on being on the psych unit
So a friend (a friend! what a fucking euphemism) was admitted to the hospital this morning, and I have gone all to useless pieces. Just all useless. I pace, my stomach churns, I swallow convulsively, I all but wring my hands, I can’t settle down to anything, I carry the phone around the house with me and I still manage to miss the one crucial phone call, I’m a shivering mess, even while inwardly berating myself not to make it about me when it so plainly isn’t. And I can’t even really formulate language around why I am going all to bits, exactly. All I know is that I, who have been institutionalized four separate times—who usually act as the unofficial den-mother to my depressive younger writer friends—who am diagnostically perspicacious and a rock of stability and reassurance when my students encounter the inevitable sophomore-year epidemiological averages and peel off one at a time from their cohort, all mood-disordered and unwashed, hair hanging in their faces as they try not to cry in my office—that I who am supportive and brimming with wisdom about medication, therapy, and all things mental-hygiene related—I who always have pithy suggestions and encouraging bits of validation and phone numbers to call and DBT skills to try—all I know is that my friend called to give me this news (flatly, dully, in that pain-beyond-pain that is true uncaring) and my mouth went suddenly completely dry and my heart dropped to my stomach and I could think of nothing, nothing to say. I who always try to have something helpful to say, because it makes those wasted years of my life have some kind of meaning, if I can help anyone else because of them.
[Long moment with head in hands, telling myself how stupid I am being.]
Part of it is Jeremy’s death. Part of it is me sitting on his apartment floor across from him, all the phone numbers in between us as we called down the insurance lists and tried to find someone, anyone, who would see and medicate him without a six-week wait, and him saying to me I don’t know, Jen, maybe I should be in the hospital, and me just imagining him all sweet and poetic and gentle and redhaired, our Van Gogh, our emaciated yogi, only on the unit in Arizona, God he’ll only get worse there, and then my saying quickly, to stop him thinking about it: No, it’s such a hard place to be, let’s find a doctor, I’d rather spare you that if we possibly can.
And it turned out we couldn’t, though we didn’t know that. Though I might have known. Though forty-something suicidal men aren’t usually fucking fooling around.
And a couple of months ago a dear daughter-friend went into the hospital, which turned out of course to be the best thing for her—it is, it is the best thing, especially by the time you no longer care what happens to you (How do you feel about this decision? I don’t really care. I just don’t care anymore). And last fall after Jeremy died, another beloved daughter-sister-friend was actively suicidal, calling me practically with noose around neck, and I was terrified, and livid, and threatened to call the police if she didn’t give me her doctor’s number, and I wound up shrieking into his voicemail at like 3 am,—and, and I don’t know anymore, I honestly don’t know if I am helpful to these ones I love, with my shining example of recovered mental health, with my better living through chemistry—if I’m such a poster child after all, with my hey, I’ve been on the unit four times and look at me now, I’m dressed and everything! I like to think my experience is useful, but I don’t know.
I know that the unit is a good place to get your meds straightened out fast. I know it’s a place where you can sleep and wear no shoes and do nothing for hours, where you can cry messily and throw up without embarrassment and not care, and that doing all that is more or less okay, which is a relief when you feel so horrible. To not have to pretend you feel normal when you don’t, when you just can’t feel normal no matter how hard you try. I know I’ve always survived hospital stays by writing constantly, my best-friend-who’s-a-therapist and I joke about charting it, patient displays writing behavior—I know that jotting down the hilarious nutty conversations of the always far-sicker-than-I other patients has always made it all bearable: the TV room and the pathetic “group therapy” and the evil food and the grotty tile and the medications dumped on you in huge high doses that make your head feel swollen and inflated like a balloon, that leave you retching metallically while a nurse injects your butt cheek with Vistaril. I know that lying flat on the bottom of self-loathing, usually with one cheek on carpet, and noting that I’m thinking about myself clinically as an object, an inconvenient corpse only to be disposed of at the soonest available opportunity, I know that these are bad signs, I know that I stop being able to take care of myself at those moments, I know, whether I admit it or not then, that it is time to go on the unit. I know that on the unit, even if only for a blessed three days, people are finally embarrassed into stepping the fuck off when it comes to where is the article, where is the essay, where are the paper comments, you were supposed to write it, you didn’t write it, where is it, where is it, where is it. That even if your lovers are acting like bastards to you, they stop, miraculously, it all stops for a few days, everything speeds up really fast prior to and during admission but then it just STOPS, and there’s kind of an eye to the storm, where you can see everything swirling around but from a slight distance, and it’s suddenly quiet, just for a minute, and a minute, you think, is all you need, you think I just need a minute, I just need a tiny break from everyone screaming at me, I just need one day away from it, one reason to live, just that one reason, just that one hour of sleep, just that one block of energy, to make another push, to try again, to try to be alive—
It is the best place for this friend to be. And I pace uselessly, and berate myself for having not said all the things I should have said, for not having understood how serious it was, for not having done enough, for not having done what was right in front of me to do, for not making it clear how very much I need this person to be alive and in the world and writing and cracking us up and dishing out shit and being fierce and sentimental and broken and staggeringly smart and adorable.
And I know, I know, this is how I’ve made friends feel. Helpless and wired and drained and helpless. I get that now. As I pace, pace, try to concentrate on anything, and fail. And wish I could be there—to bother the nurses at their station during shift change—to ask for Vistaril, ginger ale, more covers (it is always so brutally air-conditioned)—to insist on the night staff’s calling in a prescription for a sleeper, to demand a pen and paper, to demand to see the doctor, to demand to use the bathroom with the door shut—
But I can’t do anything. All my surviving-the-unit (if you’re poor) tips and tricks, all my how-to-work-the-system knowledge of health care, has any of it really done much good the last couple of years? From my psychotic student two years ago to Jeremy last year, to my three friends? When people are depressed can you really do shit about it, repeating like a robot ask for Remeron, ask for Effexor—you should try cognitive-behavioral, you should try DBT, you should try meditating—
This is electronic pacing. Back and forth. My stomach in my feet. Why am I so useless this time, when in the past I’ve been calm and able to summon information and be helpful? Why did I hear my friend’s voice on the phone and suddenly go completely nonverbal, washed up on a shore without language, beached and dry? Am I like the doctor who can’t operate on her child? Don’t I know I am not the doctor? Is it love? Does love make you incompetent? If you can’t do anything, what can you do?
I am being such a livejournal high school emo girl about all this. My friend is being so much stronger than I am being.
This post has no ending.






