[NopeNopeNopeNope]

Ok, just before I did the news interview, had a bit of wild request today:

Client was instructed by her PCP to reach out for mental health assistance, so the client called herself. When I got to her apartment, I was like “oh no…”. Boxes and boxes of Amazon orders still fresh in their packages (amazing they hadn’t been stolen yet, she must have some saintly neighbors), along with trash and various objects from her home. Empty spent syringes on the ground, no idea what was in them but I still after the entire call don’t completely think she had a hard drug problem. She was experimenting with a lot of different supplements, so that might have been what was in those

And her door wide open. And there she is, same age as me, sitting in her underwear on her living room floor. We get to chatting, and at times she seems clear minded and can banter on about how I like the same kind of powerbars as she does, she lets me check her fridge. Oh her house is hoarder status btw, not a spot of visible surface anywhere. But she had food

Oh and a nice big screen tv still in the box amidst other purchases in her living room. At times she has thought blockage, losing her train of thought or staring at me blankly. Other times she is clearly responding to internal stimuli, turning her head as if to listen to someone not there

She says yes she’s hearing voices and yes she sees a “hyper sexual lady” who commands her to do things. Things she does not like, but does not provide details. Then she also sheepishly looks up from the floor and says “I might be manic, I’ve been going on a bit of a spending spree”…and I’m looking around thinking I can see that

“I went to see three different movies in the movie theater yesterday…” she says. I’m thinking Jesus you must be crazy nobody does that shit, JK. She can’t remember and is like “Jurassic park I walked out of, too violent with monsters eating people. The other was 28 days later? And then F1” And I was like I’m surprised you didn’t leave 28 years later that’s violent as well, and I heard F1 was good, was it?

She said yea it was good. “Then I lost my car”. Me: lost it, like at the movie theater?” She shrugged. Can you help me look for it? I’m like I have to get authorization to transport, and we’d need a specific destination, I can’t bring you around looking for your car

I said look, you mention you’re not sleeping, you’re hearing and seeing things. You think you might be manic [she had also mentioned a prev dx of schizoaffective]. I know of a behavioral health urgent you can go to where you won’t even have to stay, you can come right home

She says “no thanks, I have an appointment with my dr this Friday, she’ll have some recommendations” and I was thinking: that Naturopathic Dr that you told me a few minutes ago recommended you get off all your psych meds and get on a keto diet and that will fix everything? Yeah if that’s true that doctor is a quack. But I doubted it was true and wouldn’t have said it anyway

So, this lady was clearly torpedoing her life, no doubt putting herself in financial ruin, losing her car somewhere possibly stolen or wrecked. Putting herself in a vulnerable position with her door wide open sitting in her underwear and packages outside like a cookie trail for the nearest sociopath creeper

I was planning on doing a slower, non-emergency involuntary treatment request. But when I came back in to leave her with some resources, things got weirder. Her door still open she’s moved to her room and is squatting in her underwear facing away. She’s ignoring my increasingly loud and concerned calls out to her, and her shirt appears to be raised and she’s motioning towards herself jerkingly, like towards her chest

I’m thinking Jesus is she injecting those syringes into her stomach, like an insulin shot? That could become life threatening, so I decide fuck it I don’t care that you aren’t allowing me back in, I’m not going to sit here while you hurt yourself. And I walk up to her and I notice a cord coming out from her chest area and snaking along the floor. I’m like “what is going on? Is that some kind of electronic thing?”

And finally she answers “it’s a tens unit” and her voice sounds distressed. I’m starting to walk around her to see WTF is going on and I realize her tits are out. So I stop partly out of an ingrained code to respect people’s privacy. And she holds out a nipple clam and says “these are nipple clamps I got at the sex shop. The lady is in the room with me, and she demands hard nipples”

And I could see her face and she looked distressed and in pain, she appeared to be shocking herself with that tens unit. So I was like “listen, you need to stop listening to that lady ok? She does NOT control you. You control you, ok?”

She stopped momentarily, I dropped the resources off, got back on the phone with my sup, and we switched the plan to an emergency pick up. If her UA comes back clean, very likely this will go to COT mental health court and that’s going to be an awkward story for me to say in front of the judge. And I wouldn’t even put it past a public defender attorney to question well how do you know it wasn’t sexual and not to hurt herself?

And I want to be like “listen, I know all about shocking the nips for sexual gratification, I hook a car battery up to these bad boys every Friday night, ya hear? Her face and voice seemed in pain and in distress, that’s how I know. She said lady commands she do things she doesn’t like”

I also submitted a report to APS. They normally don’t care Jack shit for self-neglect cases but this time they said they were going to investigate after they heard about the train wreck her life had turned into