Patient name: Tobirama Senju
Date of birth: 25/04/1995
Journal entry: 16/1/2023
Currently: Meet patient to evaluate if the Compulsory Psychiatric Care Act can be written off. Patient says the permissions have been good for him. Has been in touch with his boss, whom he claims to have a good relationship with and whom waters patient's plants as he's hospitalised, and there is a plan for slow return to work. Will start working 50% in a month, then 75%, then full-time. Patient denies suicidal thoughts. Says he looks forward to coming home, but if we deem that he would benefit from staying longer he would be fine with that, too. With this, he does no longer fulfil the requirement to be held within the Compulsory Psychiatric Care Act. We deem that the patient can be written out with a planned appointment with outpatient team within the week. Write prescription for Sertraline.
Psychiatric status: Good formal and emotional contact. Patient laughs several times during the meeting. Converses adequately, good ability to reason about his current and previous situation. Displays a wide range of facial expressions. Normal eye contact. Not motorically still or agitated. Nothing overt psychotic. No suicidal communication.
Planning: Outpatient treatment planned, first appointment within the week.
I had been frightened to go on permission alone.
With Izuna, it had been a different thing entirely. I had looked forward to it, not feeling unsafe once, knowing we were there to protect each other.
On my own, however...
"It's normal", the doctor said. "Most patients feel nervous to go on permission. Some even try to avoid it. We need to really motivate them, then."
I was surprised by this. Didn't everyone want to get out of here? At the same time, I couldn't help but feel relief, relief that there wasn't anything wrong with me, at least not more than the others that were in this place.
"What are you afraid of?" the doctor asked.
"That I will find myself on top of the bridge again", I said.
"Do you have any such thoughts?"
I thought for a while.
"No. No more beyond being frightened of it."
"Do you feel life is pointless?" I shook my head. "Do you wish you were dead?" I shook my head again. "Then I think we feel as safe as we can feel. Also..." The doctor looked over his glasses at me. "I no longer seem I have enough substance to give you care under the Compulsory Psychiatric Care Act. Which means that from here on out, you're here on your own free will. Do you understand what that means?" I furrowed my brows. "It means you're free to leave. It means that if you ask us to unlock the door so you can get out, we have to. It means that if you go on permission and don't come back tomorrow, we won't send the police to look for you."
"Can't you keep me under the Act for a while longer?" I asked in a desperate attempt to keep myself safe.
The doctor smiled a sad smile.
"Legally, I can't. Just by asking that very question, you don't fulfil the criteria anymore."
"What criteria?" I asked.
"You're not in unconditional need of in-patient care. You do not deny healthcare, nor are you ambivalent to it. And you no longer have a serious mental health condition. With your question, the second criteria can already be written off. But you don't fulfil the first or third one, either."
YOU ARE READING
Pendulum
Fanfiction"He is beautiful", I said, voice low. "You think so?" "Yes", I said. "He looks like the moon." Tobirama is suffering the aftermaths of a failed suicide attempt. Having tried to jump, he's been forced into psychiatric care escorted by police. In his...
