Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Internet Search
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Install the app
Install
Forums
Parent Support Forums
Parent Emeritus
difficult child crashed. On hospital, not sure if neuro or mental crisis
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="SuZir" data-source="post: 636933" data-attributes="member: 14557"><p>Thank you all.</p><p></p><p>difficult child woke up more lucid this morning. Did better in some tests they did to him at morning and was able to have a conversation with the neurologist about his physical symptoms and both the possibilities of them being either concussion or conversion or bit of both. Some of his symptoms are not like they would expect if they were purely somatic. Things like things that are usually symmetric being one sided and so on. This is a huge reason why conversion disorder is so much on the table, it tends to reflect more the understanding patient has about some illness than the actual illness. Neurologist explained both the psycho dynamic and neurological theories behind the conversion disorder (they don't actually know what really causes it and how much it is psychological and how much neurological) and difficult child wasn't totally against the possibility, that it could be a cause of his somatic problems. There are still some tests they want to do to be sure there is not some other somatic illness behind this, but first he will be moved to other hospital. To where will be decided tomorrow morning and he will be moved later tomorrow if nothing drastic happens.</p><p></p><p>We have public healthcare system and county of residence is the one paying the bills. While everyone is of course taken to nearest suitable provider in acute cases, patients are moved usually as quickly as possible to providers the county of residence runs or regularly buys services from. Because difficult child anticipated he would be moving around a lot this year, he kept his primary address in our place, so he will be moved from this hospital to close to where we live. Our small rural county has only on inpatient treatment department and that is for long term care for those, who are not high functioning enough for nursing homes anymore. So obviously not there. Our county also funds a hospital in neighbouring small city together with that city and other rural counties. They do have both acute and longer term psychiatric department and small neurology department, where they treat more common neurological issues. For less common, or the most serious, neurological patients are sent to university hospital in the big metropolitan area also next to us. So when they decide where to send him, we will know their best guess.</p><p></p><p>Acute conversion disorders are usually treated in neurological departments according our national care guidelines. If that is the biggest problem they suspect, difficult child will be sent to university hospital. If they suspect it is more somatic and caused by concussion, he will be a smaller city hospital in neurological department. If the main issue will be considered to be for example severe (psychotic) depression or other psychotic illness, or the self harm, he will be sent to psychiatric department in the smaller city hospital. In any case he will have both neurologist and psychiatrist treating him, but they have to put him into the bed in some department.</p><p></p><p>In this hospital he was moved from neuro to psychiatric for not only because of possible psychosis, but also the self harm and the fact that they had more patients than beds in neuro and had couple available beds at psychiatric, we were told today.</p><p></p><p>Self harm is something I have very difficult time even thinking, much less writing down. As I said, it doesn't seem like he would be going for serious injuries or it to be suicidal. He is going more for the pain. And that freaks me out. I know I should be relieved it doesn't seem suicidal, and I am. But that I could again comprehend somehow. I can understand suicidal thoughts, I think I could understand a bit something like cutting. But who puts pins under their nails? Or makes small scratches and puts hottest jalapeño they can find to them? Or puts that stuff into their eyes deliberately and not even because of some dare? And this has been going on some time, or even the long time. difficult child confessed to neurologist that he had deliberately put oil of jalapeño to his eyes Tuesday night and that it hadn't been the first time. He told me earlier today he has been doing this off and on at least a year; and I suspect even that may not be a whole truth. I'm extremely uncomfortable even thinking about this.</p><p></p><p>As I said, difficult child has been better today mentally. Physical symptoms are about the same, but difficult child is more here, more touch with reality, hallucinates less or deals with them better. Is even able to use the techniques he has learnt to root himself and lessen the hallucinations etc. Still slow and under-responsive, but it seems again like he is there, somewhere.</p><p></p><p>I and husband, well, we do what we do in crisis. I'm fact hunting, looking for possibilities, making plans etc. husband is immersed with immediate practicalities and protecting difficult child. As long as that is the terrain we can stay, we are fine. We always are. It is what comes after that, that causes us trouble.</p></blockquote><p></p>
[QUOTE="SuZir, post: 636933, member: 14557"] Thank you all. difficult child woke up more lucid this morning. Did better in some tests they did to him at morning and was able to have a conversation with the neurologist about his physical symptoms and both the possibilities of them being either concussion or conversion or bit of both. Some of his symptoms are not like they would expect if they were purely somatic. Things like things that are usually symmetric being one sided and so on. This is a huge reason why conversion disorder is so much on the table, it tends to reflect more the understanding patient has about some illness than the actual illness. Neurologist explained both the psycho dynamic and neurological theories behind the conversion disorder (they don't actually know what really causes it and how much it is psychological and how much neurological) and difficult child wasn't totally against the possibility, that it could be a cause of his somatic problems. There are still some tests they want to do to be sure there is not some other somatic illness behind this, but first he will be moved to other hospital. To where will be decided tomorrow morning and he will be moved later tomorrow if nothing drastic happens. We have public healthcare system and county of residence is the one paying the bills. While everyone is of course taken to nearest suitable provider in acute cases, patients are moved usually as quickly as possible to providers the county of residence runs or regularly buys services from. Because difficult child anticipated he would be moving around a lot this year, he kept his primary address in our place, so he will be moved from this hospital to close to where we live. Our small rural county has only on inpatient treatment department and that is for long term care for those, who are not high functioning enough for nursing homes anymore. So obviously not there. Our county also funds a hospital in neighbouring small city together with that city and other rural counties. They do have both acute and longer term psychiatric department and small neurology department, where they treat more common neurological issues. For less common, or the most serious, neurological patients are sent to university hospital in the big metropolitan area also next to us. So when they decide where to send him, we will know their best guess. Acute conversion disorders are usually treated in neurological departments according our national care guidelines. If that is the biggest problem they suspect, difficult child will be sent to university hospital. If they suspect it is more somatic and caused by concussion, he will be a smaller city hospital in neurological department. If the main issue will be considered to be for example severe (psychotic) depression or other psychotic illness, or the self harm, he will be sent to psychiatric department in the smaller city hospital. In any case he will have both neurologist and psychiatrist treating him, but they have to put him into the bed in some department. In this hospital he was moved from neuro to psychiatric for not only because of possible psychosis, but also the self harm and the fact that they had more patients than beds in neuro and had couple available beds at psychiatric, we were told today. Self harm is something I have very difficult time even thinking, much less writing down. As I said, it doesn't seem like he would be going for serious injuries or it to be suicidal. He is going more for the pain. And that freaks me out. I know I should be relieved it doesn't seem suicidal, and I am. But that I could again comprehend somehow. I can understand suicidal thoughts, I think I could understand a bit something like cutting. But who puts pins under their nails? Or makes small scratches and puts hottest jalapeño they can find to them? Or puts that stuff into their eyes deliberately and not even because of some dare? And this has been going on some time, or even the long time. difficult child confessed to neurologist that he had deliberately put oil of jalapeño to his eyes Tuesday night and that it hadn't been the first time. He told me earlier today he has been doing this off and on at least a year; and I suspect even that may not be a whole truth. I'm extremely uncomfortable even thinking about this. As I said, difficult child has been better today mentally. Physical symptoms are about the same, but difficult child is more here, more touch with reality, hallucinates less or deals with them better. Is even able to use the techniques he has learnt to root himself and lessen the hallucinations etc. Still slow and under-responsive, but it seems again like he is there, somewhere. I and husband, well, we do what we do in crisis. I'm fact hunting, looking for possibilities, making plans etc. husband is immersed with immediate practicalities and protecting difficult child. As long as that is the terrain we can stay, we are fine. We always are. It is what comes after that, that causes us trouble. [/QUOTE]
Insert quotes…
Verification
Post reply
Forums
Parent Support Forums
Parent Emeritus
difficult child crashed. On hospital, not sure if neuro or mental crisis
Top