I'm a Korean War veteran! Tell me no! I told you that!
All right, stick it in! Come on, come on, get down there. I want to get out of here.
I want to get out of here. I want to get out of here. People who suffer mental illness are suffering from pain. And it's nothing to laugh at. And it's not funny.
He's coming up with paranoid schizophrenia. How's he hearing voices that he wants to kill himself? Mr. O'Brien, have you been here before? When was the last time, roughly?
April. April. Which unit?
I'm going to give the clerk your papers. We need to make it louder in here. It's too cold. Louder?
Okay. Nothing works here. Nothing works here.
The medications don't work. I hate this place. I've been here for seven years. Nothing works here.
The medications don't work. I hate this place. Can you hear me at all? Nothing works here.
Nothing works here. Can you tell us anything else that might be helpful to you? I hate this place.
Is he just repeating the same thing over and over again? I hate this place. I hate this place.
I think we should give him some Ativan and see if he loosens up a little bit. What do his writings have to say? I must beat back the urge to die, to let go of everything I hold dear or all that I love. Aww, it's so sad.
Well, certainly he must be very anxious, and a little Ativan might make him feel better, even if it doesn't help us get more information. But just based on this, it seems like... help, you know, it might be a good idea to admit them. I'm Dr. Reeves.
Hi. You were at Beekman downtown? Yeah. Did they discharge you on medicine? Yeah.
Which ones? Do you know? Aspiradol. And that's all?
That's it. Okay. Had it been working well for you?
Yeah. Okay. Had you been taking it?
Yeah, I was taking it. I don't know what my medication is. I don't know if I lost it or what. Okay.
Where do you stay? I stay in the streets. It's probably hard to keep up with things, right? You had anything sharp on you? No, I gave it in.
Okay, you gave it in? Yeah. All right, I'll see you in a little bit.
All right. Do you know why they brought you here? Yeah.
Why they brought you here? Because I was yelling earlier. Where did they find you?
At NYU. Are you a student there? No.
Why were you there? To yell. Do you have a psych history? Yeah.
How long is your psych history? Seven years. Seven years? Is that why you were saying you've been here for seven years? Was there something going on nine years ago that you think caused you to get very angry?
Seven years ago. Seven years ago? Yeah, I was in graduate school and I finished my papers and everything.
Right. And they never sent me grades and they wrote incomplete and so I went up and started yelling at the graduate department. This is your dissertation? Yeah.
What were you studying? Psychology. And that made you pretty angry? Yeah. Is that what you feel?
What are your angers about now? Are you still angry about that in particular or is it anything else? I don't know. Well, like today, what about? Angry about the quality of my life, I guess.
He says he just goes to different places and yells and that's how his frustration. Why doesn't he go to a hospital? Why doesn't he go to his house, close the door and scream?
He wants help, I guess. Ah! I just want you to know that this man was burglarizing a house.
Like this. He was burglarizing a home, and he was caught by the victim, and he was hogtied. the victim.
And as the police got there and tried to cuff me, he started with the dramatics. He spit at the complainant. He tried to kick the complainant.
Yeah, I hate when people burglarize me and then spit on me. It makes me doubly mad. He's doubly mad. He bit the finger.
He bit the finger almost all. Oh, really? So now what's he, more charges against him?
Yeah, he's going to have a burglary charge and a sole charge. Okay, relax. Sit back down. Lie down.
Lie down. Anything to drink, Dr. Reeves? What do you want to do?
A bottle of water. That goes with grilled cheese, right? Yeah.
Anybody else want anything from the coffee shop? Yeah. Thank Now we're going on a mercy run for coffee for my director. And to give me five minutes of peace and quiet.
I was walking, walking, trying to get to our start to decide to do this because I decided I really couldn't go home without having sex with Keith. Without lying with Keith, without telling Keith what I feel about life, without trying to find a part with him, I had no energy left in life. And I went with all my last power.
I bought him an $11 ring because I wanted to tell him that I really wanted to marry him before the baby was born. Did you cut your hand? Did you cut your hand?
No, I tried to get the picture of Clinton out of the window. Okay. With King Crab, because he's a crab in the astrological chart.
Okay, and your hand went through the window, is that right? Yes. So you've been diagnosed as schizophrenic? Yes, and manic depression. I don't want to talk to you anymore.
I don't want to be looked at and analyzed like this. I want to get out of here. I don't like these rooms. I want nothing. Okay, so you're upset right now.
I want to go home with Keith. She's extremely manic right now. She did two vows of crack. I'm sorry.
So I don't know if that's a drug-induced mood disorder or if the mania is more related to bipolar illness. Is she stable? Stable?
She's not at danger herself right now. The central issue with prisoners is not whether they're mentally ill. The central issue for us, we're acting as a kind of consult for the court with prisoners, is are they stable enough for arraignment? I want to see my mother!
I want to see it! I want to see it! I want to see my mother! I want to get out of here!
You're not going to see anybody with this behavior. Now what you're doing is lying down. I don't work like you.
I'm fine when I'm not in hospitals. Not the way you carry on. Not at you. I want these people. Call them now!
Call them! Call my son! Call my son now!
You're not cooperating with us. If you want us to help... I don't want to go to Hellmouth!
I want to go home! I want to go again! You're in police custody right now. You can't go home. You gotta calm yourself down.
You're making things much harder on yourself. Go away! I'm sorry to hear you! Hey, hey, hey, hey, hey! Don't hit anybody!
You gotta wait! No, you shouldn't. What did he say?
What did he say? You're bloody or what? I'm obsessed. You want to strap down more? Yeah, let's do it.
Okay. I want to get out of here! Listen.
And your hands will come I don't want to be tied up. I just want to be with my family. I'm scared.
Right now I told you you're under arrest. Do you realize that you're under arrest? I understand you're scared, but you need to relax.
You're out of control. You are out of control. I'm scared.
I don't want to send somebody to a court situation who's medically unstable. Now, we have another problem. The problem is that Bellevue does not have facilities for female prisoners.
Therefore, we can only stabilize her, and then we'll have to get an ambulance to take her to Elmhurst Hospital where they do have facilities for her. All right. That's it.
Wake up. Alright? There you go.
Come on. Nothing works here. The medications don't work. Nothing works here. Do we have medicine here?
The medications don't work. What medication are you on? I hate this place. Are you talking about the medicine you're on? Nothing works here.
The medications don't work. Nothing works here. What medication are you on?
Nothing works here. Uh-huh. The medications don't work. What medications, Jack?
I hate this place. I've been here for seven years. You've only been here since yesterday, Brian. Nothing works here. The medications don't work.
Okay, come with me. I hate this place. I've been here for seven years. Nothing works I've been here since yesterday.
The medications don't work. I'm going to have you lie down over here. I hate this place. And then we'll get you some medication, okay?
Nothing works here. The medications don't work. Put your leg back on your stretcher.
Nothing works here. All right, in here. I hate this place. Okay. Saturday.
Nothing works here. Saturday. Nothing works here. Okay. Nothing works here.
Okay, hopefully you'll calm down a little while, okay? I hate this place. He was on medication for obsessive compulsive disorder, a medication called Luvox. He was also on an antipsychotic.
We see kind of an overlap between the two illnesses. There can be severe enough obsessive compulsive disorder that it looks like schizophrenia. The degree of thinking is so affected that it almost looks psychotic. What you been working on there? Huh?
What you been working on there? Figuring out the scrolls. See, I'll tell you what the colors mean. Okay. Um...
Emerald green is for my cousin's ship. Earthling's ship. which we call Debbie, or Deborah James Cycloretus, and she's professing to be Dr. Cycloretus. Meanwhile, she's a witch doctor, and that other Dr. Cycloretus is really Mrs. Esrich, first name Rosemary.
Mrs. Cycloretus. I'm not Mrs. Zachary, I'm Mrs. Abba, A-B-B-A. Mrs. Abba, excuse me.
You were telling me about yourself earlier. You were telling me that you have a medical background. Yes, I do. Can you describe the background in medicine that you have?
Well, I'm a neuropsychiatrist. You're a neuropsychiatrist. But that's not the only occupation that you have. You've done several other things, is that true? Yes.
Do you want to go into that? I'm self-employed at Laptop Computer Systems. I'm the creator of Laptop Computer Systems. and most other computer systems too.
Okay, what can we do for you today? How can we help you? How can you help me? It's not how you can help me, it's how I can help you. How can you help me?
Because I can wipe out you need me because, see, the counting department, even though my executive form operator is very confident, he only looks at things digitally. So what are we going to hear about? This is a 33-year-old white female with an unknown history who was found slain in the Middle East. sleeping in the Pennsylvania Hotel today by security. They called the police, and when police arrived, she was very confused and disoriented and not making any sense whatsoever in what she was saying, claiming to be a doctor.
So they brought her in here, and on interview, she's extremely disorganized both in speech and behavior, extremely positive, positive grandiosity. They're paranoid, and her associations are completely, completely loose. She can't understand a thing she's saying, so we're going to start Haldol on her application.
And she's in admission 939. And no matter what they say or do, nobody's gonna get paid while I'm in here. Excuse me. And my computer system will most likely blow the fucking place sky-high. It's just so far.
Alright, let's do rounds. James Martinek, I don't know. He must have been a holdover from the morning. Do you know him, Ron? He's a guy who was sent from the AES after having cut his wrist.
He's on methadone. He felt to be kind of depressed and has admitted to it. That's my ticket in. I mean, you have no Medicaid and you live in a Giuliani type of place, that's what you gotta do, man. So what'd you do?
Slip my wrist, man. All right, man. Patient, pretty heavy out.
I'm going to go get a doctor. alcohol user and I wrote some delivery and PR in in case the patient goes through withdrawal. I gotta run out so you and I can chit chat in the morning. I gotta zip up to New York Hospital and I will see you in the morning. The doctor goes to the doctor and hopefully I'll have a good report for you.
And what are you going to the doctor for? Cancer. Big C. But you're smiling. Hello. Well, what am I going to do?
Hello! What do you think's wrong? I don't know.
I mean, it could be bad or it could be horrible. There's no good. It's either bad or horrible.
Have you had cancer before? Sure. I had it five years ago. Five years ago. I thought it had gone, but it hadn't gone.
I'm not rich, I'm not poor, so I'm gonna catch 22. So no hospital would want to know me. Why were you going to the hospital? Because I have an alcohol and drinking problem, plus I'm also manic depressive and I have HIV.
How old are you? 40. Tell me about your bipolar disease. You get, I don't know, you get...
You're gonna bug out. I don't know how to put it in words. What about your sleep?
Do you need to sleep when you're mad? I'm looking for an hour of sleep here, a half hour there, and wake up. I haven't slept normal in years.
Have you ever taken medication? Yeah. What medication? They had a medication from lithium to Thorazine, and everything in between.
Has anything ever helped? It's hard to say because I went back to drugs and drinking and I kind of messed it all up. I know you hurt yourself to get attention. Have you ever tried to kill yourself?
Yeah, a couple times. I overdosed. When was that? I remember once in, I think it was 1991. What did you overdose with?
I threw in like 10 bags of heroin. I just wanted to go to sleep and not wake up. But unfortunately I had some eggs cooking. The pan burnt and it turned off the smoke alarm and the alarm went off and woke me up and I was alive and I said, damn, man, you know? Do you still feel that or are you kind of okay?
Not today, but maybe tomorrow, who knows? You know I'm not happy that you're leaving. Point blank, did you get anything out of being here? I just can't take it.
I'm cooped up. I'm a very hyper person, you know what I'm saying? I'm manic depressive. I'm either too hyper or I'm bouncing off the walls or I'm too depressed where I'm just laying around.
I asked you this morning if you were jonesing. I changed your medication. No, I ain't done. And we'll fix that.
I can make this go away. You're going to leave here and cop? Yeah, no.
Yeah, no? Which one? I'm telling you. I'm telling you the truth. You're going to leave here and cop?
Yeah, no. Because you're going to leave here, you're going to get high on me. Come on. Truly, Annie's got this neighborhood about her. You know what I mean?
I took cover for her. Will you restrain that he's going? Yeah.
You know, I feel it sounded like he made a commitment. We made a commitment. And now the commitment's off.
I'll probably fuck up again. I'll probably be dead within five years. I mean look at it, I've got HIV, I'm a manic depressive, I'm an alcoholic and I'm a junkie. You know what I mean?
And in 40 years. I don't know how the hell I'm still alive at 40, to be honest with you. I'll be back in Hell's Kitchen.
But whether I'm going to die, be dead in a couple of years, check in and see. Ryan, I'm here at TechVital. How are you?
Good. Oh, that's funny. How are you? Thanks. Thank you.
When I do have to yell, I yell. Just start yelling. And how do you explain it? Can you explain it?
The first time you got the call that Brian was in the emergency room and you saw him do it, what did you think? I couldn't believe it. No, to me it was... I mean, I was...
Painfully shocked. Very painfully shocked. You went to a church?
Oh, I went... You're not religious, though. It doesn't matter.
I guess every parent would like to see their kid grow up and be successful at some kind of career or something. Healthy, healthy, healthy, healthy. I'm happy. Not in the hospital. Yeah, I mean, I feel good.
I feel fine. Oh, come on, Brian. You enjoy taking all that medication?
No. Okay. Number one. Second, you know, you never know.
You can't go away because, oh, what if it happens? You know what I mean. I've gone away. Yes. Have you had this kind of thing happen before?
You might have been asked off? Yeah, because they take me against my will. It's not right.
They're supposed to take me down to the police station and book me. book me on whatever charge I want to book me on. But see, they don't have any charges. That's why they bring you to a hospital like this.
Because this way, they try to make you have a psychiatric evaluation. This way, you can't get an attorney. Now what happens if I try to make you stand still?
Can you stand still? No. It's a side effect of the medication.
And it's the environment. What's the medication? Paloalto. I'm being zapped by the CIA.
There's a double-blind in talking about it. As soon as you say CIA, they want to make me stand still. ...medicate you and keep you incarcerated. And, um, let's see.
See, I have to move around when radiation comes in. What do you mean? Why did you just do that? Uh, it throws off the radiation. Claire, let me tell you something.
As long as you're... talk like that you're never going to get out of here. I had to stop saying what I said. It's no different than when I was chanting how to spell S-A-K-E-L-E-R-E-T-O-S.
It's part of the sickness and the medication is the only thing that helps you. It's true. I didn't want to admit it. medication and relax, calm down.
The medication is torture. It's not torture. If you're feeling side effects from it, then you need to let your doctor know. I know it's a very hard environment getting to even talk to your doctor.
He doesn't come around every day. I think if they want someone to medicate and incarcerate, they should pick the people who tried to strangle me and who worked for the CIA. They should be subjected to this punishment because it's torture. The medication is torture and the incarceration is torture. I can't believe you're saying that.
I could go home, but I don't know, that didn't work for me before. Because this man who claims to be my father, Bob, won't put his clothes on. He thinks it's okay to walk around naked in front of women and small children. And it's not okay.
We've got to put his clothes on. It's not his house anymore, because he decided to have children. And he walks around naked in front of women and small children, and it's wrong. Plus he's sexually abusing them. They don't want to hear about that.
They just want to medicate you and get you out of here. What are you doing with them? Oh, they have groups.
Like right now, they're having a beauty group. You sit down, put your nail polish on. There is no lipstick over here. It's over there. Don't go over there.
No, you're not the only person here. Don't bother me. Don't bother me.
Don't come close. I'm trying to show her some of the stuff that's there. Just... Just, uh, for one minute.
Stay on the other side, Ms. Jacobson. You know what's shitting on my face! I'm nowhere near you! What's your problem? Now I gotta walk out on the group because of her.
Medication's don't work. I hate to play. I've been here for seven years.
Nothing works here. Every morning I wake up to that. Him too.
Yeah. I told you what he needs is a... because when he was out on the roof, he didn't say nothing like that.
I don't like close-ups. Badibo! Badibo! Where's Arojo?
He's over there. Arojo! Let's do it. What's for dinner?
Some kind of Spanish rice and... I hope I can eat the fish. I hope I don't get sick from it.
Why do you get sick? Well, I got a stomach ache from the last time I ate fish here. It's really bad. I don't eat this.
I don't know. Do you want this? No. Anybody want my fish? Hello, anybody want my fish?
I hate this place. Nothing works here. The medications don't work.
I've been here for seven years. Nothing works here. I hate this place. Nothing works here.
The medications don't work. I've been here for seven years. I hate this place. Nothing works here.
The medications don't work. I hate this place. Nothing works here.
The medications don't work. I've been here for seven years. Is he dead?
Yeah. Why is he dead? Obviously he doesn't like this place. And I don't know, you know, they think the medicine is the cure all.
It really takes time to get used to the atmosphere here. It's very enclosed. You feel like you're never going to get out.
Of course they took me to the roof so it helped a lot. But I think that's what he needs is to have a little more freedom. Whether he's got to go out in a pass with staff or, you know, someone strong enough that can handle him.
I don't care. but I really don't think it's right to put him in a seclusion room. I don't think that's the answer.
I've been here for seven years. Nothing works here. Brian, you feeling any better?
Yeah. Let's talk about how it actually feels in the room here, talking to me. Telling me how you really feel and not just being this nice good boy. Oh, okay, well, um, I hate the hospital.
I've had to forsake school and therefore I don't have a real career that I love and that I'm stuck doing things that are repetitive and redundant and not challenging. Is it possible, rather than being the psychologist, you've become the psychological patient? And that's become your job. That's how you've spent the last years.
I don't think I wanted to become a patient thinking that that would be a better alternative than being... than having a job or something like that. But there certainly is something that keeps you doing it.
And maybe if we have an understanding of it, maybe then it will be more easily controlled, or not more easily controlled, depending on what you want to do about it. I'm very motivated to get back to some semblance of a life on the outside. Well, I would hope that that's what happens. Yeah, he's pacing back and forth like that.
Because he's the one who gave... Yeah. Yeah, I don't think I want to interview him. What brought him in, Albert?
He was agitated, and this is in the context of transitioning from one case manager to... another very agitated here yesterday was threatening he didn't want to take meds and wanted to leave. Has a secret service history right? Yeah secret service took him out to the movies the other night.
Breaking in. He broke into Ronald Reagan's California home about 20 years ago. Yeah.
So he's known to them. Okay. Have you been in Belmi before?
Oh, many times. Many times? I've been hospitalized over 30 times. Nobody believes any of this. They all say that I'm crazy.
But then that's to be expected. Who would believe the second coming of Christ is the second coming of Christ? If they believed me, then it wouldn't be believable.
He said that he didn't mind being here as long as it was respected that he was God. Oh, okay. Well, he should have told you that yesterday. The only problem is we got two or three gods down here, so.
I was hoping. to go to court and have them finally declare me as God so that I can get off of this whole thing and make it official. What do you mean declare you as God? So that, declare that once and for all that I am God, the one that was expected to return in the second coming. You think you're God?
Yes, I do. I believe that to be true. You're smiling.
Well, it's a nice thing actually. I'm not smiling because I'm saying it as a joke, I'm smiling because I think you might believe it's a joke. But I do believe myself to be God, yes.
He is getting more agitated. He's grandiose. He feels he's God. And that's probably because he hasn't been taking the medication, the mood stabilizer, the antipsychotic. And I think the Secret Service was involved with him recently since the president's coming to town next week to find out what's going on and talk to him.
But what brought him in here this time is that at his residence, he became very agitated, threatening, which, again, is part of what we see with him, the irritability. And that's why he's being admitted. Ever since I broke into Reagan's house, I have no secret. I have two Secret Service agents that are known to me personally. And every time the President or Vice President now comes to town, to New York, I have to be with two Secret Service agents.
As a matter of fact, on Monday night I was with Todd in the Mississippian, and some other guy, I don't know. Todd is a Secret Service agent. And we were supposed to go to the movies, but actually I went to a nightclub.
We are getting pizza, which we never get, hardly ever. All we get is mashed potatoes. We don't get coleslaw, this isn't a diner.
This picture is not for kids. This picture is for the help of a bean boat. What I'm trying to say is that you...
What I'm trying to say is, let me just speak, this isn't a funny conversation. What I'm trying to say is that when people are in pain and they need help, let me talk, please. Please let me talk, goddammit.
I'm trying to say I can't take it with her. Let me talk. Happy birthday to you. Happy birthday to you.
Happy birthday to you. How old are you? Oh, stop, stop. Kiss me.
I can't take it. I can't take it. She feels threatened by me. I don't understand why she's jealous. I don't know.
No one believes me. Please don't touch me, please. You want to wear my jacket? No, I don't want to wear your jacket.
Get in line, Angela. They're cracking with me too, those workers. They're cracking with me too.
They always do it every night. We're eating a pizza now. One slice of thinking I can't make up. Yes, you can. Come on.
I don't want to make up with her because she got me into trouble. You're a forgiving person. Not when I was tied down and thrown in a... That was a long time ago, and we're going to have to forget about that and work on now.
And you think she's so pretty that you want to seduce her, don't you? No, I don't. I don't think you should be concerned with her.
I think you need to be concerned with you. Okay? Because I feel like you have the hots for everything.
I don't have the hots for anybody. Let me ask you, Angela, do you remember what things were like when you came here, when you came to the hospital? I was very violent to everybody, and it was because I thought they were going to rape me and this and that and the other thing. I'm sorry.
Is it good to cry sometimes? Sometimes it is good to cry. I'm sorry. Sometimes it is good to cry. I miss my kitty.
I call her kitty. I came back to the. I hope somebody is after her.
I'm sorry. I'm just upset because I miss my family, and I want to be transferred. I think they miss you too. That's my father. He died right in front of me.
He had a heart attack and I didn't know CPR at the time. Danny, I love you and I miss you wherever you are. He was my sweetheart. He was my life. He took me everywhere.
Since she was 17, She's been in several hospitals, state hospital at one point. But at times she's been doing better too. For about the last 10 years she's had a steady boyfriend, and about a month before she came to the hospital they broke up. This gentleman is very, very psychotic, religiously preoccupied, and he's eating coffee. pages of the Bible and swallowing them.
He says it's the body of Christ. So I'm very, you know, I really feel like he needs to be hospitalized involuntarily. He's not taking his medication, right? No, he refuses.
He's not on any medication. He refuses to see a psychiatrist and this has been going on for several months that they've tried to get him help. He's been here for a while? He's been here for a while.
And he was actually eating a page of the Bible when I interviewed him. His name is Wilbur Ames. Now what poison did you get from uh... I'm not here to give you what I'm trying to do.
Uh huh. Get checked out. Nobody's saying that you're gonna stay. Alright, but you gotta go get checked out.
Yeah, on what charges? There's no charges. You're going to the hospital.
So I ain't going. My concern is that for the past few months he's been eating a number of pages from the Bible. Okay. Right. And actually swallowing the bits of paper that he's chewing.
So it sounds like he really... He says it's the body of Christ. Okay.
So he has very... logical reasons for doing this. How you doing, sir? I'm Dr. Kleiman, one of the psychiatrists here. Mind if I talk to you for a few minutes?
No problem. Alright, can we go in another room and talk? It's kind of crazy out here, huh?
Yeah, no problem. A little loud. Republican alike. I had the President in making a... Do you have a Bible with you right now?
In my back. Yeah? Uh-huh. You been tearing those pages out? Uh-huh.
I'm a chapter book. How come? I'm just curious. Because I just want to understand how come you eat it. Eat those pages.
Are you chewing on something right now? Yeah, you've got to have the communism body to bite me. Oh, I also got... from the hospital on the x-ray on the x-ray that they took him of your chest yeah there's no heart you don't have a heart I think in all the hospital rooms there is a Bible yeah and we we need to make sure he doesn't have access the Bible's in fact they may have to remove the Bible's from everybody's room everybody's room cuz he may go searching out Bibles we're gonna give you trilithon what's true what's on It's a neuroleptin.
Antiseptotic? Yes. Yeah, go ahead.
I'll just take a benzo. Well, that's a problem. Why do you want to give me an antiseptotic?
Well, because I know that you're a drinker, and it's not good to... Benzos tickle your alcohol receptors, and that's not good for you. No, but the other things, what it does is it makes me drool.
Well, I don't think this one will. I know you didn't like the Haldol, but this one is more... In...
It's a newer one, it's better. I'll try this once, one time. Is that reasonable?
Hopefully it will work on you. Take this one first. Very good. What I want to kind of impress on you What? Is that you need to take your medication because...
Yeah, but on what medication though? Okay. I don't want to take Haldol. The problem was that I was walking around like this for three days. From, that's probably from the Haldol.
Like this, like that, look. Like this. When you were here, you mean? Yeah, I did it for three days like this. I was going like, where's my medication?
Where's my-When you were in the hospital you were talking. Yeah, in the hospital. I was like, doctor, I couldn't even sign my-Come here, Mr. Dean, sit down. I'm getting the picture, because I know what Haldol makes people like.
You know what they make it like that? I think-They make me like that. A little, maybe. A little.
I dropped my plate nine times. Did you? Maybe your dose was too high.
Did you talk to the doctor about this? I don't want no Haldor. Okay, okay.
I told him I'm allergic to it. All right, all right. But, so you left the hospital, threw your medication away, right? About two hours later, I smoked a joint. Two hours after leaving the hospital?
I smoked a joint, I started dancing. And this was when? What date was this?
I don't remember. Like, how long? Two days ago, maybe?
Three previous hospitalizations since age 16. Two at St. Vincent's. Restricted for ADD. I think they tune him up and then he goes out and does drugs and drinks and doesn't sleep and you know, doesn't take his medication. This mania comes right back.
It's not good that you're back so soon, and it's not good for you prognostically that you were discharged. You know why? I couldn't sleep.
On Wednesday, you also left here and threw your medications away. because I told you no and you didn't want to listen to me and you know what happened because I went to see that doctor and he was a fucking asshole excuse my language I went to the doctor and the first thing he started asking me was well have you Have you had a drink in the last five years? I said, look, I just got out of the hospital.
You know what I did after that? I went and I smoked a little joint and I felt better. We will try to figure out something better than weed for you as a treatment plan for your next discharge.
All right. You gotta work with me. Why am I here? Because someone brought you like last time. But why did I tell them to bring me here?
I don't know. I guess I sent my daughter this year. Does this mean I'm stuck with you? Yeah.
Oh, Lord, I'm going home. You all have a good weekend. I'll see you Monday. Miss Whitfield is the head nurse upstairs this weekend.
I will be in touch with her to make sure that you're getting appropriate medication. Everybody Monday. Have a good weekend.
Thank you, Doctor. What am I going to do? I'm stuck here. I don't care. I have an audition on Monday, though.
Fuck. even though it was proven that he is not the father of his child. Another interesting point of note, the plaintiff's mother...
I have no audition for a CBS pilot on Monday. I don't care about a pilot, though. I've done 12 films. I don't want to do it.
I want to be on TV every week. I'm sorry about... Your wife is really worried about you. Do you know why she's worried about you? Yes, I do.
What do you think? Spending all of my time... masturbating, looking at images of pornography. I think she's worried because...
I think she's worried because... she's... worried that I may have distributed images, which is not the case.
I have never ever intended to do anything like that. Do you have a sense that there is something, you know... wrong with you right now.
I think I have a sense that there's something wrong with me, but I have a sense that I didn't do anything wrong. I didn't do anything wrong. We are very concerned about you. The presentation for what you're reporting, what we heard from before, it's highly suggested that there is maybe the presence of mental illness, you know, and particularly like of a mood disorder.
I don't know if you ever heard about, you know, many depressive... Do you feel better? No. I mean, I can't take care of him at home, but I don't feel better that he's in here. After seeing New Way, I'm not blaming the people who work here.
It's just, it's an institution and they don't know him and they're just trying to do their job. You know, he's really scared. I don't know. You got the code. You got it three times today.
Sylvia. That's her. That one's back. Give me a kiss. Yeah, that's her.
So do you want to tell me why you came in? Well I had a nervous breakdown and I was sitting around masturbating and I was being observed which I didn't realize. It seems to me you're humiliated and ashamed about what's been going on. Yeah. And that makes it hard to talk about those.
As if you've done something terrible and you're to blame for something. Yeah. Sometimes I feel like I just want to die. Are you thinking of wanting to die at this moment? Yeah.
What do you think is going on diagnostically? Definitely has some he has a tendency towards what he calls depression obviously, okay, not Hospitalized or treated in any way we then have the story from this morning that he seemed to be manic Yeah, he was presented as right. I mean the story this morning was that he was calling people whatever and Then I tried you know how often were you masturbate you're at the email.
So how often were you masturbating? six hours is A lot I mean, you know I have no idea. I can't comment on that, but what I can say is he was masturbating for six hours a day.
Not concentrating. Not eating. I would say probable bipolar 1 mixed depressed with psychotic features. He is a sick man, but he's going to get better.
We just have to make sure he's safe while... He goes through this period here, because this is a problematic period. You gotta be level two.
You must be level one. Alright? Where does he wanna go? To the roof.
Can he see well? Hm? Is he allowed to go? He's not allowed to go. He just came here for the one-to-one.
Suicidal watch. He says that he wants to kill himself. But so far since I came, he don't say nothing like that to me.
He just stay quiet and sleeping, but quiet. It's becoming increasingly difficult to hang on to any thread of reality whatsoever. Never do people want to go to the roof. How are things going here? Well, I don't know.
Sometimes I don't trust you. Sometimes I don't feel like you could come back and talk to me. And it creates anxiety.
Don't I come and talk to you every day, though? I don't remember. So it makes you nervous?
Yeah, because I need help, not just to peel down my drain. I need someone to talk to because a pill down my drain can help the system. but talking helps to relate more.
Does it feel good when we talk to you? You like to talk? Yes, but I don't know how to live with myself now.
You're learning, aren't you? Yeah. God, it hurts so much.
It hurts so much. I'm going to work on the medicine, right? Yeah. And we're going to increase your Paxil. You take 40. Yeah, that's going to help.
And we give you ORAP. That's for the voices. And that's for the thoughts.
Okay? give you Klonopin? I just feel a lot of pain. There's nothing anybody can do for me. Yes, there is.
We're going to help you with the medicine, and you're going to help yourself. Alright, take your glasses off. Oh God, I'm scared. You're scared? Why are you scared?
I don't know what the hell is going on. It comes with this special case too. Okay. So these are for you.
Thank you. Oh thank you, I like them. Let's see how they look on you.
They're supposed to be the newest style, huh? Thank you, doctor. Those are great!
How do they feel? They feel good, thank you. You look beautiful. Now, can I get rid of these? No.
But look at these things. Look at them. Come on, we can't throw these away?
Let's make this, throw these away like this was the old you. Like this was the old you that we don't want anymore and those glasses were going to represent the new you. I like them and everything.
I wish I could be nicer and be more affectionate, but I'm just in pain and nothing can take the pain away. Oh, I have black fleams, frames of fleams. I said fleams, it's like, you're choking all over me now.
What do you think of the glasses? I think they're really nice. Look at my hair today, oh, I'm a mess, I look like Pebbles.
Cheryl, I love you. Thank you. They're very pretty. I have a lot of frames. Sorry.
Did you give her glasses? I did. And?
And they look good. Was she able to be happy? No, not really. No, what did she say?
It was a brief moment that she truly enjoyed the new glasses. Did she say that she doesn't deserve them on some level? No, but I think she felt that way because she expressed a lot of guilty feelings immediately as we gave it to her. That's great that you did that.
Good. Alright. Dr. Levy, is she ever going to get better? Like really better? Is she going to get really better?
You know, she has a long history of illness and a very strong family history. Her sister suicided when she was 15. She's been sick since she was six. Since she was six? That's what she said, yeah.
And I think her mother has a mental... wellness too. But I think she's doing better since she came in.
I think she's doing better. So hopefully she'll do well enough to be able to be discharged to the community at some point. It's the best we can do.
I'm glad I got to see you. Wait, you don't have to sit here, ma'am. You can get those handcuffs off. I want to sit there and wait until something with the psychiatrist. No, you can't.
Here. He has to take the key out first. You have to listen to the doctor.
When he says I take them off, I take them off. You promise? Yeah, just sit there.
You listen to him. When he tells me to take them off, I take them off. There you go.
No, no, wait. This is the head. No, the other way. The other way.
Okay, I guess we're doing that. Perfectly fine. Sit up for a second.
Sit up. Sit up for a second. Sit up.
Sit up. You're sitting on your hands. Take them off.
Okay, come on. Lay down. I need my shoes.
I need them on. No, I can't be tied up. It's just a seatbelt.
I can't breathe. I can't be tied up. I can't be tied up.
Can we put the restraints on, please? Yeah. All right, all right.
Now you want to lay down. That's an impressive move. I can't lay down. But we gave you an option.
Yeah, but you need to help us control. Look at her. Oh, she's kind of sick. She was here a little over a month ago.
She was down here all weekend because we had no beds upstairs. And we transferred her to Gracie Square. But she says she was released two weeks ago.
And I don't think she's taken beds since she left because she's really bad. It doesn't sound like it's just for the family. I'm going to go to the bathroom. from drugs and alcohol.
It sounds like there's probably some psychiatric illness underneath all this. It's getting worse by the drugs and alcohol. Right now, she didn't have alcohol and breath, but she has had urine toxics positive for cocaine in the past. So we're gonna admit her and start her on some low dose antipsychotic medication. Ideally, she would be on a mood stabilizer, but last time they tried her on Depakote, which is very, very good, and she was not compliant.
So she's gonna be a compliance issue. Now we just admit her and see how she looks after a few days. Wendy, what percentage of people have substance abuse problems and mental illness?
Depending on who you talk to, it ranges from 30 to 60%. You can have a seat. I don't know where she is. I called her office, okay? It's a tremendous amount that I think most clinicians underestimate.
In fact, there are a lot of people who think that schizophrenics like to do cocaine because part of being schizophrenic is sort of being slowed and not being... hooked into the world and being kind of unengaging. And cocaine kind of provides a sort of a boost and makes that negativism go away.
So I think, and then there's the old, you know, thing that alcoholics are medicating depression, blah Certainly here at Bellevue, I think, you know, greater than 50% of our patients have substance abuse problems, which makes treating all of their other problems ever more difficult. Let me go! You stole my motherfucking purse! Let me the fuck out of here. You can't go right now.
Unfortunately, you're not thinking clearly now. I'm thinking perfectly clearly, you motherfucking dicks. I don't want this. thinking clearly at this point. So we're gonna have to put her in protective custody.
In other words, we're gonna assume responsibility for her well-being and her care. She already has restraints on. In general, we'll give her some sedative to make her relax until such time that it metabolizes her ethanol. And when she's sober, she'll probably be able to make better decisions.
I am sober, you motherfucking piece of shit. Tell me how you ended up in the detox again. Well, I must have been drinking.
Okay. Do you have a problem with that? When I don't have anything else to do, I do.
Okay, now how are you going to work on that problem if you leave too early? I made up my mind. I'm definitely not drinking anymore.
And how are you going to do that? I made up my mind. But how are you going to do that?
I'm just not going to buy any, I'm not going to drink any. Okay, it's not a very good plan. Okay, I have to tell you that. Okay, you came in here for one reason and then all of a sudden you want to leave and you're breaking your plan in the middle. And statistically, relapse is pretty much imminent.
Oh, I love you, darling. I can't wait to get the hell out of here and get out. Because I'm tired of hospitals.
I was just worried you weren't gonna be there. Somebody put me in here. Now you're sure you're gonna be there cuz I don't have a key.
Hi, can I have my cigarettes? I got them locked up. Cigarettes?
There's no smoking here. I'm not going to smoke here. I'm going to take them home with me.
I'm leaving. You're leaving now? Why? Because I want to. I thought you were going to leave next week.
Oh, this week, can I have my cigarettes? Nurse, can I have my cigarettes? You want to meet? Yes.
You can't leave with pajamas. Yeah, nurse, can I have my cigarettes? They're locked up. I've got somebody on the phone, nurse.
Who? OK, let me refer you to your social worker. I don't want to social. Can she leave the hospital if she wants to?
Yeah, she can. All right. I'll. Regina.
They change their mind a lot. happens a lot. Is it hard to get a bed? No.
That's a myth. That's a myth. I can get a bed in five minutes. I think that a lot of your plans right now are scattered and they're held together by spider webs.
And people are being afraid of me. Well, you've been doing some funky things. You called the police.
your apartment and said you were going to jump out the window and commit suicide. Yeah, but I also let them know I was going to go on a second call. No, you didn't let them know that.
And I was going to piss on them. But that's the kind of behavior that is going to constantly bring you in and out I want to go to rehab for six months. I think that's great. I want you to go to rehab for six months. Let's figure out how to do it.
I am sad for you that you decompensated so quickly. And you really wanted to see the movie that you were in that opened while you were in the hospital. I didn't see it. And you were so... Jerry, you need to listen to me because this helps you understand how ill you are.
Did you see the movie? You were so preoccupied with getting back to your dream. drinking and your drugs and throwing away your medication. That's right, you didn't even get to see the movie you were in. All right, Sherry, get some rest.
I love you. I didn't mean to touch you there. I'm gonna have to put you on mega doses of something now, knock it off.
Eric, you're best off going to your room, sweetie. Go on. Are you feeling really stiff?
No, I'm not stiff. I'm just... What tire is behind?
Come on. You're having trouble walking? But you can't see the beat. Eric, I don't know what you're talking about. You should go lay down.
Stop focusing on wanting to leave. Your head's got to be here in the program. Are you going to help me make sure my stuff and my apartment is safe?
I'm going to help you get your behavior in control, your thoughts in a linear fashion, and hopefully the desire to start a new life. I'll give you some drugs. Okay.
What? You wear me out. You wear me out. Well then we're a good team.
We're a good team. Go to your room. Go to your room. Eat lunch. No pot.
I need hugs. I need hugs. No hugs.
Like the French. When this is aired, my license is getting yanked. I feel it coming. Feel it coming. Sometimes hands-on in psychiatry is useful, ladies and gentlemen.
Ah, cherries. You got me wrong. You got to work to get yourself well. I'm trying.
I know. Um, Josie. Josie.
Which is the Librium? Just, just give him his... Just this one?
I only want to take Librium from now on, that's it. I don't want to take anything else, I want to be released. Josie, just give him his meds.
Uh, go do something. I'm going to do a... Uh... Josie, I'm not taking medication.
I'm refusing all meds. Josie, I'm not taking medication. I'm refusing all meds. You're refusing my medication?
I'm refusing my medication. That's why we're going to court today. Okay, fine.
Alright. You can't take it to the treatment room. There's no use for people like me.
You fight. I give up. Let me try to kill Michelle. She'll come and give you a medicine.
Anne, you have to... I have to do it because it's a court order. Don't get... Don't get so upset. Don't get so upset.
Calm down. Calm down. Calm down.
I know what's wrong with me. I had an incident eight days before I came here. I know. I know.
I have no right. I should have been let out when I was the first time in court. Have you been outside? When was the last time you went outside?
I don't know. When was the last time? When I got admitted here.
When was the last time you saw the sunlight? I don't remember. I don't remember. OK, OK, OK, OK. I'm going to take this.
Wait. OK, this is your type of door. Are you sure you want this? I have to take this. Keep the juice.
May I see your mouth, please? OK. OK, let's look out the window. Come on.
I want to get out of here. I don't want to be in here anymore. I don't want to.
I told them I'd rather go to a shelter than be in here. They won't listen to me. I don't want to go back to the shelter and sleep on a chair than be in here.
I can't stand here. I want to be connected to the outside world. I'm going to be connected to the outside world.
I want to be. Please help me. Please help me get out of here. Please help me.
Is she going to get out? Yeah, she's going to get out, but it takes time. You know, doctor will have to make sure that she is well enough to go back out on the street.
They don't want her to go outside and then when she goes outside she'll have to end up coming back here again. I don't want to come back here because I have no place to live. I have no place to live.
I told you somebody's got to find you a place to live. I don't want to live. 42. I'm sorry. Have a seat on the green chair, sir.
Recalling number 42. Hospital's application for involuntary medication. What medication are you requesting that the court authorize? Well, primarily a mood stabilizer.
Is that lifting and Depri-co? Depri-co. Would you explain to your honor why you don't want to take these medications? Yes, because I have had good days and I have had bad days, and the bad days that I have had here inevitably follow the medication. When I have not taken the medication, I become lucid, I become clear.
If I say he doesn't have to take the medication, is he out tomorrow? There's nothing we can do at this point then. Medication is what we believe is needed. You have to go someplace else. And he needs to find other treatment.
Release him, because if he doesn't want to take the medication, he's not taking what is the best treatment for his condition at this time. What is worrisome is his suicidal... That he was suicidal and threatening. It is worrisome. I mean, it's very worrisome.
And that he was brought in... an acutely agitated manic state has required three times not only to be medicated but to be restrained and he is a danger to himself and other people now i don't know what to do if he's not going to take medicine because psychotherapy isn't going to work that is simply not true i am not i'm not a danger to myself or other people i refuse to take the how doll i refuse to take the depo code i will not take the how though that's fine so be it go ahead it frightened It confuses me what we might read in the newspaper, but that's... Objection, Your Honor. I'm certainly finding someone. I just think that you will get a better understanding of the nature of your illness and the appropriate treatment instead of coming up with a bunch of clichés and half-baked ideas about what psychiatry is and is not.
Okay? Okay. Ann?
I'm leaving. Take care. You're leaving the hospital?
Well, yeah, I'm gonna be an outpatient. I might have some contact with the hospital, but I'm leaving. You're a great person.
You're a great person. Take care. Thank you. Bye-bye.
Take care of yourself. Okay, bye. I always get women in my life. Like women psychiatrists, women fucking doctors, women probation officers.
Are you fucking women to drive me fucking bananas? Oh my God, why am I here? Okay, let's get through some of this, okay? How long have you been using alcohol? Oh, since I walked off the...
When did you first use cocaine? Oh, but that was like, you know, that was on and off. I didn't know, because I'm a, you know, like the doctor said, I'm a manic, so I was using alcohol and heroin, down head, and cocaine was like an up head.
You know, so when I used drugs... I was only like the psychiatrist said I was just basically just medicating myself. You know I'm saying Okay Come with me Well, you're not you can't you can't go yet even though you did sign.
I know you signed the voluntary No, no, come on If I'm ready to stop drinking and jogging I'll call it over there to stop Don't force it on me man. Don't force it on me. No, no No, no, have a seat, have a seat.
Have a seat. You keep this door open. Okay, now, you're gonna be admitted upstairs. Oh, no, I'm not. And then you can put in a three day letter.
And then they decide what to do. You said you gave me your word, and in the morning, the voluntary, I'm allowed to leave. But what a voluntary means is that you have to be admitted upstairs and then give a three day letter. No, no, no, no, you said I could leave today. Terry, you have to send me the letter.
I don't wanna be fucking released. I demand to be fucking released. Okay. You promised me. Okay.
Now you're going back on your word. Okay. So how now, and you expect me to trust anything you say.
Wait a second, we think that you're a danger. We think that you're a danger to other people. I think you're a liar and a bullshit artist, man. You just wanna be on HBO. No.
You promised me nine o'clock in the morning, I signed a voluntary paper. Okay, you're gonna get medication now. You're bullshitting me, you know?
Okay, and we'll see you back in the ward too, 120 East. I'll see you, motherfucker. You promised me 9 a.m.
to leave. I signed a voluntary paper, you gave your word. Voluntary. But voluntary means... Come on, guys.
Okay, okay. Motherfucker bullshit me. Motherfucker jerk me around.
You motherfucking faggot shit. Okay. You don't fucking tell somebody I want to do it. Put him on a stretcher. If you need a drink, you need to keep that to yourself on this unit because that's your head.
I don't want you poisoning anybody else's head here. Okay? Out of respect for the other people.
I may later, but don't do it that way. I can't. You can't help us. Yes, you can. You can.
I'm an alcoholic. Have respect. Yes, I know that. But you don't have to screw with anybody else's head. Have that much respect, okay?
Here's the door. Throw me out. Don't push me, Jim.
So what do you want to do with him? The thing right now is he's not acutely psychotic. And I don't think that he's showing a significant mania. I think that he's just irritable, angry, showing cravings.
All right, since this is his third inpatient admission, and he's been in the ER a gazillion times, and he's not utilizing services, he's abusing them. So I'm comfortable saying he can't come back. Thank you. You seem a little bit depressed lately.
I miss my residents. Yeah? Libby House?
Yeah. I don't think they'll take me back. They might.
They might. I can't tell you what Libby House is going to say, but I can tell you you're doing better. And I know that Libby House is invested in your care and want the best for you. They're really interested in you. and I would like to know what they think if they come back and look at you.
Okay, I wasn't trying to be bad. I really didn't see what I was doing. But whatever it was, you've turned around.
I just saw that I was... I just see now that I overreact and I... But you're doing great, though, so let's try and move on, okay?
Alright. Come on in. This will only take a minute. Why don't you have a seat?
So I just wanted to let you know that I think it's probably best for now for you to continue to be in a hospital. Unfortunately, we can't keep you here at Bellevue. We'd have to send you to a hospital that can handle a little bit longer a stay than we can. And that means Rockland. Okay, I wish you luck.
I know it's tough. Excuse me, why am I... I don't know. It's nothing you did.
It's not a punishment. It's just the way it is, biologically. There may be things you can do in the future to help massage the biology. That takes time. You said you didn't have the energy to fight anymore.
I think you do. I think you need to rest a little bit and get back on track and find a way to shift things for yourself. Yeah. But that takes time. Are you feeling like you might hurt yourself now as a result of this decision?
No, not really. I don't know. Are you hearing any voices right now?
No. Okay. All right. So that's the plan, Cheryl.
Okay? So why don't you spend some time with your nurse companion right now and get yourself ready for tomorrow. Okay. Is there medication out there? Not today.
She's probably been on every medication that we have available, but that doesn't mean there won't be something two years from now. I think people have this fantasy that there's going to be a drug, that if you can just find the right drug. And it's much more complicated than that because this is a woman with a life and a story who is more than just a sum of her symptoms. She asked, why am I sick?
And that biology wasn't the answer she wanted. It was like, no, why am I sick? What did I do?
And no one here can answer that. I was going to jump off a building, I was thinking I was just running in front of a bus. One, two, three, turn!
Have you ever been in a psychic? psychiatric hospital. Right here. All of this is inhuman against my will, against my doctor. I was a heroin addict, an alcoholic.
My sister committed suicide. A year later, my mother committed suicide. In the name of Jesus.
You'll be fine. Just sleep a little bit and relax. I don't want to be like this.
No, you need to relax a little bit. Please just help me. We're trying to help you, sir.
Let us help you. A woman coming from the AES who says she wants to die and is refusing to leave the AES. They saw her for some upper respiratory stuff. Nothing works here.
I hate this place. Nothing works here. The medications...
I've been here for seven years. I am gonna stay out of Bellevue, you know? I'm not gonna let myself get back to that point.
You know, I'm gonna do whatever I can. And I'm just not... I'm a fighter. I'm not gonna let myself go back there.
Ma, I just wanted to tell you I love you and thank you for all your help. And I pray for you every night. When was your last drink? About an hour ago. There's a greater likelihood of none of this happening again if you take what we know to be the standard treatment for this illness.
I told you it was coming. Who sent you that? My father. and he lost his job, so I have to give him credit for something. So I'm the light of the world.
My website is lightoftheworld.com. Let there be light. Somebody's got to play the role of the second coming of Christ.
Why you? Why me? Why not?
Somebody's got to do it. My dream is to get out of the hospital and to live a happy life with freedom and roast beef and Swiss cheese wrapped around him once, twice, and a big Coke. Thank you.