These days my intrusive thoughts are mainly about avoiding hospitalization, although I used to have flashbacks... okay, I used to have SEVERE flashbacks, now I just have minor ones.
Like sometimes when it's stressful I can smell kerosene, or hear the sound of arterial blood splashing on the ground. And screams, lots of screams.
As in, If I drink more than maybe four beers my inhibitions will drop and I'll start talking about fucked up shit that apparently never happened to anyone else, just me.
At least three times a day I'll do some fruitless internet search on how to avoid hospitalization, or how to delete mental health records, or how the police track the mentally ill (they absolutely do, and it's totally a violation of HIPAA. They're quite proud of it, so it's not exactly a secret).
Did you know, for instance, that there's a large scale movement to shift resources from the criminal courts to mental health courts? As in, the police can and will arrest you BEFORE you commit a crime, but instead of taking you to jail, they'll take you to a mental hospital? Happens all the time apparently. Had a friend disappear for 3 months exactly this way.
See, in a criminal court, you have a right to be considered innocent until proven guilty, and even if you are found guilty, there's only so much penalty you are subject to, and if you complete a certain program, you can have your record expunged.
But in a mental health court, you haven't been accused of a crime, so you don't have a right to defend yourself. You can't plead the 5th, you can demand a lawyer but it won't do you any good. The court doesn't have to provide habeas corpus or prove standing. A mental health court is a civil court, and the findings go on your mental health record, which is part of your health records, and thus can never be expunged. Locking someone in a mental health facility generates 3x the amount of revenue that locking someone in prison does.
So if I get caught with 28 grams of weed or less, I can bond out, pay a fine, get on probation, and have the whole thing wrapped up in a year or less.
But if I get accused of being mentally ill, there's no bonding out. I'll be doing a 3 day observational hold, and even if I ask to leave, it will take longer to process my request to leave than the hold (convenient, eh? Almost like they set it up that way on purpose). That's at a cost of 500$ a DAY.
Three days in jail and a 1500$ fine is the penalty for a pretty decent sized property crime. Like if you stole a playstation, you could get that as a punishment, and that would be considered severe
But that's just the tip of the iceberg for a mental hospitalization.
There's no guarantee you will EVER get to leave a mental hospitalization. Generally the restriction is set by the payer (your insurance). However, if you're declared mentally disabled, you get put on disability insurance (medicaid), which has no upper limit. So you could get locked up for months, even years. Again, having broken no law.
Again, and I want to make this clear: THERE IS A MASSIVE FINANCIAL INCENTIVE FOR THE HOSPITAL TO KEEP YOU LOCKED UP FOR AS LONG AS THEY POSSIBLY CAN.
Also, since it's not a punishment, there's no double jeopardy. You can be hospitalized for the same mental illness over and over again for the rest of your life, whenever your doctor feels like it.
"But why are YOU worried about this, FUNKbrs?"
Well you see, PTSD is one of the more severe diagnoses. They system is designed for drug addicts. Stay sober and you're safe. But with PTSD, you can't get "sober." In PTSD, "sober" is actually WORSE than being on drugs. In fact, you'll be assigned drugs and if you DON'T take them you can get locked up. You don't have to do anything wrong, if enough bad shit happens to you, and the doctors find out, you get treated like a potential perpetrator who has to be locked up to protect other people.
I've been AMA (Against Medical Advice) since the first of this year or so (took a therapy break over the holidays and didn't go back). I tried to go back to therapy on 5-12, and instead of letting me schedule more outpatient therapy, I got referred to a mental hospital.
So on paper, I'm a medical fugitive. And since my PTSD has severe dissociative symptoms that have persisted for 5+ years, I'm not going to just "recover." Being in the hospital itself would trigger severe dissociation, and since I'd have to get out to get better, I would only continue to degenerate and generate more and more of those sweet lucrative medical charges. This is essentially a bounty on my head for whatever doctor has me locked up.