Voices

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sm

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I received word that a situation that occurred last week is turning out okay. Though not the usual situation one plans for as far as Strategies & Tactics are concerned it is something that is NOT reserved for the LEO or Professional Community.

Schizophrenia.

I am going to change some names to preserve patient confidentiality and anonymity.

Years ago like most folks I took Psychology in College. I again took Psychology as part of some Medical Classes, this time more in depth and included doing some clinical studies with patients in a facility.

Last week a classmate needed to take her vehicle in for service, so I picked her up and took her to College, naturally I was going to take her back to pick up her vehicle. After classes and exams we were starved, so BBQ sounded good. Some big trucks were parked in the front and along one side, so I parked out of the way off to the other side and more toward the back. Not my preference, but that is the way it works sometimes.

So we finish and the crowd has left and we start out, I scan the parking lot and notice my tailgate is down, something – somebody is lying in bed of my truck, curled up in the fetal position.

I don’t have a cell phone, and Betty left hers in her coat, which is locked in my toolbox along with our backpacks. I am carrying concealed. I stopped about ten steps from the driver’s side “excuse me – can I help you?†Nothing. I scan the parking lot , I squat down to look under my vehicle, there are no other vehicles around- we are isolated.

“Betty, see that piece of broken pallet, get the slat and then go to front of my truck and bounce my truck bumper a few times, if anything happens, run like hell back to the Restaurant and get helpâ€. Betty can tell from my tone I am quite concerned for her, and I am being really cautious.

The person wakes up – actually a girl of 23, attractive, not weathered so I am thinking not a druggie or homeless. My gut instinct told me to a) be careful, b) be very gentle, and c) this girl needs help. I make Betty stay behind and to one side, I want a witness, for whatever may play out.

That morning was cold , with a light frost- it has warmed up with the sunshine, hence the reason our coats were put away.

“Voices in my head said to sleep in the sun†– said Mary. “Do you hear the voices mister? [Click goes my brain – I know what is going on]

I reply “Mary I know the voices are real to you – I am sorry but I don’t hear them myselfâ€. I then notice a cuff bracelet. “Mary is there anyone that can help you understand the voices?†She looks at the cuff bracelet , the she pulls a chain out from under her shirt – it is a Medical Alert.

Mary tells me “I have a cell phone see? ( she pulls one out of her coat pocket)

“Mary that is a pretty cell phone, is there a phone number on the bracelet or on that pretty necklace?â€. Mary informs me she is wearing a Medical Alert, she is sick because of something in her brain won’t work right all the time. I suggest she call one of the numbers. She dials a number and obviously gets a family member, “ hold on†she tells the other person “where am I†, I tell her, she tells the other family member.

While we wait the 10 minutes Betty comes closer, she has stayed her distance, for one she was in awe of seeing someone with schizophrenia, and two I would not allow her closer. I suggest she go to the restaurant and wait, but do NOT turn around, walk backwards, I didn’t want to explain, and Betty didn’t ask and just did so. “Where is that lady going? Mary asked, I just said she needed to find a restroom.

Mary’s older brother came and Mary hopped out of my truck bed. Mark, wanted to say thanks and all, I suggest he head to the hospital – not waste time.

Follow Up:

I spoke with Mary’s Doctor, she is fine. She became upset because she dropped her meds all over the bedroom floor, she was sleeping in another bedroom while hers was being painted and became scared, disoriented and for whatever reason the Voices told her to sweep them up and toss in the toilet. Off her meds, didn’t want to tell anyone. Doctor suspects the Voices told her she would get yelled at for wasting money – a situation the Parents have thrown at her before, and one the Doctor has to constantly council the parents about. Schizophrenia wears down a family.

Doctor asked why I did what I did. I just told him my gut instinct told me Mary did not need a squad car rolling up to scare her. My gut told me she needed a familiar face – family- to come get her. She needed her “safe zone†of family and Doctors.

I mean I would have, not saying LEO is not better trained , I just had to trust my gut and try my method first. I was lucky- this time.

One of the patients I received permission to visit with back when doing clinicals and such had multiple Voices, I sat there ( with security, doctors and staff behind one way glass ) and observed 3different personality changes in a 20 min interview. We sat angled facing each other in chairs bolted to the floor in a secure area. I did not “meet†the 4th personality – that one killed his landlord.

Mary is going to say under observation for bit longer, get the meds regulated and all, Doctor asked if I wanted to come visit and say hello “ that nice man found my brotherâ. Mary keeps telling the Doctor.

I don’t know, I don’t have the gift that Okie and others do, that is why I changed directions in College.
 
Very well done!

I recommend you seriously consider a career in EMS. Your intelligent scene analysis and strategy in discerning the difference between a threat and a patient as well as your comprehensive resolution is admirable - and a prerequisite for a valued paramedic.

Tactics are the norm for Susan when she's out on a call, and with her background experience with TBI she's been astute in expanding her scope of scene analysis to often be able to catch nuances others missed - from accident reconstruction as a tool of diagnosis of multiple patients to second-order implications of symptomology that expanded on what would've otherwise been just another continuing education topic of one sort or another.

Very, very well done.

Trisha
 
Great job!
I have an in-law who has had his share of "problems", (not quite like that really) and one of my wife's degrees is in Psyc, so I have indirectly learned a little about mental illness.

There sure is a lot of bad info/ideas out there, huh?

One thing that I keep hearing, regardless of who it is, and what the problem is, is medication that doesn't get taken. These people are so insecure (either as a result of the illness or by family pressure) that they don't want to say they lost/quit/whatever their meds- just like your experience.
 
:eek:
Trisha,
You are way too kind. Thank you for the kind words.

I am no big deal, I mean that. There are way too many folks , many on this forum that have more knowledge in their little finger - that I will ever learn. Seriously.
 
I work in the crisis unit for a Mental health Agency and usually first hand with the mentally ill. It is important to realize that they are mentally ill when dealing with them on any level. The only problem is that out on the street people don't know they are mi, and treat them different because the way they act. There are varying degrees of illnes though, some mi patients exhibit no traits with proper medication, but some exhibit many traits even with medication. Likethe guy who told me today that he married a girl from Holland with big tits when he was in kindergarten.
 
wise move

self responsibility...and the wisdom and focus to act..in a fashion beneficial to all... is a stand up move..my hat is off to you, you took care of the entire situation with honor. your post moved me...from a broser...to a member. ......ARC-LITE
 
Arc-Lite,
Welcome to THR!

We have 14K+ members - trust me on this, I ain't that big a deal , ain't that smart - I advise you read and learn from anyone - but me. :)

Preacherman can vouch for that fact, he has met me in person. Some have heard my voice- they can verify as well.

Nope, just my typical me being me- I think outside the box a lot. Considered a rebel by some folks thinking. Of late I have been sharing a lot of Awareness and my "weird" ways with folks.

For instance we just had a guy arm rob 5 places in less than 90 min. All but one place folks wouldn't normally think as being vulnerable. Rash of carjackings, home invasions, homeowners being shot,or murdered.

So some are jsut "now" asking questions, heck my own Mom is getting a bit....a LOT more concerned.

These situations have always been out "there" , be it the mentally challenged,home invasions, car jackings ...etc., to r the armed robberies ...folks have not been paying attention, in denial, and not taking the time to educate themselves.

THR and TFL are two of the best forums to read, learn and ask questions about these matters.

Just listen to the other members - not me.
 
Steve ... as ever you write stuff up so well - a good read and kudos for your handling. :)

I only once met someone who was truly schizoid ... it was when I was a practicing osteopath back in early 70's ... a regular patient brought her late teens daughter with her so as to not have left her alone at home. During the treatment the daughter just sat and watched and read something. Part ways thru she spoke to her mother - her voice sounded different and her expression seemed to alter such that her features almost looked different.

She was according to her mother behaving as one of her most regular persona ... a woman of late middle age who had been divorced and lost an infant son when younger. She was a sad and hopeless character ... and incredibly real. I almost saw this girl age in front of me. There was no threat involved and apparently she never had any episodic violence problems. This lasted a good few minutes whilst mother spoke to the girl's alter ego - she was both sympathetic and encouraging and even used the character's mythical name. The girl responded and seemed to be lifted by the mother's kind words.

She eventually went back to reading and when they left my office was once more a quiet and demure young teen. If I had not seen it I doubt I would have believed such a change possible. It is something I am glad I did not have to deal with long term as a close family member.
 
Steve,

Congrats again for handling a "situation". You seem to be helping somebody quite often. Do you think that is because you are more aware of your surroundings and therefore tend to notice someone in need? Or maybe you are there for a reason we don't understand. "Somebody in need of aid, send Steve." :)

I know from your posts, emails, phone conversations and other "dealings" we've had that you'd rather help somebody else and not draw attention to yourself.

Arc-Lite, welcome to the forum. And no matter what Steve says, everyone can learn a lot from him.
 
...Steve, Larry.... guys thanks for the welcome..I have been around, longer then Israel, lived and worked all over the world...and found clairity of the situation, focus, and the responsibility to step up...and act with the correct actions...for all...to be things to support. learning is a funny thing... if the answer does not create a new question...or questions, then usually your not paying attention. thinking outside the box, is healthy, and makes for change. most of the sly foxes I know, all take your position... We are all bozo's on the same bus... and when right...does right... I cheer! honorable actions / your actions, speak for itself. again, I appreciate the welcome, good to see the old school, is alive and well...... Arc-Lite
 
Well done! I could use you as an officer in my prison, if you want a career change - someone with good presence of mind and skills handling unusual situations would definately come in handy on the inside. Good job.
 
Wow. Several years ago, before CCW were even thought of in this part of the country, a neighbor came to get me as her husband was off his meds and was acting strange. I knew he had at least one gun at home, but went ahead anyway. He was setting on the patio having a glass of tea. I sort of invited myself up and joined him. He told me he had the gun right inside the door as someone was after him. His wife had called his doctor and headed to the pharmacy for something for him. I kept visiting for about 30 minutes until she got back. I had no trouble getting him to take them, and now we get along fine. He is pretty much off them and lives a fairly normal life.
 
Don't mean to digress; but......

ARC-LIGHT: welcome! Great bunch here. Like your handle, wonder if that dates you!?!?

RE: sm. I've never met or even talked to him. Same with most of the others here. But I've read many of his posts, and Preacherman's, and Dave McCracken's, and P-95's, etc., etc. ad nauseaum.

They're much too modest. This country could use a helleva lot more of this kind of person. Guess that's why they call it "The High Road"!

Welcome & stay safe.
Bob
 
harm's way

Larry, Chris and some others know in what business enviroment I was raised. I spent 35 yrs in that enviroment , in one "capacity" or another. Some "capacities " I don't talk about much, and they have never been or will be on my Resume'

Lets just say I was taught by mentors , elders and the " School of Hard Knocks" to constantly watch 360*. I really really do not miss those times. I have always tried to avoid ever getting into a situation, I mean I have been quite adament about it. So I swore I would not ever get involved in anything that put me back into a similar "setting".

So as Life often does, again I was thrown some curves. I find myself having to be out and about in some areas I'd rather not be, at weird hours. I have moved and the neighborhood where I stay the most - is not a very good one.

armoredman -

I am indeed attending college , career change is the reason. In April I turn 50. Truth is I am not happy here in AR. Yes I am considering moving , TX and AZ are high on my list.

Ironic - as much as I really try to stay out of harm's way, I am actually trying to figure out how to , and in what capacity, I could actually go to the "sandbox". Yep I would put off school for a year or so , return and resume my studies.

My reasons are personal. I feel strongly about some things. My draft card read 1H, troops started coming home the fall before I graduated in '73. It is said I was supposed to NOT go to 'Nam, but instead keep the home fires burning by raising my sibs, and taking care of mom. All well and good, I still have that feeling I did not do "my part".

I guess there is no need for a old fart, with some limited 'puter skills, taking Cisco curricula that can shoot a shotgun- huh? Well if they need someone to teach skeet - someone holler - I'm available. :)
 
It is said I was supposed to NOT go to 'Nam, but instead keep the home fires burning by raising my sibs, and taking care of mom. All well and good, I still have that feeling I did not do "my part".
Steve,

Remember, there are a lot more of us that DIDN'T go than those who did. I have felt the same way about not doing my part. I'm a little older than you, I was 19 years old and 1A when the Tet Offensive began. I had a high lottery number, go figure.

Our friend Bud went. He's glad we didn't.
 
TX and AZ are high on my list.
Don't forget PA Steve ... hey, I know it's sweaty in summer and freezing the nads off in winter but - it ain't that bad a place and ... well, we ain't yet had a chance to go shoot and enjoy a beer (or three!). :)

Oh and Bob F - I am flattered you should even mention me!! I guess I think no one reads my posts anyways ... me and my posting diahorrea!LOL.
 
sm...the essence of one "capacity" and the quality of ones resume...is best reflected in the life they live daily. One of the little known,lessons of the school of hard knocks...is adversity usually breeds longevity spirit and strength. My draft card...read 1A...and 6 years later, my days in country were over..6 years ? as you say...my reasons were personal. Then off to Africa, for similar "fun in the sun". Thanks for the welcome Bob F.... and Bud is right !!! Arc-Lite
 
Glad things worked out as well as they did, sm. You handled the situation extremely well. Still, my own experiences with schizophrenics left me a desire to only be near them if a number of large orderlies nearby if possible.


I met one person with multiple personalities. Her personalities were beginning to fuse back together (which is good), but her original personality disappeared. She was literally a completely different person, a scary one at that. To cope with the world, the new personality was extremely intelligent, vicious and merciless. It still bothers me to this day when I try to figure out how this other person took hold of the original girl's body and mind, and forced the old personality out. Something about it really creeps me out.
 
Bravo.

Schizophrenia is one of the scariest illnesses out there. I can only imagine slipping away, losing aspects of your personality a little bit at a time.

Glad you were there to help her. And don't underrate yourself, people can learn a lot from your posts, and from your example.
 
SM... goodonya... I'd LIKE to say I'd have done the same thing, but I am afraid that I wouldn't have been so compassionate and understanding...

I'd have likely left and called the local PD, adding to that poor girl's distress and disorientation...

you did the right thing, and alls well because of it...

and you have also given me pause to think before acting if i ever end up in a situation of any similarity...

you have not only helped her, but have opened my eyes a bit. thanks!
 
I guess there is no need for a old fart
you handled the situation with "mary" quite well.alot can be said in your post about your understanding and patience when dealing with people,especially mentally ill people that often need special care in avoiding behaviors that can send workers to a hosp very quickly..you sir,have a great deal of wisdom that you can share with others.ever considered teaching?

yes,there is a need for people like you,in fact we need MORE people like you.you're never to old to teach,we are never too "young" to learn. ;)
 
I definitely want to step up and say that you stepped up and appeared to do the right thing. It takes a strong person who cares a lot to do what you did.

Of things in my belt the "thinking outside of box" and Psychology degree also put me in the Off-the-wall or Crazy-Weirdo columns for some sheep.

Keep taking care of the flock, you are a sheepdog whether you like it or not.
 
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