Weekends at Bellevue By Julie Holland Julie Holland 8581121188881 Books
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Weekends at Bellevue By Julie Holland Julie Holland 8581121188881 Books
I needed this book for a class, I could not put it down! My daughter is reading it now! great book!Product details
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Weekends at Bellevue By Julie Holland Julie Holland 8581121188881 Books Reviews
Author Julie Holland is a psychiatrist and professor of psychiatry at NYU School of Medicine, who spent her weekends running the psychiatric emergency room at Bellevue Hospital for nine years. She said in the "Note to the Reader" of this 2009 book, "I have learned so much from my patients over the years. The purpose of this book... is to share what I have learned, in the hopes that it may help people to understand some of what I feel is the 'human condition' in psychiatric medicine... One thing needs to be explicitly clear This is a skewed sampling of patients... the people whom I've chosen to write about were more colorful, dramatic, provocative, or violent than the average Bellevue patient. The vast majority of people living with psychiatric symptoms are scattered among us, ARE us, the walking wounded, and do not tend toward violence or addiction." (Pg. vii-viii)
She notes, "Being preoccupied with religion is a classic manic symptom, and mania is the better-known half of manic depression, now called bipolar disorder... In March and April, our ER becomes crowded with manic patients. For many bipolars, there is a seasonality to their symptoms. Just as many people get depressed in the winter months, increased exposure to bright sunlight can elevate moods." (Pg. 5)
She explains her methodology when examining a patient "Scrutinizing a patient's speech and its structure is crucial to establishing the diagnosis, Answers can be concise and goal-directed, or the words can wander off in various directions... There is a form of psychosis called catatonia that is so severe, the brain seems to shut down the speech centers entirely... the rest of the muscles behave strangely as well... A crucial piece of information to extract during the mental status exam is whether the patient is suicidal... The last part of the mental status exam is about insight and judgment. Does the patient think anything is wrong with him or that everything is fine? Does he accept recommendations for treatment, or is he chronically noncompliant?" (Pg. 61-63)
She observes, "People with persistent mental illness that doesn't respond well to medication often leave their families and end up on the street, in shelters, or perhaps in group homes if they're lucky. The shelters are a mismatched combination of crowded and lonely. There's no solitude, no privacy, but there is also very little human connection to be found there. Most chronic patients end up warehoused in the shelters and state hospitals, which are a lousy solution." (Pg. 155)
She asserts, "A psychopharm is not a therapist, but rather someone who specialized in psychiatric medications. There is no lying down on my couch... I ask you about specific symptoms, and then fix up just the right cocktail to get you back on your feet. One of the reasons I believe so strongly in psychopharmacology is that it works. And it is fast. Good psychotherapy takes years... Antidepressants and mood stabilizers help to eradicate many symptoms of psychiatric symptoms. People feel better and their lives become less chaotic." (Pg. 242-243)
She concludes, "All of us, to some degree, are mentally ill. We get paranoid, depressed, and insomniac. We alternate between delusions of grandeur and crippling self-doubt, we suffer from paralyzing fears and embarrassing neuroses... We avoid dealing with psychiatric patients because we hate to see things in others that we don't want to see in ourselves weakness, need, despair, aggression... Families who would typically care for their own turn their backs on children or siblings who have lost their grip on reality... These persistently, chronically ill patients are then left to fend for themselves, relying on the shelters, hospitals, and soup kitchens to become their caretakers---their new makeshift families. This is how America does it. The hospitals and outpatient clinics substitute for the parents, who are unable or unwilling to tend to their own psychiatric casualities." (Pg. 295-296)
This is a riveting, insightful, and vastly illuminating account, that will be of tremendous interest to anyone interested in the mentally ill.
I needed this book for a class, I could not put it down! My daughter is reading it now! great book!
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