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Lipid, TSH, valproic, A1C, fasting blood glucose, T3 free, etc. you name it all, we do it all. It’s mainly for establishing baseline, or therapeutic drug levels. Antipsychotics are known to cause metabolic syndrome, so having an idea of where a persons A1C / blood glucose is can be useful

That would just make me paranoid and more suicidal

I got put into the psych ward towards the end of 2019 and had to start medication. It was really scary but I was able to get through it. People need to know that the psych ward is there for you if you really need it.

My favorite part of the psych ward is the door handles because they're shaped weird so you don't hurt yourself

I'm also schizoaffective and even with my meds I still hallucinate. I've been working with this disorder for so long now I'm just like can you not bother me atm? I need to focus yall...

The other interesting thing about the blood and urine tests is they can research physical changes in the body related to mental health conditions as well as look for things like vitamin d deficiency that can cause mood issues. There are a few known physical things that can cause psychological issues that can be found in those tests.

I think that a narrative therapy session. Think perspectives and find out why your reality is coming across that way. Keep your chin up.

It sounds very bad and I know the feeling of "why me?" Just keep on keeping on and do not forget to breathe.

Also with lithium for anyone wondering, you need frequent bloods until you're in the therapeutic range but you still need to get bloods every 6 months or so. This is to ensure you are still in the therapeutic range and also to monitor for lithium toxicity which can be deadly. Along with that, your doctor should be checking you kidney function as lithium does carry the risk of kidney damage in long term use. Checking your levels and kidney function regularly ensures that your doctor can spot any possible signs of kidney damage early and look at other possibe medications like sodium valporate. Not everybody gets kidney damage but it is a risk that needs to be monitored. Source: I used to be a nurse meaning I had access to MIMS (Australia's drug register) and have had geriatric patients who've been on lithium for years. My mum's a paranoid pharmacist who didn't want me going on it initially so I tried other options first. I've been on lithium for almost 4 years so I've been educated by my psychiatrist, GP, mum and pharmacist when I first picked up my meds.

Getting woke up every few hours for vitals and blood draw... Hopefully never have to do it again, probably will.

thank you so much for sharing!! i am an aspiring psychiatrist and patients are our greatest teachers <3

I literally can’t think of a reason a phsyc ward wouldn’t draw blood. Like it’s the best way to tell the persons health when you can’t trust what the person is saying.

Most of your medicines cause me to have problems. Zyprexa, however, is a wonderful drug. The problem is that it causes weight gain in many people. It caused me to become diabetic. I also have severe headaches from when I tried to kill myself and also people were coming at me. Ambient causes me to hallucinate and sleep walk. I know some of my problems came from my diet over the years and an insane amount of exercise. I stopped having hypnagogic hallucinations when I was given serotonin meds. Again, I've heard the new growth theory. I don't think it's the same. I stand by the theory that my mind was killing itself with bad mental states like depression, and severe anxiety, Your brain rots when that happens. K-12 eff them all. With this bad mental state lifted, my brain stopped rotting and went to different paths--or did. We won't talk about how I was courted by several men. I have other injuries. Apparently, I'm not allowed to complain about anything or succeed, yet I have to work as a maid because I'm low status in society. They changed their minds again and decided I need to work at McDonalds. Snobs.., Ah, when the whores and bad retards go digital. I'm a good retard. The others are rich, pretty, and connected. It doesn't matter how immature they are like Bjork. I don't want to marry. My excuse is that me having kids in the US is child abuse enough. The fact that the thing would be disabled makes it even better.

Wow , you must have really great insurance and friends and family to help you. Not me 🎉

How long do mania episodes usually last and what triggers them?

The first time I experienced anything like that outside my head was so distressing and left me in anguish that I feared having them. Although the meds lessen the blow I still feel that I will not be able to be "used" to them. Also I had to remember that is still just my head messing with me and mindful meditation helps bridge the distance thing.

Clozapine comes to mind. It’s on a strict REMS program that requires frequent blood tests before dispensing the drug

LMAOOO I WAS BARELY AWAKE AND SOME NURSE WAS GETTING MY BLOOD AT LIKE 6AM 🤣 Talk about coffee and why its not used in psych wards. We only get decaf. Very depressing! I THOUGHT THEY WERE SUPPOSED TO HELP US AND MAKE US COMFY FOR OUR TRAUMATIC STAY! 🤣 (obvious sarcasm above if anyone didn’t catch on)

What do they say?

I had this happen to me when I had to stay in a general hospital after a surgery and even worse the nurse was...not great at drawing blood and tried multiple times in both arms even though I was clearly trying my best to suppress how distressed I was getting. I cannot IMAGINE this kind of routine going down in a psych hospital!! Appalling.

Are you doing ok?

I came into the psych ward with anemia due to severe iron deficiency. that is something they only caught because they made the tests. I had to many other issues to recognize I was extremely fatigued on top of that.

Depakote levels have to be checked too. Like she said a lot of the medications used have to have blood levels checked to see if they are within "Therapeutic Levels" Also some of them can affect different organs in the body (like the liver) or even blood sugar levels and those are checked through blood draws and blood tests. And many times the patients also have medical issues like diabetes and/or hepatitis or other illnesses and many times the patients don't know it because of their psych issues. Psych wards don't only treat psych issues, they also treat medical issues the patients may have.

Yet another reason I fight my hardest to never go to a mental hospital 😅

they took my blood so many times while i was in the psych ward😭😭

Who cares? Its not like you had work the next day

I have been hospitalized several times (not for psychiatric reasons but still) and yes, vital signs at 3 am in the morning and even blood exams (if necessary, they usually prefer to wait on hospitalization/not observation/ not uci/ not er) I might have been shocked the first time, but now I prefer them to be silent and smooth. The quicker they leave the better I can sleep. At least I appreciate that… because I feel sick.

Now you can honestly say “I see no color in people”

I've been on lithium for my bipolar since I was in middle school. I'm now 29. It's the only medicine that has kept me stable and functional, and I've been able to live a normal life without severe mania, rapid cycling, or psychosis. I still get breakthrough depression, mostly related to my c-ptsd, but it's allowed me to be normal. I have two kids, and I was on lithium during both pregnancies with no negative side effects (there's a 3-5% chance that lithium during pregnancy can cause a specific congenital heart defect, but I had prenatal echocardiograms done during both pregnancies at 24 weeks, and neither of my kids had the defect. If they had, there would have been a need for my kids to have corrective surgery after birth, but the surgery is really common and tends to have a really low risk for complications.) I need to get my blood drawn every few months, but as long as my level is between 0.7 and 1.0, I'm fine. I think people demonize lithium a lot, and I know that it's not for everyone, but for the people who have bipolar or similar mood disorders who can tolerate it, it's almost like a miracle.

Thank you for the explanation about drug levels

To rule out any underlying causes that could be mimicking mental illness.

Ive been in psyche wards 6 times throughout my life, im 47 now and schizoeffective too.

I get catatonic sometimes cause of autism. this is very probably unrelated to catatonia, but i also have trouble falling asleep. sometimes i get into a similar state to catatonic stupor while being unable to sleep but am laying in bed (they feels the same to me from a sensory staind point). I've noticed that I can react to extreme movement commands(like forcing an extremely quick movement of my whole body) during that state(when i do the same thing outside of that state, i hurt myself just from the movement alone). Similar to, how during stupor, people react to extreme sensory stimuli. never tried doing so during stupor cause i always panic too much to remember.

It's to check med levels. Hated that job 😂

You're such a good person. Since I've always been somewhat disabled, I'm used to this. I don't have strong emotions and can mostly laugh and cry. My memory has been whack for a while. I know that an average person will get like 70% of the material, and I will have to work harder for 30% of the material. I'm still learning. Yes, there are times when I think about the ocean or a group home that had a nice garden. I am annoyed that I am harassed about getting a pension. They have no low. I'm a "parasite," but I'm also not allowed to do anything that brings success. I must live in poverty for insulting Zheani. Your sin? Do you have any fucking idea? I chill in an adult facility. I'm not allowed to shine. I'm used to it. The ones who say they're fixing us is even worse. They all know about the brain now, but they won't share. We're in that phase.

The first time they draw blood is to find out if you have diseases like HIV or Aids, anyhow i was only at the psych ward for 72 hours i was diagnosed with schizophrenia and i was released without medication cus i seemed stable

Stay away from lithium. I'm on olanzapine and carbamazepine. Works great. Trazodone isn't working as good as amitriptyline did for depression I might ask my psychiatrist to put me back on amitriptyline

I take carbamazepine... Carbamazepine is one of those meds besides lithium that needs to be monitored and therefore they draw blood to check the levels.

It's so important to you to get tested to make sure your lithium is in a therapeutic level, for you.I had a psychiatrist who refused to have me tested, and my parents just fired her. I genuinely didn't even end up needing the medication, (as other treatment was successful for me)and she totally had me overmedicated. So if you're on a medication like that, and your psychiatrist refuses to have you do a blood test, you need to get a new doctor. Even if you're not in a psych ward. I ended up having a lot of issues, because of the fact that she refused the blood test. It was only when my parents got a second opinion, that they realized how dangerous it was. They thought it was strange,which is why they got a second opinion. As they had seen that be the recommendation online, because they looked into the meds I started when I was a kid/teen. So make sure this is being done! As well as look into the meds you take. ❤

Well, I took an IQ test when I was spitting my pills out, and it was grim. I received a 116 on the IQ part with serious issues. Some of the global tasks were too difficult for me. I do guard some of them to keep my dad away. I study, read, and write for my brain. I take meds and am watched. Lithium and the others rewire the brain. plus, depression and other diseases like to damage the brain, so we don't know fully, which is which. I'm not sure it causes growth, just new pathways. I'm allergic to lithium, it turns out, so... Anyway, I was in special ed . I guess I mostly made Bs in High SchooI, even though I was so behind due to special ed. I was also pushing my body to the limits abuse-wise. No, I wasn't on drugs. I couldn't stop moving, didn't sleep for days, starved or feasted. I did laps around the city. I should have competed in cycling because I am a cardio queen or was. If I wouldn't have joined the army, I would have probably gone off in a few years and just medicated or watched by a doctor. Unfortunately, I have the face of my mom's abuser or did when I was thinner. I had issues with one of my sisters who I tormented after I came back home in sixth grade from dad's. She got her revenge. I said sorry. Her doctor doesn't want us together or for me to bring anything up for a while. she's too busy with a family now anyhow. Most of us do commit a crime and then they figure it out, which is sad. Mom tried to have me committed, but my dad stopped her, and the rest of the family said they'd cut off funds if she did. I love my mommy. She doesn't love me though. It's not something I cry about. She wouldn't let me in at night. She had no problem with babysitting. She made a big deal about me taking meds when I came back, or I couldn't see my siblings. Look, it was a mess. Hey, she pickled her brain with alcohol and had no problem when it came to draining my bank account. wah, wah. I love you, mommy. I hate you daddy.

So you saw a shadow then what did the shadow do? Disappear?

If you watch modern influencer videos, you'll see that we need to address mental health issues.

I am a Pastor and I am open about my diagnosis of Bipolar type 1. You have discussed this challenging topic with care and respect to people of all beliefs and backgrounds. Thank you.

Like. How do you treat yours?

I wanna question that you have treatment or not using for your bepolar?😊

Hello im 15 years old from Philippines when iwas get bepolar hyper and now im 17 years old when i found out ihave this disorder.😢

At first I had to get blood drawn a lot. Now after 14 years I get it once a year. I'm on Epival.

You said lithium gives you nausea, makes You feel horrible?

I take Lithium, I'm 16 and they gave it to me at 15, the side affects are very unfun.

**creepy doll vibes**