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Brattleboro, VT
A 60-year-old female asked:

I have paranoid schizophrenia, also ptsd from use of restraints/seclusion in hospitals for days + weeks w/i last few years. 3 im meds came with for "not following directions" they said. was this right?

4 doctor answers12 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Hard to assess: Without having seen the true context of these events, i can only guess. I'm not sure what "directions" you were being given, but it's possible that your behavior was interpreted as acutely escalating symptoms of your illness. It's also true that the hospital can be frightening for people, and hallucinations can evoke scary behaviors. Please tell your doctor or hospital ombudsman of your concerns.
Dr. Daniel Kirshenbaum
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It depends: Physicians will generally use these medications when they feel you are risking your own safety or the safety of those around you. Sometimes when a patient is in a delirious state it isn't obvious to the patient that they are doing this. It is difficult to say if this was "right" or not. There are also often other solutions. If you are unsure, request your medical records to learn more.
Dr. Lynne Weixel
Clinical Psychology 36 years experience
Yours is a hard road: I hope you'll find an advocate to help deal with these things. On behalf of caregivers anywhere, i'll offer you an apology. I wish all staff were careful, considerate and competent but they're not. It makes it that much harder for people in your position. I'm so sorry. Try to get past the past and find an ally. It will be easier if you put it in terms of hope for your future care. Best wishes!
Dr. Donald Jacobson
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Most states have strict laws about use of restraints. Make sure that your rights were not violated. It may not directly help you, but it might help the next person who finds thmselves in your position, and for that you can be proud.
Sep 23, 2013
Dr. Daryl Tanski
Specializes in Psychiatry
Seclusion/restraint: This is an intervention of last resort. Only considered when other options have been ineffective or risk of injury is immediately eminent. Punative use is unethical and not standard of care.

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Last updated Oct 24, 2017

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