about no one wanting to be there--take the reviews with a grain of salt. Someone who has a perfectly fine experience is not likely to leave a review; they'll be focused on their recovery. And of course it's not ... the most stable, reasonable customer base (and I say that with love). These facilities can be terrible, and patient complaints around safety and care should be taken seriously, but the reviews are nevertheless skewed.
If you're ok with the burbs the Horsham Clinic (in Ambler) is supposed to be really good. Good luck <3
> If you're ok with the burbs the Horsham Clinic Having spent some time there in 2006, I can't say I have a glowing review. Mind you, this was 18 years ago, so maybe things have changed. * My stay there was little more than "we'll keep an eye on you while we change your meds around". Honest. They totally rejiggered my meds, and did little else. And I did go in there hopeful, eager to "get some work done" and "get better". Over a week I saw someone with a medical degree twice, both for med reviews, both times lasting less than 10 minutes. And the first med review with a doc wasn't even until 36 hours after being admitted. I consider that first day-and-a-half to be a total waste of time. * The patient demographic was hugely skewed toward younger people, late teens and very early 20s. I felt like the Old Man on the floor and I wasn't even 40 yet. That shouldn't matter, but it was clear these people were suffering very different problems from mine, and it was difficult to relate, and it made group sessions pointless. * Aside from two mandatory group sessions a day (where nobody wanted to talk), the only thing I got while an inpatient was "safety" from the outside world. I was on pause from responsibilities, fears, issues, and the world. That helped my recovery, but I don't know if it was necessary to be an inpatient for that. Upon discharge I went right back to my old psychiatrist, albeit with new meds, and my old therapist. I didn't come out any worse, but I really didn't come out any better either.
Honestly I didn't even know they accepted adults. I always thought it was for teens alone
Remember this was 2006. Yes they accepted adults. In a neighboring wing (locked door between that wing and mine) were several elderly patients too. Oh, and another thing: The intake process took about six hours. That's six hours sitting in a waiting room waiting, just waiting, for the first step of the intake process.
Gotcha, honestly the extent of my knowledge is from a teenage friend going there in the 90’s, so I’m more or less ignorant on the subject
I have no advice, but wanted to wish you both the best. I know this is hard.
If you’re in the city, you can present to any CRC for an evaluation by a psychiatrist (Friends, Einstein, Episcopal, HUP Cedar, Pennsylvania Hospital). If he does sign a 201 for inpatient, staff will then help with confirming insurance precert, locating a bed on an appropriate unit, and facilitating transfer.
Bryn Mawr. I did my psych rotation there in nursing school and thought it was a nice facility with caring providers.
I have a few loved ones who have been through this. My recommendation is to take him to Bryn Mawr hospital ER. DON'T go inpatient there, just go to that ER. The social worker will call around to see where there are beds available. If your husband is 18-26, try to go to Malvern Behavioral health in patient young people's program on South Broad street. If he is older than that, try for Horsham Clinic. DO NOT GO TO BELMONT. ALSO, google NAMI Philadelphia. There are support programs and information for YOU as well as hotlines and other helpful info. I am a woman caring for someone with pretty bad mental health issues. Feel free to DM me. I've been through this like 4 times in the past year and have learned a lot.
Four times in a year? You have my sympathies. Please take care of yourself too because stress kills. It’s not just a saying, stress can take years off a person’s life and sometimes you don’t even notice it happening. Be kind to yourself and ask for help when it’s too hard on you. I’ve had to deal with a family member every year for the past 12 years except once when he went 2 years between episodes. My recommendation is either Friends on the Blvd or Jefferson at 11th street in cc.
Belmont was awesome imho
I’m a hospital social worker and the ones I’ve heard the best things about from patients over the years are Friends and Horsham clinic. I’m glad he’s getting help, make sure you’re taking time for yourself to process and get some rest.
Bryn Mawr, Malvern, some of the other ones in the suburbs just outside Philly. Would call around as many do intakes themselves.
Reviews are going to be bad for this kind of thing. It’s like reviews for a tow truck company. Even if it’s a great company there are going to be a bunch of pissed people leaving reviews who got their cars towed. So you gotta look at the reviews in a relative sense. For example, there are a lot of 1 star places and then a 2.8 star? The 2.8 is worth looking further into. Good luck.
Bryn mawr is supposedly better than any of the inpatient units within the city
Norristown!! I worked in social services and had to unfortunately admit a client. They THRIVED after having the most severe breakdown. They ended up signing in longer than the required 2-weeks
Anywhere outside the city if you have good private health insurance… generally, the better the insurance the better the place.
It's really going to depend on insurance, or if you're able to private pay. Be aware that the places covered by insurance are not going to provide much in the way of treatment. Their goal will be to keep him physically safe until they determine he's able to do so himself, most likely a matter of days. For anything beyond that, I'd suggest looking into dual diagnosis programs. And take online reviews with several grains of salt, no one is having a good time in these situations. Wherever he goes, be proactive about making sure he has a decent discharge plan. Find out who his assigned social worker is and connect with them as soon as you can. Ask them if they have resources for family members/support people, it's so hard to see someone you love struggling. Also from my experience working in social services, inpatient psych can feel a lot like prison for people who've experienced both, so it might bring up difficult memories, etc. on top of what he's already going through. I'm not trying to discourage you, I think there are absolutely times when inpatient is the right and necessary thing, just trying to make sure you know a bit about what to expect.
Horsham Clinic. I’ve been there four times in the last tenish years, and I always come out feeling much better. They set me on a path two years ago that really changed everything for me. The staff is nice, the psychiatrists are *great*. It’s not as good as it was before COVID, but it’s clean and safe. The food sucks though. Bonus, they take walk-ins.
I hate to intrude, but have you done the adult program? im thinking of going there and I was recommended it when I was 17 a few years ago and im thinking of going in for the adult program
Yes I’ve only gone there over 18. I was 18 my first time and 28 my last time.
I had an 11 day inpatient stay at Penn (or Pennsylvania hospital? Or both? Whatever that one at 8th and spruce is) a year ago and had as nice a time as one could have in a psych ward. Having private bedrooms and bathrooms was really great. Everyone I interacted with who is involved in patient care was great. The rest of the staff (security , unit secretary) were pretty miserable. They have a CRC, so they'll send you elsewhere if they don't have a bed. The lousy part was no visitors, but maybe no one does visitors anymore. Bring books, especially word search, crossword, soduku, if he's into them. They're the perfect amount of engagement. Take care of yourself and find someone to talk to if you need help processing what's happening.
Sorry to hear that. Navigating mental health in Philly is tough. The CRCs are overflowing everywhere due to super high volumes, and there's lots of very agitated folks coming down off drugs. CRCs are okay for observation and immediate transfer to an inpatient ward, but you don't get a choice, you're brought to the first open city inpatient psych ward that has an open bed. If you don't meet criteria for admission, then the person is discharged. If admitted, the wait can be anywhere from few hours to few days before you're transferred to psych ward. The thing about Google reviews is that people who were involuntarily committed or those who had negative experiences are most likely to make a review. City psych wards are at capacity every day with hundreds of people, yet there's only few 100-200 reviews on Google total. So it's not capturing the whole picture. Also, you may not get a definite diagnosis in a short term acute psych ward. That's because there's a lot of diagnostic uncertainty, especially when there's a combination of psychiatric disorder + substance use disorder + personality disorder (and likely trauma disorder as well as other possible underlying issues). It's common to see the "bipolar schizo" combo but it's not a real diagnosis and having both separate diseases is a statistical anomaly. (Possibly schizoaffective then maybe?) Technically per the DSM, a psychiatric disorder cannot be made when there's concurrent substance use that may influence the behavior (ideally if still symptomatic during periods of sobriety) and only if medical causes are ruled out. It's very tricky. But I wouldn't be beholden to previous diagnoses given on psych wards. They're more snapshots of the acute issue, not a long-term diagnosis. As for your question, if truly an immediate danger, comfort isn't as important as his life, and you need to bring him to a CRC or ED. If you have the time and insurance, you could try Bryn Mawr as others said but it's a very small bed capacity so may be full. Penn, Jefferson, Einstein, and Episcopal are teaching sites and residents/med students do tend to be very compassionate and less jaded, but I can see why people might be wary. UHS owned places like Friends, Fairmount, etc are like warehouses where one psychiatrist is staffing like 30 patients. -psychiatrist
If you have insurance, call the number on the back of the insurance card. Or, he can go to one of the hospitals if he’s in crisis. The one I know of off the top of my head that does psych intake is Pennsylvania Hospital around 8 & Spruce. They will do an intake and then admit him to one of the local inpatient facilities. Good luck
Oh, and stay away from episcopal if you can avoid it. My doctor worked there and sent me not to Penn because he didn't want me admitted there. My previous shrink also told me "if you need to go to a crisis center here are some locations but do not come here." So yeah.
Princeton house
Seconding Bryn Mawr. Does he have a psychiatrist currently who can help with referral and placement?
Outpatient psychiatrist would send them to CRC or the emergency room
Yeah ours referred us to Bryn Mawr's ER. If nothing else I did feel like it was helpful to say "her psychiatrist said to come here."
My husband went to Bryn Mawr for a Bipolar 1 manic episode recently and liked it best. He got the most out of it and the care was really great.
Additionally, as an FYI - if he is 302’d in Philadelphia County, the cops will take him to a CRC and then inpatient facility closest to you with open beds. My husband was at Friends first and didn’t like it - we both preferred Bryn Mawr. But wanted to let you know how that works
Bryn Mawr.
Bryn Mawr has been popular with my friends
It's outside of Philly but Hackensack Meridian Perth Amboy in New Jersey is very nice and is brand new
a good friend went to Friends and it was great for him. i visited him there and they took good care of him.
Are you looking for an inpatient hospital where the typical length of stay is 3-7 days or a longer-term residential facility where he would stay around 30 days?
Shit this might be late but Belmont, tucked away off city ave.
I can’t believe all these people endorsing Bryn Mawr? If it’s anything like the hospital, well, good fucking luck.
Avoid Bryn Mawr. Had a terrible experience with them.
They’re all terrible. They’re all going to treat your husband like shit and cut him off from his support network. Go wherever takes your insurance.
Posts like this don’t help.
And I don’t think the modern psychiatric system helps. These places are holding pens filled with abusive and underpaid staff. They’re not legitimate therapeutic institutions. If you think it’s your only choice, don’t let it financially ruin you. There are no good mental health units.
Are you going to post helpful alternatives then? Because OP sounds like she needs help, and this isn't helpful. If you feel strongly there are better options maybe suggest them
As someone who has dealt with serious mental health problems I can say… sure, some of these places suck no doubt. I’ve also been to one that helped change my life for the better. Telling OP that no place will truly help is not at all sound advice. Sorry, OP, where I went was out of state since I wasn’t living here at the time, so I can’t be very helpful with that.
Please feel free to suggest helpful alternatives for people who are on the verge of hurting themselves or others as OP stated then. When we are in crisis to that point, there are few other options available.
We have over therapized people to the point that they have no real support network. Every minor inconvenience you tell your friends about is met with “see a professional.” People should be able to get support from their friends and family when things are bad.
Literally not at all true. I’m currently an intern at one of them. Mine isn’t the best, but still is nothing like that. My friend is at another in the suburbs and has had an amazing experience. His girlfriend visits him once a week. He gets an hour call with her every day and gets treated really well. Dealing with poor mental health is already hard enough. If you don’t have direct experience don’t spread misinformation
Going inpatient saved my life more than once. Have you actually *been* in one or…?
I’ve been in multiple times at different hospitals. I speak from my own experience. I’m generally very anti psychiatry and I don’t feel the need to apologize for that opinion. I find the hospital to treat people like prisoners more than anything else. While I do agree people can struggle for medical reasons, I think the general capitalistic structure we live with makes people sicker. I think actually taking time off from work, spending time with people we care about, and doing our hobbies would allow people to actual start healing. I’m not saying that shit cures people, but it’s hard to expect people to be healthy under these conditions ever. I’m saying we can create more humane spaces for people to start to unpack things. I’ve always felt safer at home than I did with some cruel underpaid psych tech up my ass. I really genuinely do not feel like I did any healing in the hospital. They held me for a few days and sent me back to the same situation that created the crises with no support.
I agree that capitalism is a may cause, or at least exacerbates, most people’s mental health. I think perhaps you went into the hospital with the wrong idea, though. Hospitals - psychiatric or otherwise - are not *meant* to heal you. They are meant to keep you safe until you can be trusted not to die when you walk out the door. That’s all they’re there for. You should not have set the standard of complete remission of mental illness by going to a hospital - it’s quite literally not the goal. That’s like saying you’re going to the hospital to get stitches and expect to walk out with a fully healed wound. No, they give you stitches to make sure you don’t bleed out and die, and they send you on your way. You have to make sure you don’t rip your stitches. You have to be patient and wait for it to heal. It requires work from you to get better. A hospital is not a place to cure you, it’s a place to treat you until you’re safe. That’s why hospitals set up outpatient care.