Keener’s continued saga: Links to the first several chapters are here if you’ve missed them pick them up here: Part 1 and 2 herepart 3 here, and part 4 here,part 5 here and part 6 herepart 7 here and part 8 here.
I encourage you to pick up the story here if it feels overwhelming to go back and read all. Keener is a wonderful story teller…you may be enticed to read more or perhaps you’ll just pick up the story from here and stick around for the final chapters which are going to follow.
So this is part 10 (phew it was never meant to take this long!) of my account of what happened to me when I experienced a severe withdrawal reaction to Effexor. This post describes the Mental Health Review Tribunal, which led to me being released from Section 2 of the Mental Health Act. Unfortunately I was no more sane than when I arrived. My freedom eventually proved to be short lived, but that is another drama entirely, to save for another day.
Time plodded on, but never linear, it whizzed around in a most precarious manner on the unit, speeding up, slowing down and sometimes going backwards. Nevertheless the day of my Mental Health Review Tribunal finally came.
I had managed to keep out of trouble, no incidents, no therapy and most importantly no drugs. Smiles and ‘yes thank yous’ were my armour.
I met with my key nurse the day before, who needed to fill in her report for the tribunal. I kept up the pretense that I had been very sick when I had come to the clinic but I was feeling much better now. I bitterly regretted the ‘incidents’ that I had had with staff in the first few days, acknowledging that it must have been very scary for them, but protesting to her that I had not intended to hurt them. I told her I wanted to go home so that I could sort my life out, that I hated it at the clinic. The reason that I don’t talk to anyone is because I am so damn happy and well and so on. To be honest I don’t think that she was buying it, that everything was as rosy for me as I was making out. She scribbled things on her note pad…
The night before the tribunal, was unremarkable in this context. No sleep and an acutely distressed patient shouting and raging until the early hours – her islamic faith distorted into her personal battle to save us all from all our hideous attitudes and behaviours. I was told to stay in my room as the night staff tried to reason with her, – just go to sleep. It started with her wanting one of her cigarettes that were locked in the staff room – it ended with talk of teams coming down from other floors and injections. I desperately wanted her to be quiet, her shouts about the voice of Bin Laden and everyone perishing were scaring me.
I hid under the quilt in my room trying to read the ‘Flower expert’ book that I had with me, brought in for me by my parents. As I read, I realised that this manual had been written specifically for me and that I was in telepathic contact with the authors. They were filling my head with nurturing thoughts, explaining how to look after myself – water regularly, full sun and provide nutrients.
My neighbour eventually gave in and went quiet. She had goaded them for a while daring them to “get your team and your injections”, but she seemed to think better of this and thankfully the screaming and shouting stopped before any possy arrived. Then I had work to do, to cleanse the time line of the possibility that my neighbour’s declarations and visions of the future would come true. My symbolic tool-kit at the ready – out came the toothpaste, chewing gum and cleaning products
Sure enough morning came. With sun light, the fear that the darkness brought lifted, encouraging me to have hope and courage. The morning staff came on shift and I made myself presentable for the tribunal. I was called to meet with the Tribunal’s doctor. We met in the TV room of the men’s part of the unit, GMTV chattering innanely in the background as we discussed my mental state and my problems. Well when I say discussion, it was more of a game/quiz whereby the doctor would look at file notes, tell me what was going on in my mind and my life and then ask me a question. I would then put it into my own words and repeat his pet theories back to him. Fairly quick and painless, nothing too probing or demanding.
I then met with my solicitor. The fourth one from the firm that were dealing with my case. He had all the notes taken by his colleagues in front of him and had about ten minutes to talk to me and figure out how we were gonna play this. He asked me what had been going on – so I told him. As he was on my side, an agent from a secret organisation that were trying to help me and save planet earth, I gave him the truth. He struggled to gain any sort of grip of the parameters of the conversaton and I became more and more animated, grateful to offload to someone who knew what was really going on in this clinic. I guess he could see that I was frightened and that suggesting none of this was true was making no difference to what I believed and felt. So he tried to make me feel better, telling me that the computers and TV in my house had been sorted out and that I was no longer being bugged and manipulated. He knew I needed to be calm and quiet in the tribunal if we had any chance of ‘winning’. He told me not to speak in the tribunal unless I am directly asked a question and he suggested that I let him field the questions. I don’t think that he had high hopes of the outcome being to let me go home. As I got up to leave, he suggested to me that I ask the staff to borrow a hair dryer. I looked at him quizzically, hanging on his every word, my saviour. He said “Your hair’s wet, its just that I don’t want you to get cold.” It wasn’t until much later that I realised or even cared that I had become so frail and why I provoked concern in people’s faces.
It wasn’t too long before I was finally taken off the ward, along the corridor, down the lift and into the clinic’s reception area. Many long days and nights since I had made the reverse journey. My mum and a friend had come to support me and we waited as people milled around. I stayed quiet, confused by what was happening. I looked at my mum and friend, they smiled at me, reassuring me that everything was going to be ok.
A gaggle of us sat around a huge table:
- three on the panel- the chair who was a legal eagle, the doctor that I had met earlier and a lay person
- Dr Teddy – my psychiatrist
- A Nurse – the one who had lent me the hair dryer
- My legal representative
- An empty chair – which should have been occupied by someone from my Local Authority’s mental health team ….
- My Mum, my friend and me
I don’t think that I said more than a few words and my legal guy may have beaten me by a smattering more, but not by much. We didn’t seem to be in there a long time and I didn’t really understand what was being said. My ears pricked up when Dr Teddy spoke, telling everyone that I had suffered a psychotic break but that I was on the road to recovery. He felt that I should be transferred to an open ward, for further assessment and support. He then said something crucial – that I was not displaying any symptoms of a mental illness at present. The nurse confirmed and corroborated it, saying that apart from in the first few days, there had been no big issues or problems with me or my behaviour.
The chair- persons attire dazzled me, a real natty dresser, with his braces and purple shirt which seemed to glow. I tried to understand what the head of the Freemasons was saying, he was very wise and had many old books that he read from – rules and regulations of how a Freemason should conduct themselves. I cocked my head, leaning in to listen, trying to make sense of what he was talking about. I looked around the room at people, they all gave me a little smile to pep up my spirits.
Then all of a sudden the Grand Master told me that I was being released from section 2 of the Mental Health Act. He was grinning and smiling at me, I looked back at him, confused, I had only one question – “does that mean I can go home right now?”. He confirmed that I could, again beaming at me warmly, that guy really loved his job.
Although I was still in acute withdrawal from Effexor, and wildly delusional and manic, I had successfully hidden it from the staff team and therefore the tribunal. This meant that I did not satisfy the two grounds for detaining someone under Section 2 of the Mental Health Act. I was behaving within ‘normal’ parameters. The wording of the Act is that a person:
- is suffering from mental disorder of a nature or degree which warrants the detention of the patient in a hospital for assessment (or for assessment followed by medical treatment) for at least a limited period; and
- he ought to be so detained in the interests of his own health or safety or with a view to the protection of other persons.
We were kept loitering in the lobby for a while before we were taken back up to the ward so that I could collect my things. I burst into my room, with my mum and friend following me. A big male nurse came up to me and tried to interrupt my super quick packing, grunting at me in that ridiculous prison warden stance that many of the staff have: “patients aren’t allowed to have visitors in their room”. He seemed unaware that I had been in a tribunal or perhaps robotically dedicated to his role as rule enforcer. His tone of voice and my plan to leave immediately, resulted in me snapping at him something like “I’m not a patient anymore, so yes I can, I’m getting out of here”. I was no longer afraid of the staff here, with their cheap voodoo tricks and their bullying ways, no further need for politeness and smiles, I did not hide any of my contempt. He shuffled off and left us to it.
I crammed my clothes into bin liners, exclaiming that the rancid smell coming off the dirty ones weren’t down to me, the horrible staff must have come in and done that to them when we were downstairs. I was getting mouthier by the minute. We didn’t hang around. We stopped when we had some food in a cafe close by. The freedom left me giddy and excited, I chattered at my Mum. Pontificating about the world, what was wrong with it and what was wrong with her. Not what you would call polite dinner conversation. Delusions upon delusion began to leach and then crash into my brain. Today is the end of the world, judgement day. All these people have come to see me and hope to have healing from being near me. They all know who I am, I am the second coming. I was not confused any more. I kept my more wacky thoughts to myself, but it was obvious that I was still very disturbed. I was determined to go home, so my mum reluctantly agreed that my friend would drive me. She returned to her home miles away with my soiled clothing to take care of instead. I, on the other hand was very excited – I would be safe as soon as I got home and there was a lot of work to be done to prepare for the new world.