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What is a day like on an acute psychiatric ward?

I bet you won’t believe this is an acute psychiatric ward, but let me tell you what this ward is like.

It is a secure locked acute psychiatric ward. It’s where you go if you are quite mentally unwell.
At about 7am we all get woken for breakfast, but honestly most of us go back to sleep, throughout the night someone checks on us every hour, it depends which staff do the checks some just look through the glass frosted window others do that and turn the full bright light on. Helpful I know. Sleep is important to recovery. 

Anyway after that its medication time around 9 am, I like getting there early to miss the cue of 19 other patients.

Then if we want escorted leave we can go to a planning meeting, for a member of staff and a time to be set for escorted leave, which means a member of staff has to come with you, especially if your on a section, for your first few leaves.

There are a lot of Alarms going off, basically if a member of staff who’s doing the hourly checks on patients sees something worrying or bad like agitation or self harm, the alarm will be pulled it’s on every member of staffs keyring, and then staff go running to the room where the alarm was pulled. Usually there’s a lot of shouting especially if the alarm was pulled for someone trashing their room. These alarms happen a lot and are very unsettling.


Then there is visiting time.

Then Lunch, which is usually be pre made sandwiches.

Then Medication again. 

Sometimes if the Occupational therapist is in she will come and open the art room, so we can do something creative or if it’s the day the dog comes in we will pet the dog.

There are also Three tv rooms, one massive one then two more private ones. But if you want to change the channel good luck trying to find the remote.

There are Two quiet rooms

To your surprise we have our own bedroom with own shower/toilet/ sink. With a paper curtain, no doors and a shelf for clothes. We can have a personal key to lock it. We can access it at any time day or night.
Windows strong and mental so can’t get out


There is a beautiful garden which can be accessed through the canteen or through the large to room. It’s got really high metal fences, and there are flower arrangements which are so pretty.

Visiting hours are very strict your only allowed in the dinning room, and through to the garden or the Hub which is a oval shaped room in the middle of the ward, there is sofas, chairs, tables and a table tennis table. It’s pretty relaxed in there. There are three visiting hours a day.

I stress so much about ward round, the days and times are changed nearly every week. It’s very unsettling. I’ve also now been told my consultant is off for two weeks, causes so much anxiety. In ward round your able to talk about possible medication changes, any side effects from medications and about possible leave/discharge.

You can come in to the hospital two ways. Under a Sectioned or as a Voluntary patient. The main difference is leave, if you have chose to be here you can go out on leave alone a lot more than if you are sectioned. Also if your voluntary then you can ask to discharge your self, they can say no and if you still adiment your going, they can section you. I feel there isn’t too much difference.

Leave can be given by your consultant if your sectioned and most likely it will be escorted leave, someone with you at all times. But if your in here voluntary then you can just ask the nurses if you can go when you want between 10am and 8pm, sometimes they may say no and if you are still wanting to go they can section you for a few hours/day to prevent you leaving the ward.

Cleaners come round everyday. They are meant to hoover, and mop the floor and clean the bathroom. And also they do the communal areas too.

Everyday your meant to be offered your One to one with your named nurse for that day.

Care plan is given to you when you’ve been on the ward a few days and the nurses, doctors and consultants can have an input on what needs to be worked on while on the ward and things you may need help with.

Observation levels will depend on how much of a risk the staff think you are. These can change from being 2:1 which is two staff with you at all times. Then 1:1 which is one stag always with you, then level 3 this means every 15 ministers your meant to be checked on, or level 4 is when your checked on hourly. These are good opportunities to ask the staff for help if you aren’t brace enough to leave your room.

What you can and cant have here…

They are very strict about what you can and can’t have. I’m not going to go in to detail because I don’t want to give others any ideas.

Around the ward there are really nice pictures. I think there meant to give hope and to show you beauty.

The ward I was in your allowed to have phones but they get charged in a cupboard.

I know all wards are different, so there may not be the same things I’ve described.

I hope you all stay well and I’m here if you need to talk.

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Been out walking.

This is Dangerous I'm being told, I think it's because I get so distracted by the voices I forget where I am, how I got from one place to another and I forget to check the roads as I cross. I crossed in the middle of the road by a bus, I just forgot to look.

Walking too far, I've tried to walk a lot to feel free, and safe. But I'm trying to figure out do I feel safer inside or outside.

Physically feeling faint and weak, I still try and push myself but it's hard to remember the length I've walked I've got to do again to get home.

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Mental health tribunal solicitor

Just met my solicitor for my tribunal to get off my section 2, I’m not sure if I’m doing the right thing or not? 

I’m really scared, it’s all so serious, how will I cope in a tribunal? What are tribunals like? 

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Mental health

Hey followers, I need your help?

Hey, hope your well? 

Do you have any ideas of tag and catagories I could/should use? I need help want to reach more people. My posts are realated to mental health, and cats. 
Keep fighting. Xxxx

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Sectioned day five 23 to go? 

I had Ward round yesterday, didn’t go as planned I was 100% hopeful I was going to be discharged. I was on level three someone with me at all times. I went in to the ward round believeing I was going home because all the staff that had been me told me I could probably go home. So going in there and coming out with better medication plan, and a plan to possibly someleave if my level two goes okay, so now I’m only checked every 15 minutes, but honestly they don’t keep to that they do it when ever they want roughly around once an hour. So I finally have Privacy to go to the toilet,  it’s seriously a luxury.

It will only take one stone to fall and destroy all current progress. 

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Day 4 of being sectioned.

My first few days started off okay was a few blips, but I felt with it okay. 

On day two at night things came to much it all built up so much with the thoughts going around and around and the voices taking control that I could no longer control it. I harmed and the alarms were pulled, I did it four times, they had to literally drag me away from the wall. I hate myself for that choice. Since I’ve been put back on level 3 which is where you have no privacy and your followed everywhere, always a member of staff with you one to one. 

Yesterday I spoke to my main nurse she was great and had a brilliant idea of when you get worked up go in to the garden and listen to music, shower etc, some good points which I had not thought about. I have no thoughts of harming I just want my medication to be better and then to get out. I want to do a skydive when I get out to make a statement that I want to live my life to the fullest.

I had my first shower last night, it felt amazing. I’m in clean clothes and I’m sat writing this post hoping they will get a doctor so my observations can be re thought about, I would like some privacy. 

I need my medication to be sorted, there’s no point being here if they won’t even put me on the correct medication. I’m hoping by getting an advocate this will really help. My point just doesn’t seem to get listen too. Feeling a bit confused at what the point of me being here is if they don’t up my medication.
I miss my cats.

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Been sectioned.

I’ve been sectioned under section two of the mental health act.

I was going to a routine appointment with my psychiatrist and cpn, then they went out the room and brought mental health act assessments in. And you guessed it I’m now detained under the mental health act. In a mental hospital that I can’t leave, I could be here for 28 days, one day down. 

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Update. 26.6.17

I’ve not been taking the full does of medication. It’s making things reallly difficult but I’m still not in the belief that the medication will fix how I feel and things that are going on. 

I’ve nearly halved my antipsychotic medication, I’ve been messing round with anxiety medication and my hear medication. 

Honestly, I’m struggling more than I show to everyone. Every second of every minute the voices are really tournamenting me, commanding me to hurt myself, and to end my life. As you can probably guess I’m still alive so I haven’t listened to them as much as they would like. 

I’m scared, and I can not cope any more, but I’m not willing to do what everyone thinks will help and take the medication, I don’t believe it will help or solve the problems I’m up against right now.

No one understands! 

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What there up too…

They are spying on me through the windows and spyders and bugs somehow getting in. 

These are reporting to the mental health team, government and the devil. They are in control of the spying. They know what there looking for. 

There after my DNA to clone me. And will probably keep me in some kind of prison. They wouldn’t want me escaping it’s to risky for them, for there cover to be exposed. 

They want me because my body is invincible. I can’t die. It’s physically impossible for my body to die. 

I’m terrified because where ever I go I’m in danger. I’m scared. 

They want me to take medication but I’m not sure why. Maybe to put bugs in my body to record where I am. And to make me not realise what there up too. I’m not ill so why would I need medication. My body works differently from others. 

The Voices are warning me and telling when I’m being followed, they are also telling me to cut and drain. I’m scared of them because they want me to do things I don’t want to do. I’m glad there warning me, maybe they are helping me! 

God is really important, he talks to me. He gives me hope that they will stop spying on me and that God can fight off the devil. 

STOP SPYING ON ME!!!!! 

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Cpn today’s appointment. 

My cpn turned up 50 minutes late as it was a home visit. And stayed 9 minutes. A record. Also not seeing her next week because I have an ecg and blood test, so collecting medication from the mental hospital. 

I know she is plotting against me all of the above is proof of what’s going on.

Spoke to the reverent at the hospital today over the phone. We talked about harming. Which today I did. I didn’t tell my cpn, she didn’t ask, and I need to stay in control. 

I’m not really sure what my plan is from here. 

The voices have been so bad, I can control them.

I want no contact with anyone, I don’t trust them! Who can I trust, I’m scared?!