How do you know when you need to get help from a institution?

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Regular Member

Date Joined Apr 2012
Total Posts : 22
   Posted 6/21/2012 2:01 PM (GMT -6)   
I have been having really bad episodes of depression, feelings of worthlessness and getting easily overwhelmed about small things. I am also struggling with irritability that makes regular life so amplified. I have had bad thoughts and know they are not from me and are the sickness but how do i know when to stop going back and forth to doctors and to just check in somewhere for help stablizing everything? I have 3 kiddos and can't afford to have them taken from me or to be away for too long.

Once you go in what happens and how long are you obligated to stay there? I am just trying to figure out what to do in case it gets really bad again. Two weeks ago my hubby almost took me to the ER for help but I was able to calm myself down after a few hours...but the back and forth emotionally is really affecting me and everyday life is harder than it should be right now. I want to be the best that I can be for my hubby and family but am worried about how long i would be gone.

Let me know if you know more about how places you go away to for help work.


getting by
Forum Moderator

Date Joined Sep 2007
Total Posts : 42612
   Posted 6/21/2012 2:32 PM (GMT -6)   
It sounds like you need a mood stabilizer. Have you ever taken one? There are a few different kinds. I take abilify, but it is expensive with and without insurance. But it works really well. I use to be moody and irritable. Not anymore. It really makes life a much better place. I would talk to your doctor about that and other meds. Before you go somewhere. It might be something you can handle on your own without being in a hospital. So talk to your doctor asap.

Have you tried any medications? Let me know. Do you go to any counseling? There are ways to help yourself without being hospitalized. But if you feel you are a danger to yourself or others, then I would consider it.

Hugs, Karen
Moderator-Depression and fibromyalgia

fibromyalgia, Chronic fatigue, depression, allergies

Elite Member

Date Joined Mar 2009
Total Posts : 20279
   Posted 6/22/2012 4:49 AM (GMT -6)   





New Member

Date Joined Jun 2012
Total Posts : 9
   Posted 6/22/2012 10:48 AM (GMT -6)   
I think the length of time might depend on whether you go voluntarily, but I could be wrong.  I'm guessing they'll want to keep you maybe two weeks.  Maybe look at it like this--It could be the relief you really need.  Sometimes we have to be separated from a situation to be able to see it for what it really is and if you're able to get inpatient assistance and the proper medication, you'll finally experience some relief.  You can't know if you don't try and it could make the world of difference for you.

Veteran Member

Date Joined Sep 2006
Total Posts : 2861
   Posted 6/22/2012 1:31 PM (GMT -6)   
Hi Spice and welcome
There is no obligation to stay a pre-determined time. I have gone for 4 days to 10 days depending on my progress. A team of psychiatrist, social worker, nurse mabe will survey your progress. I have always felt better coming out of the hospital, with better coping skills to deal w/ the overwhelming feelings and irritability (these are completely "normal" feelings for a depressive episode. I have gone in just to do a meds change before, because stopping and startuing can be difficult depending on the meds.
In the hospital, youget to concentrate on you, instead of worrying about the kids and chores etc. It is essential, as a mother too, that we take the time to get ourselves centered and stable, for our kids. My daughter misses me alot but is old enuf ow to understand better-she now wants to be a psych nurse-lol.
Anyway, if you plan it, you can make a smooth transition into the hospital and get your self on better med regime and coping skills. It has been a GOOD thing for me.
Just my two cents
Let us know

getting by
Forum Moderator

Date Joined Sep 2007
Total Posts : 42612
   Posted 6/22/2012 3:18 PM (GMT -6)   

I hope that everything is going well for you. Please write and let us know...

Hugs Karen
Moderator-Depression and fibromyalgia

fibromyalgia, Chronic fatigue, depression, allergies

older guy
Veteran Member

Date Joined Oct 2011
Total Posts : 972
   Posted 6/24/2012 1:02 PM (GMT -6)   
hi spice,

i wanted to contribute my experience with going into the hospital.

i have been twice. the first time was for a manic episode, the second for depression. the depression visit was last year. i'll skip the description of mania, since you're dealing with depression, except to say i was a danger to myself when i was manic and i was fortunate to have friends and a therapist who told me repeatedly "you need to go to the hospital".

now about depression. i went to the hospital when i felt i was in a black hole and there was no way out. i was in a lot of pain and it wasn't getting better. i told my psychiatrist (with whom i consulted before going in) that i had been depressed for a very long time and was just feeling worse everyday. i had had thoughts of suicide if things did not get better - and i was really afraid they would not get better.

i was in the hospital 2 weeks. that's what my insurance paid for. just my opinion, but a hospital stay is called for when you are really off the rails and need medication management and skills to cope with life. as others have said, it is really a time when you get to concentrate on you, and to learn coping skills to deal with depression.

and i agree with what someone else said about length of stay - i don't think you need to stay a full two weeks. but that is decided by you in consultation with your doctor and the staff of the hospital (who have been observing you closely during your hospital stay).

i hope you feel better and please continue to post. there are a lot of good people here, with a wealth of experience.


depression and anxiety
cymbalta, lamotrigine, zyprexa, klonopin

Regular Member

Date Joined Oct 2006
Total Posts : 367
   Posted 6/24/2012 3:48 PM (GMT -6)   
Irritability and anxiety can be caused by a magnesium deficiency. Stress depletes our store of magnesium. A good form of magnesium is magnesium glycinate since some others can cause diarrhea.

I take some before bed to help with sleep, but if having a lot of stress will take in daytime too

Hope you're better.

New Member

Date Joined Jun 2012
Total Posts : 9
   Posted 6/25/2012 12:28 PM (GMT -6)   
Wow!  Very interesting about the magnesium deficiency.  I've often wondered about it once when someone told me to take it after getting a foot injury--that it would help with the bruising.  I think I'll get a supplement and see if it helps.
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