#tw forced treatment

[yippie-madness]

what if people chilled out about people having visions, hearing voices, having different beliefs. like as a society. the main factor in if these types of things are a negative experience for people is their society's perception of them. people where visions and voices and extreme states are showed as scary and bad and dangerous and always needing to be changed have scary or negative visions and voices and things like that. in places where these things are seen as normal and ok or even good people have positive and neutral experiences. ofc there are acceptions yadda yadda but the majority. i think partly people who have positive experiences with voices, visions, etc. do not mention these out of fear of being forced into "treatment" because of "low insight" (if a person has a positive experience with abnormal experiences they will almost always be labeled as having "low insight", as not knowing themself, their world, what they actually want, what is actually good for them). "low insight" is the main thing that will get you sectioned, if you are unwilling to agree with doctors interpretations or goal you will be forced to.

[compassionatereminders]

The worst thing is that there is so much potential for exploring the horror of psych wards from the angle of medical abuse, ableism, forced treatment/drugging, loss of autonomy, power imbalance, demonization, dehumanization, etc, and YET the horror genre keeps defaulting to "insane asylums and psych wards are scary because there are mentally ill people in there"

[auschizm]

I'm sorry, but I just don't think jokes about lobotomies are funny. I don't think the deliberate physical destruction of millions of mentally ill and mentally disabled people's brains, often without consent, frequently just to make them easier to manhandle, is a laughing matter. I think it's a humanitarian tragedy

[good-beanswrites]

If it's okay with you, could you write a drabble about the hypothetical aftermath of Amane getting attacked by Kotoko?

Welp thank you pal for making me absolutely insane with this request 👍 I ran through a few hypotheticals and realized I had to shift some things around since there were so many absolutely tragic outcomes. I worked something out but damn if it didn’t make me emotional to think about how uniquely rough Amane has it. Even making sure she's in a good place at the end, this got pretty serious, so warnings for child abuse and cult references. 

(So in canon, Kotoko goes in order and attacks Fuuta, but Kazui steps in. Then she attacks Mahiru while he’s distracted with his injuries. She’s about to attack Amane, but Mikoto gets in the way (my hc that he did it on purpose survives!). By the time they reach a draw, Kazui is back, and the two of them can prevent Kotoko from any further action against Amane. Sticking to this apparent system of three attacks and one rescue, I’m just shuffling around the injuries for this story. Fuuta’s attack went unnoticed, and he’s in the same state as canon Mahiru. Mikoto steps in before Kotoko can fight Mahiru, so Mappi’s the one who get out physically unscathed. While Mikoto checks on Mahiru, recovers himself, or discovers Fuuta, Kotoko is able to attack Amane next. Kazui comes to help, but not before she leaves Amane looking like canon Fuuta.)

Mahiru could practically feel her heart shatter into a million pieces when Amane finally cried in front of her. She hadn’t shed a single tear yesterday – it was the shock, Shidou said. Mahiru was skeptical. After all, she had been shocked, too, and cried plenty.

Amane woke as she came in with breakfast. She took a moment to survey herself, bandages peeking out from beneath her pajamas and an eyepatch securely over her right eye. As calmly as one might say “good morning,” she started to cry. Mahiru might have missed it, if Amane hadn’t wiped at her good eye with her sleeve.

“Oh, sweetheart…!” Mahiru rushed over to her. ��It’s okay, I’m here.” She wanted nothing more than to wrap the girl in a secure embrace, but she remembered the mass of bandages that were around her chest. Shidou had mentioned broken ribs and bruises. It took everything in her not to cry along with Amane, at the thought.

“I can get you another ice pack, if you need. Or more medicine.” Her mind spun with ways to help with pain. Many of the first aid supplies had been used to keep Fuuta from the brink of death, but surely there were extras to spare for Amane. 

The girl just shook her head. 

She muttered, “I can’t… I…I’m going to be punished, I’m going to be punished…”

“No! You’re safe now.” Mahiru placed her hands gently on Amane’s arms. “Kotoko’s not coming back. We’re all watching over you. You’re safe. She’s not going to hurt you anymore.” 

“That’s not…” Amane pulled away. Her voice stayed level, despite hiccups interrupting her. A hand reached up to her eyepatch. “It’s this. It’s all of this. It’s sinful. I took it off last night, but he must have…” She started unwrapping it. “They’re going to punish me...” 

With a careful motion, Mahiru held it in place and took Amane’s hands into her own. She’d been picking up on the signs ever since they arrived here together, and a final wave of understanding washed over her. 

“I can’t let you do that.”

Amane’s expression twisted, though words came out far more frantic than fiery. “Let me go.” 

Mahiru didn’t. “I’m sorry. Amane, you need this treatment.”

“That is not your decision to make. That is not any human’s decision to make.”

Mahiru pressed her lips together. “I know. But I can’t watch as you… I can’t sit by again while someone…” She was careful not to apply any pressure, but she could no longer fight the urge to gather Amane up in her arms. “You don’t need to be afraid of those people, anymore.”

“I’m not afraid.” Amane hiccuped. “They love me, and I love them. I need to be good for them.”

“I love you, and I don’t want to see you in pain.”

“You just pity me because I’m young.”

“Why does your age matter? You are a lovely young woman – you are my friend – and I can’t bear to see you in pain.”

The two sat in silence for a moment. Mahiru doubted she would take that as an answer; Amane had refused to call any of the others her friend. At least she didn’t argue. In fact, it seemed she was leaning into the embrace a bit more. She sighed a shaky breath into Mahiru’s uniform.

“Listen, Amane. Can you do me a favor? I’m trying to be a good girl, too. To make up for something awful, I need to make sure you’re alright. Can you help me? Can we be good together?”

A long pause followed. Amane’s voice spoke up, ever so gently.

“I suppose I can consider it.” She added quickly, “for the sake of your redemption. Of course.”

“Of course.”

[jordanstrophe]

CW: Forced medical whump, held down, hurt/comfort

Whumpee snapped awake to a hand on their forehead pinning them down. They heard someone mutter in the background “Okay... 3..2..1..” before searing pain broke through their body. 

They cried and grabbed the wrist holding their head down, their mouth running without them, begging “Stop- please stop, STOP IT-”

Someone shushed them softly, but it didn’t stop. Whumpee gripped two of their fingers and tried to pry them off, -which did succeed in getting them to let go of their forehead, as they instead switched to holding whumpee’s hand and letting them squeeze.

“You’re okay, breathe, in and out. We almost got it.” Caretaker’s voice sounded clear, but far away. 

~Got what?~ Whumpee thought to themselves, unable to speak the words. They felt something get ripped from their body as they let out one last desperate scream. The pain quickly faded along with their consciousness as a single tear escaped down the side of their face. A hand quickly wiped it away and touched their cheek.

The last thing they heard was “We’re not losing you today.”

[antidiesel]

thinking about Elon Musk and his Neuralink.. He says he can "solve autism and schizophrenia" with it (source below).

These feel like lobotomies of the 21st century. The Neuralink procedure had already killed 1500 animals. Some monkeys suffered psychological trauma.

I'd like to reiterate to those unaware — THERE IS NO CURE FOR AUTISM OR SCHIZOPHRENIA. LOBOTOMIES DO NOT WORK. IT IS TORTURE AND ABUSE. We cannot let Neuralink continue to be tested, or else disabled people WILL be the ones subjected to these "treatments".

[abortionado]

I get why people are saying Shiv and Roman should be doing more for Kendall as his addiction escalates (and they definitely don’t always deal with it respectfully or appropriately—Shiv blasting his addiction on social media, Roman calling him a “junkie,” etc.) but in their defense like. Shiv made a genuine effort to intervene and he wasn’t receptive. You cannot make someone stop using if they aren’t ready. That has to be a step that they take for themselves.

Shiv and Roman have been watching Logan deal with Kendall’s addiction for years, and the way that Logan approaches the issue is by making it clear that he thinks active addiction is unacceptable and Kendall needs to be sober, period. They know (because they’ve seen!) that trying to force Kendall into sobriety doesn’t do anything except create a personal culture of secrecy, lies, and sneaking around that puts him (and any waiters who cross his path </3) in terrifying, life-threatening situations.

It’s not that they don’t care about Kendall’s addiction, it’s just that they know that the “sober or nothing” approach doesn’t work, and so (as of s4) they’ve stopped pushing sobriety, and they’re trying to help him by just being there until he is able to get sober. Kendall talks about addiction openly with them. They know that he’s using. They know what he’s using. They know that he doesn’t use intravenously. He feels safe talking to them about his use because they don’t freak out or threaten him with institutionalization, and that’s a huge step that could literally save his life.

And this isn’t even really a theory because we’ve seen this play out! When Kendall was on that bender and using untested meth at a complete stranger’s house, he called Roman to pick him up (and not Logan), because he knew that Roman would come get him no matter what, no questions asked. No yelling, no outbursts, no interrogation, no ‘after this I’m pink-slipping you out to the desert’ just “drop a pin so I know you’re okay.” Feeling safe calling Roman for a ride could very well have saved his life. Having “safe people” who will be there for an addict until they can get sober is harm reduction

[ink-asunder]

Having demand avoidance in a medical setting is literally hell. Like, patient autonomy is already absolute ass. It's only made worse when doctors CONSISTENTLY tell you what to do and act like you HAVE to do it instead of consulting with you first like normal fucking people.

[zinniajones]

Florida Adult Trans Care Ban SB 254, June 3, 2023 interim update

(from www.floridaban.com)

INTERIM UPDATE, June 3, 2023:

Rainbow Progress Fund provides a firsthand account of the joint Boards of Medicine committee hearing on June 1, including false and eugenicist claims by Board member Patrick Hunter (a member of the anti-trans Society for Evidence-Based Gender Medicine and Catholic Medical Association) that transitioning "lowers IQ" of trans people.

The committee failed to advance any of the necessary informed consent forms, mandated by SB 254, that are needed by MDs and DOs before they can resume providing new prescriptions. This means that until these forms become available, MDs and DOs cannot prescribe their established trans patients any new change in dosage of their current medication, or add any new medication to their existing HRT regimen.

Simone Chriss of Southern Legal Counsel, a nonprofit currently bringing litigation against SB 254 and its adult care restrictions, explains the current effective policy and status of prescribing restrictions on MDs/DOs as of June 3, 2023:

“While no draft consent forms have been released yet, the Boards are expected to file an emergency rule soon that will provide clarification about continuation of care for patients while the informed consent forms are being developed. The Boards’ discussions over the past two days indicated that, as we’d shared previously, physicians can continue prescribing to patients who provided informed consent and were first prescribed prior to May 17th. The emergency rule should provide guidance on whether and how new prescriptions and adjustments to medications can be prescribed prior to the adoption of informed consent forms. No emergency rule language has been posted yet on the Florida Administrative Register.”

Rainbow Progress Fund explains the unacceptable medical danger of the current situation for trans patients: "Those currently on hormone replacement therapy (HRT) will not be able to adjust their medication until the new consent forms are finalized. This delay poses potential risks to patients whose hormone levels may require immediate attention."

To be clear, even when these forms become available, this does not and will not change SB 254's statutory ban on NPs and APRNs prescribing gender-affirming care. As 80% of trans adults on HRT in Florida receive their prescriptions via an NP or APRN, the effects of SB 254 have permanently disrupted the established prescriptions and ongoing medical treatment of thousands of trans adults across the state. SB 254 continuously jeopardizes the trans community's health and must still be mitigated in its entirety.

No other state has ever imposed SB 254's novel and selective restrictions on NPs and APRNs, who have prescribing authority just as doctors and physicians can prescribe medication. NPs and APRNs in all other states - and in Florida until SB 254 was enacted this May - have always been able to prescribe all gender-affirming hormone therapy, including schedule III medications like testosterone. "NPs have the prescriptive authority to prescribe controlled substances in all fifty states." (Zhang & Patel, 2022) There has never been any reason for this unique new restriction on NPs alone, prohibiting gender-affirming prescriptions alone, other than Florida's intentional targeting of the ongoing medically necessary treatment of almost all trans adults in the state.

The committee concluded that their next meeting will occur in three weeks, on June 23 at an undetermined location or video call, to continue considering the required adult consent forms. This is completely unacceptable. The Boards must issue the mandated informed consent forms immediately in order to restore the ability of MDs and DOs to freely manage and prescribe any new or changed medically necessary treatment for their trans patients, even as this is itself utterly insufficient to mitigate the overwhelming danger to health and life caused by SB 254.

None of this is over until SB 254 is completely reversed.

We will continue to provide updates as we confirm any further policy actions by the Boards and their impacts on trans patients and our providers. The policy chart below will be updated to incorporate this information when it becomes available. Thank you to the trans community of Florida for closely monitoring this situation and assisting us, and to our allies here and abroad. The world will see that we are not alone and you are a part of making that happen. Your strength and unstoppable spirit in an unimaginable situation is what will ensure we survive. As long as Florida exists, Transgender Florida will be a fact. (Zinnia Jones, June 3, 2023)

Please support Florida's local gender clinics and their nurse practitioners as they work to survive this crisis and continue providing care to trans Floridians: https://spektrum.health/DONATE/

[yippie-madness]

i hate posts like this, yes they can wait till you get tubed

[compassionatereminders]

And to those who don't know, Paris Hilton was a victim of the Troubled Teen Industry in her late teens and spent literal years in horribly abusive institutions based on hard labor where the conditions LITERALLY killed people. So when she did her "lol I don't need to know what work is because I'm pretty" or whatever later on as a young adult, that was mainly because she wasn't ready to face that trauma publicly because she was literally forced to work her fucking ass off in the most literal physical sense of the word for years

[auschizm]

I’m confused about something. I don’t mean to be mean, but I don’t understand. How do doctors force people to take meds? Why would someone continue to take a med that they don’t like the effects of? When a doctor starts me on a new med and it makes things worse, I stop taking it. Do doctors have some way to enforce that I put a pill into my mouth every day? How do they even know if I have? No doctor has ever tried to prove that I was or wasn’t taking any med. I do inform them that I stopped taking the med that had bad side effects and they always seem to approve of that. Is that not how it usually works? I know doctors can be awful so I’m definitely not saying that being forced to take a med isn’t possible but is that common? Should I be worried about something bad happening from me telling a doctor that I stopped taking a med they gave me? I really hope this comes across as genuine curiosity!

Various ways doctors might force medication (in this context mainly antipsychotics) on people include:

Dismissing and invalidating your concerns/negative experience with the meds. ("If you don't think these meds are helping you're wrong/too sick to know what you need.")

Restricting treatment based on your refusal to take meds. ("If you don't agree to take these meds I won't continue treating you/I'll refuse to refer you to further treatment elsewhere.")

Threatening hospitalization. ("If you don't take these meds I'll be forced to hospitalize you.")

Making discharge conditional based on you taking the meds. ("I won't discharge you before you agree to take these meds.")

Physically forcing meds on you while inpatient. ("If you refuse to take these meds, we will forcibly inject them.")

Threatening further forced hospitalization if you stop taking the meds. ("If you stop taking these meds/don't show up for scheduled injections, I will forcibly hospitalize you again.")

Getting a court order mandating you to continue taking the meds as part of your parole.

Not all doctors use these strategies, but it does happen to a concerning amount of psychosis spec people.

[trans-axolotl]

hi, i wanted to ask if possible (I'm sorry if this is a little invasive!) but what treatment program did you go to? I'm looking for some and I'm receiving mixed singles right now..

hey! I'm comfortable talking about it. I'm assuming you're talking about the eating disorder treatment program I went to, not the other psych wards I've been to, but let me know if you meant something else.

I went to the Eating Recovery Center in Washington. i have a lot of mixed feelings on it. i really hate the entire structure of residential treatment and think that it is inherently carceral and coercive. ERCWA was a really restrictive treatment program, we were on a locked ward in a medical center, there were a lot of shitty + abusive staff, and there was just so much bullshit the entire time, like having no privacy in the bathroom, no doors on the bedrooms, barely being able to go outside, having so much of what we said and did monitored, the fucked up ways they used NG tubes, a really ableist psychiatrist, etc. treatment was pretty standard CBT, DBT, ACT, RODBT, random "skills groups" that felt like a waste of time with a lot of therapists and interns who had no previous therapy experience. I got medically stabilized through that program and was able to achieve pretty sustainable changes in my disorderly eating, but i really credit that more to the peer support then to any of the actual "treatment."

But compared to some other programs i don't think it was the worst. You can have your phone all day which was a huge benefit to me, since most programs take your phone. while i was there they had a dietitian who accommodated custom ARFID menus--she doesn't work there anymore, but they probably still do ARFID menus. they had multiple trans staff members and let me stay on hormones. they also don't kick you out for self harming and can handle a higher level of medical complications. ERCWA is run slightly different then some of the other ERC locations though, and I've heard a lot worse stories about other ERC locations. this info is all only true for adult wards as well--i would not recommend ERC for teens. i don't really know if i would recommend ERCWA at all to people but i think there is some things that made it more tolerable then some other treatment centers, and that if you have some specific needs, it might be one of the only treatment centers that can accommodate some things.

sorry, i feel like this isn't a super helpful answer, but i just have so much anger towards residential treatment and have a hard time recommending any places, even though i don't think ERCWA is the worst option.

if you have any more questions I'm happy to answer--i can also post old photos and videos that show my room, schedule, etc. i also have a lot of friends at a variety of different treatment centers and can answer questions about some other centers if you have any.

sending you the best of luck anon, I hope you're able to find the support and care that you need <3

[pastafossa]

Update on sick kitty Cato. Below the cut cause I know some folks are sensitive to sick or potentially terminally ill pets.

So if you remember, Cato had been losing a lot of weight, despite being super hungry, eating a ton, and his energy was low; potentially cancer due to his older age and breed, but dragging him in for a bunch of tests would have put a TON of stress on him, so we decided to just try to treat since the options were the same. He did fairly well on the steroid, gained some weight back and had a lot more energy.

Then we tried lowering the steroid to the maintenance dose of every other day - this would be safer long term. However, he’s been dropping weight again, and been really sleepy, not eating as much. I chose to bring his dose back up to once a day, and while he’s not losing anymore, he’s back at ‘not gaining, not losing’ instead of just gaining like before. I talked to the vet today and she said if it is cancer, bringing the dose down may have allowed it to grow a little, so the steroid might need to come up further. But just in case it’s one of the other issues, we’re gonna add another med in - and if that + the steroid once a day bring his weight up we just keep doing that. If it doesn’t work, we’ll take him up to two doses of the steroid every day plus the new med.

This isn’t great long term. The steroid will be hard on his pancreas, and could cause issues if this goes on for a while. But it’s sort of become clear this is likely palliative care. I could drag him in for a ton of tests, shots, exams, scans, etc., but he’s never done well with the vet, and now with him so sick and being fourteen years old, it would put his body under so much stress that it might make things worse. So we’ve agreed to focus on quality of life. I get him to take as much of his meds as I can, and then just... wait. He’s still happy. And that’s all that matters.

[zhuhongs]

just found out the lead singer of taiwans biggest death metal band is also an active parliament member since like 2015.... and is still active as a death metal singer. he's a pretty standard taiwanese center left anti communist from what i could gather. which like as a leftist i dont really agree with but i also dont know enough abt taiwanese politics to like make a full judgement. though he seems to be a standard liberal nothing remarkable, radical, or new, not overtly horrible but just bland. but that was something i definitely did Not expect. apparently he's very pro indigenous rights and self determination for indigenous people but being in a centre left mega party like the DPP does not seem like the best way to achieve that. But yea, just thought I'd share

[all-i-do-is-try1]

Forced recovery for adults should not be a thing.

Why does bodily autonomy not apply to those with ED’s ? Even if it’s dangerous, it’s not your body. And some people would definitely be doing much worse without their ED.

I can honestly say I’m a million times worse mentally after “recovery” than I ever was on my worst days of anorexia.