Who decides whether or not I’ll go to the hospital? I cried all the time and didn’t get much out of it. Recently i keep crying for no reason and at one point started screaming because i was so upset. Let me tell you a little bit about my day today (it’s a Sunday) if you’ll indulge me: I woke up around 10:00 and remained in bed, hiding beneath the covers for about half an hour. Even if you wanted to go out and embrace all the aforementioned possibilities of your future, you couldn’t –– not yet, at least –– and that forced idleness, which I pretended to hate, was really fucking relaxing. If you don't want to come back, it is best to tell a member of staff. I have a therapist i see once a week and i'm on an antidepressant. My life ahead seemed full of myriad possibilities, and not in the burdensome way it once had. © Copyright 2018 | Mental Health America | Formerly known as the National Mental Health Association. The unit at this hospital, called 7 South, housed 15-20 people diagnosed with eating disorders. Female. It was so compellingly peaceful that I thought I should just shut the door and see how long it took before someone found me. Two days? Back in reality, I’d be alone again, not surrounded by people who, while oftentimes annoying and/or intrusive, would listen to me if I were upset about something REALLY stupid, like a snack. It looked exactly like 7 South without the furniture –– same crucifix-shape floor plan, same size bedrooms, same bathroom locations, same everything. The thick Ensure wasn’t even that bad, to be honest; while I probably wouldn’t have admitted to liking it then, there is a certain chalky sweetness to it that becomes reminiscent of melted cake batter over time. You may be considering suicide and yet not want to tell a therapist, because you fear landing in a mental hospital. I dove into therapeutic exercises with a renewed zeal, writing out lists of reasons to get better in my micrographic handwriting, making endless sample meal plans for my return home. Learn about us. I was 15 when I went to my first mental hospital, a sprawling Connecticut estate with a long list of rich and famous alumnae. Learn more about working with Thought Catalog. You need to be straight with your counsellor and make an appt with your GP to get some therapy. (I heard that Natalie Portman is working on a similar project, to which I can only respond: Vegan bitch, please.). It’s very full and complex and that’s really great, but it’s also fucking exhausting, especially because I’m naturally on the introverted side and more than 20 minutes of small talk (particularly small talk within a group of people) makes me feel like I’ve just jogged a few miles. Three hours? The laws vary by state, but usually you can only be hospitalized against your will if you present a “clear and present” danger to yourself or others. She worked at the hospital two floors above where 7 South was. The most difficult thing about that life, though, was the indecision. Also, patients go there for different reasons, and aggression and fighting may be one of them. On the train I forced myself to finish William James’ Varieties of Religious Experience, which was not as life changing a read as I had anticipated it would be. In other words, it has to seem like you’re really going to hurt someone if you aren’t hospitalized. In the United States, a hospital stay can also be expensive. The third and fourth times I was hospitalized was in an institution that I think was used for much of the stock photo imagery for “psychiatric hospital”; it is an enormous brick behemoth of a building on large, well-manicured grounds in Westchester County, New York. The exact criteria vary, but often include the requirement that you must present a danger, either to yourself or others, before you can be committed. These mental health problems are completely normal, don't worry! This is a written legal document that expresses your wishes about what types of treatments, services and other assistance you want or don't want when you are having difficulty communicating or making decisions. Please send any and all suggestions, comments, or questions to us at screening at mhanational.org. However, the hospital still did its job of keeping me safe. In some circumstances, you may want to consider creating a Psychiatric Advance Directive before going to the hospital. You can also specify which facility you’d prefer to be taken to. It takes a while to realize that a siren woke me. Sign up for our newsletter to learn about opportunities to help change the conversation around mental health. A real professional would never turn their back on a patient in need, I can assure you that as a licensed therapist. After my neurons started to fire again, everything about me started to feel freaking wonderful. What can I do about treatment-resistant depression (TRD). If you go to a therapist or psychiatrist and tell them you are seriously thinking of killing yourself, that does not necessarily mean you will be hospitalized – even if you want to be admitted. I was placed in a mixed disorder unit. Whether you decide to go to the hospital or not, it’s important to know that you have lots of options. I went to the school and she counseled that the mental health hospital should be our next stop. I offer these pointers because knowing what I know now back then would have helped me get through the experience with less angst. S2S (Screening 2 Supports) by Mental Health America is an educational program intended to help inform people about options they have in getting help for mental health issues. Dedicated to your stories and ideas. Submit your writing to be published on Thought Catalog. This removed even the act of deciding which part of the meal –– starch? After every meal, there was a meeting during which we discussed our individual feelings about the meal. Okay, i'll shorten my story: I have been to a treatment center before.. but immediately after I came out I went back to my old behaviors like cutting and hiding my problems from my doctors and my parents. Here are a few: A hospital stay can be helpful in many situations, but it also has its drawbacks. But if your day-to-day life is stressing you out, a short break can go a long way for your mental health. You may unsubscribe at any time. But it can be a great first step. I understand the fear that someone will turn you away or think your problems do not matter. My dorm neighbor interrupted my crying and hugged me, but I don’t think she really understood that I wasn’t crying because I was happy, but I was crying because I was sad. When I started to feel energetic again, I almost couldn’t help but feel, also, psychologically buoyed alongside it. In most cases, you’ll need to make that decision for yourself. It does not represent its results as an exhaustive list of all services available to a given individual for a given behavioral health problem, or as an endorsement of specific treatments or services, or as a replacement for treatment or services as performed by a qualified provider. After a cursory hello, I dashed off to Target, bought some hooks on which to hang pictures, and got on the Q train to go to Manhattan, where I was going to meet some people for brunch. While you’re at the hospital, meals are prepared for you, your laundry is done for you, and your meds are given to you by nurses at scheduled times. Bills come and I owe more than I can afford; my boss harps on the one minute thing I’ve done wrong and yet won’t listen to me when I ask him to please stop smoking in the office; a pitch is met with a “no, thanks” or, worse, silence; I fall into utter despair and cannot articulate why, and don’t want to face another human feeling that way: in these moments I think to myself, “Sick, and I wouldn’t have to deal with any of this idiocy.” Of course, if I were sick, I’d have to deal with a totally different kind of idiocy, and there are fewer benefits, so for this reason, I just choose to keep the healthy status quo. But it can be a great first step. I have self-diagnosed myself with depression. In other words, it has to seem like you’re really going to hurt someone if you aren’t hospitalized. When I’m having a terrible day, I mentally write a packing list –– some books, one or two sack dresses or pairs of pajamas, and slippers –– and plan my departure. It was probably the safest you were ever going to be in your whole life. While the majority of people with mental health conditions will likely not need to spend time in a hospital or treatment center, an individual may need to be hospitalized so that they can be closely monitored and accurately diagnosed, have their medications adjusted or stabilized, or be monitored during an acute episode when their mental illness temporarily worsens. I go and buy milk. I went to the doctor "psych" and in the past after being diagnosed with bipolar he told me I was lazy. I wake up and it is still dark. Fortunately, there are ways to get financial assistance, so you shouldn’t let this prevent you from keeping yourself safe if it’s your best option. And so began my six-week stay in a mental hospital, resulting in a diagnosis of bipolar disorder. I would make a plan to start eating more tomorrow, and then the next day would come and I would spend three hours staring at a Power Bar, and then pacing around my room debating the pros and cons of eating said Power Bar, and then becoming so exhausted by the whole thing I would just say, “Fuck it” and get stoned and watch TV instead. It was so peaceful. I posted this question like 20 minutes ago but I got no responses and this is really important. For someone whose whole existence had been about whittling down the act of eating to its simplest and least pleasurable form, solely drinking calories was almost directly in line with my anorexic ethos. A psychiatric hospital, also known as inpatient treatment or a psych-ward, is a hospital that cares for individuals with mental illnesses and health problems. What the? I slept better than I had in ages, my mind felt sharp as a butterfly needle, and, emerging from my cocoon of sorts, I felt genuinely emotionally and intellectually turned on by simple things that, to the me of today, would probably seem pretty infantilizing: coloring, card games, PG-13 movies, making cutesy index cards with inspirational aphorisms on them, the most low-impact yoga classes you can imagine and endless games of Scattergories. A week? But more likely, if one of those people is worried about you, they will try to convince you to check yourself in voluntarily. Going to a mental hospital can be scary, but typically they are short term facilities that stabilize and help patients. Hospital stays for mental health are usually pretty short (from a few days to a week or two). At brunch, I only knew two of the people at the table, and while the other three people were certainly interesting, I got the vague sense that they disliked me, and so while they chattered away about video-editing and play-writing and the various creative endeavors they were involved in, I tried to stay quiet enough so as to not seem like I was over-compensating by blabbing on about myself but not so quiet that I seemed awkward. In most cases, you’ll also have to hand over your phone. I was 15 when I went to my first mental hospital, a sprawling Connecticut estate with a … On this one particular day, I noticed that the door to 8 South was just slightly ajar, so I quietly nudged it open and walked in. And even though it makes zero sense, it’s on days like this –– ones scheduled with back-to-back activities, all productive and happy ones –– on which I most miss the mental hospital. It was moved for some reason I never was told/don’t remember, and the 8 South space had subsequently remained vacant for years. I was at the “mental hospital” for about one week each time. I held it in while signing my papers, collecting my wallet and cell phone from the office, and during the drive back to school, but once I got into my room, alone, I burst into tears. While it was an unfamiliar and uncomfortable place to be, it was also the best place for me and worth it for my mental health. You can leave hospital if you want and you do not have to come back. You are a voluntary patient if you are not in hospital under the Mental Health Act 1983. Naturally, there were parts of being an inpatient that I found horribly unpleasant, most notably having supervised showers and needing to measure your urine and report your output to the nurse’s (as someone who grew up in a decidedly NOT naked household, the admission of having bodily functions at all was humiliating.) I have really bad anxiety but it was so much better while I was there. Before the hospital, I was always alone with the most wretched, cruel person who ever lived, and she (that would be me) was not very open to the idea of resting or of telling the truth or, you’ve already intimated, of nourishing her body. I wanted to get help, don't get me wrong, but the idea of being away from home for six weeks (which is the standard time they take to analyze and watch you to give you a diagnosis, after which you can choose to pursue treatment) scared me. If a group of mental health professionals agree that hospital treatment would be in your best interests to keep you or others safe, then they could detain you in hospital under the Mental Health Act (sometimes called being sectioned) – even if you don't want to be there. I've been diagnosed with depression and anxiety for over a year, lately things were getting better but now everything is crumbling and my suicidal thoughts and urges to self harm are suddenly coming back. No, you don't need to go into a mental hospital. This type of psychiatric service is critical as it provides around-the-clock care for those who may be severely ill. vegetable? 4 a.m. Joining a support group can be helpful. I bid a clumsy goodbye to the group as they all headed for Washington Square Park and I back to my apartment to work. I am willing to stay in hospital, but refuse to take medication. You have to want to get help to get help, and at that time, I didn’t want to get help. There are lots of reasons why people go to the hospital for mental illness. It’s important to remember that, unlike going on vacation, you won’t be able to go out and buy a new sweater if you’ve been cold. I want to learn to program, but I don't have a fucking computer right now. I was not a therapy neophyte, of course, but before the hospital, I had been unable to see the point of any introspection at all: why the endless talking about myself if it had done nothing for the previous seven years? I don't want to go to work, I sleep all the time...watch tv and don't shower or watch the bloody dishes." In fact, when I first arrived, I ate no actual food at all, but survived on a doctor-prescribed diet of liquid nutrition (different hospitals prefer different brands, and this one used Ensure.) You don't need to be locked away, you need to be taught a different way to think about yourself and your problems, such as CBT. I've been to a mental hospital for about a week before. It’s not the best long-term solution—you’re not likely to walk away from the hospital completely cured. If you didn’t want to see anyone, you could instruct the staff to tell the visitor you weren’t in the mood. If that is the case, you might be checked into the hospital by a friend or family member, or a mental health professional like a therapist or doctor. Other times, it’s just the first place we think of when we are in crisis. I was baker acted from a hospital after attempting suicide. I REALLY want to go back because I just miss it so so much. I go to the back yard and milk the cow. Even if you had to wake up at 6 a.m. and deal with a pair of beady eyes staring at you as you showered, half-asleep, and even if you still wrestled in your brain with the more insidious aspects of your illness, you knew that you couldn’t really get away with doing anything bad, or really anything significant at all. I am willing to stay in hospital. And it takes a Doctor, Queen, Prime Minister, King, Maid, Admiral & Cook to get her to the hospital! That locked-ness of the place also made you feel the reverberations of your Selfhood that much more. Unique Holiday Gifts from Thought Catalog , 25 Guys On The Creepiest Thing A Girl Has Ever Done To Them, Here’s Why Women Are the Fastest Growing Population of Homeless Vets, If You Don’t Have A Mental Illness, You’re Just Not Cool, 43 Male Rape Victims Share Their Shocking Stories And The Tragic Aftermath, A Survivor’s Story: How ’13 Reasons Why’ Got It Wrong, 25 People Reveal The Painful Childhood Event That Traumatized Them For Life, 17 Former Hospital Patients Reveal What It Felt Like To Be In A Coma. If you’re in crisis, you can call the National Suicide Prevention Lifeline at 1-800-273-TALK or text “MHA” to 741-741 to talk to a trained counselor from Crisis Text Line. Here is an example of a day in my life there. But I’ll tell you the most embarrassing fantasy I have: once, after I was discharged from the hospital (this was during another stay –– it’s confusing, I know, but not really relevant here, so just go with me) I went to see my then-therapist. For a longer-term solution, you can schedule an appointment with a therapist or talk to your doctor about trying a medication. It’s not the best long-term solution—you’re not likely to walk away from the hospital completely cured. I'm constantly feeling not good enough and I am tired of feeling this way. Unless you are unsafe, there is no need to go back to a hospital. Then I went downstairs and was confronted with two of my roommates and each had a guest, all wishing me a sunny good morning as they cleared their breakfast plates. You know they really want to see your body, so you just oblige. Sometimes people go specifically because of what the hospital has to offer. I refuse to accept treatment from any government establishment. In most cases, you’ll need to make that decision for yourself. Some people with mental illness do seek, or need, inpatient mental health treatment in psychiatric hospitals over places like psychiatric clinics. My child told the social worker at school. I don't want to kill myself, i'm not that depressed but I do want to have FRIENDS to smoke with, and be living in a social environment, and have people giving me attention and caring about me. By subscribing, you agree to the terms of our Privacy Statement. When you’re admitted to a mental health hospital, there are a few things that almost every facility won’t let you bring with you — or that they will confiscate.Things like hoodie strings, shoelaces and shaving razors (and other sharp objects) are banned. MHA permits electronic copying and sharing of all portions of its public website and requests in return only the customary copyright acknowledgement, using "© Copyright Mental Health America" and the date of the download. So in a sense, a girl can find herself feeling much more powerful in such a tiny, trigger-happy universe than in the real world, where oftentimes it feels like nobody is listening and nobody cares. You can also improve your mental health on your own by learning more about mental illness, opening up to someone you trust, and making lifestyle changes. You can go on your own or with visitors. Going to a mental hospital is nothing to be ashamed of or embarrassed by and I encourage everyone to take that step if they find it necessary. So on Tues I went and I was kidding with him and I said I was "lazy" and he said "yes you're lazy you don't have a mental illness". We talked just a bit longer and then I took my child to the mental health hospital. But the weird thing is that I kind of miss being restrained and having all the FEMALE nurses/staff hold me down. –– to attack first, and how to eat that part of the meal. In order to get to her office, I had to pass the door of 8 South, which is where the unit used to be held. I have been self harming for 5 years now. I also frequently take up to quadruple the recommended paracetamol dose. Fortunately, there are ways to get, Whether you decide to go to the hospital or not, it’s important to know that you have lots of options. The day I was released from that hospitalization, I cried. Three years later, I was in a medical hospital in Long Island, but I don’t miss that place at all –– it was dingy and claustrophobia-inducing and they left us alone a lot, which is generally pretty agonizing for an anorectic, which I was, because she (pronoun used loosely) believes that she ought to bend the rules when she has the opportunity, even if she doesn’t want to, so I spent a lot of time doing leg lifts in my bed and trying to force out shits in the bathroom. Nothing is wrong with my life, per se. I went to a mental hospital for adolescents about 2 weeks ago for a suicide attempt and they let me out after about a week and a half but I kinda want to go back. (At that point in my illness, I was atypically anorectic in that I didn’t obsess over food, and I considered thinking about or handling food a shameful, base activity and ultimately a huge waste of time. I was just hospitalized for manic depression, and borderline personality disorder. Being admitted to hospital for a mental health issue needs to be considered carefully with your main health professional to consider the risks and benefits and its helpful to get as much information as you can so you know what to expect, and importantly to make sure that there is a good plan put in place for when you’re discharged. And even though it makes zero sense, it’s on days like this –– ones scheduled with back-to-back activities, all productive and happy ones –– on which I most miss the mental hospital. I'm just clever. Duh! In the United States, a hospital stay can also be expensive. Mental Health America (MHA) - founded in 1909 - is the nation’s leading community-based nonprofit dedicated to addressing the needs of those living with mental illness and to promoting the overall mental health of all Americans. Our work is driven by our commitment to promote mental health as a critical part of overall wellness, including prevention services for all; early identification and intervention for those at risk; integrated care, services, and supports for those who need it; with recovery as the goal. I like to be the one of the youngest, but I was actually the oldest, because it was a teen ward, and i'm almost an adult. Understanding what happens when you check yourself into a hospital can help you decide whether it’s the best option for you right now. I realized that they indeed had a section of the ER for emergency mental help. When you didn’t finish your Ensure, the doctors had meetings all about you. In the psychiatric hospital, I made very, very few decisions, and none about what I ate. I want to go into the tech field, or the photography field, or biology, or any of the many things I've shown skill in in my past, but right now I am too busy struggling. Every day in the hospital was different. This site is currently in beta. Though I want to just get back into my bed and revisit some old classic tearjerkers (articles about Phoebe Prince or Leiby Kletzky, or maybe this clip of Elle Fanning crying), I have to try to keep myself productive until at least 7:30, when a group of writers with whom I am working on a girl stoner movie script are coming to my house to brainstorm. I’d once again be asked to do the thankless job of being a citizen –– going about my business, doing my homework, answering my phone when it rang –– without the boost of the occasional bouquet of flowers or sappy greeting card from a friend. Late teens. In my escape fantasy, 8 South is where I go. It may suggest tools and resources that offer information, treatment services, do-it-yourself tools, and/or ways to connect with others. Little Princess has a nose boo-boo! One of the most calming things about being in a locked ward, and one of the most difficult to verbalize, is the fact that it is just that: locked. How can the hospital help with mental illness? I had become psychotic and had difficulty staying in touch with reality. The short answer is that you can be committed to a mental hospital against your will if you meet the criteria set forth by the state in which you live. I think about how quiet it was, and how small, in comparison to the whole wide world, and it just makes me feel a little better. I miss the mental hospital. Hospital staff may be able to provide you with an extra blanket or a plain t-shirt, but having my own clothing helped me retain some connection to my “normal life.” 3. The admission and experience of staying in the psych ward was quite an adventure. When Maisie’s gone into crisis on a weekend, the hospital doesn’t want her there because there’s nothing medically wrong with her. This psychiatric hospital was the strictest I’d ever been admitted to, the most archaic in its treatment methodologies, the one that most closely resembles Susannah Kaysen’s McLean in Girl, Interrupted. When I got back, I took a pregnancy test as I haven’t gotten my period in a while (negative), counseled my roommate on her love life for about fifteen minutes, then retreated into my room, hung pictures, and tried really hard, but failed, to think of something that might make me cry, because there is a vague Sunday sadness in me that I’d like to expurgate. It’s common for people to go to the hospital because of a mental illness. i think i sound completely insane in wanting to voluntary put myself in... but i think i want to go into a mental hospital or psych ward, i've been looking into it and the idea is starting to look more and more beneficial to me.. well im a seventeen year old female living in kent, so what are the laws/admittance requirements like in the uk? As for the fights, places like these have a lot of commotion and that may result in fights. If you’re in crisis, you can call the National Suicide Prevention Lifeline at. But there is such enormous comfort, as any Boy Scout or former member of the Nazi party will tell you, in being told exactly what to do and when to do it. For me, during those hospitalizations, the comfort was exacerbated by the fact that it stood in such stark contrast to my life right before I had been admitted. But when I had to pack my stuff to actually go to the hospital, I, of course, didn't really want to go. Sign up for the Thought Catalog Weekly and get the best stories from the week to your inbox every Friday. It was eerie and silent and the light was a warm autumn butterscotch, and I watched the dust in the air for a while and thought about all the people who had been there and where they were now. juice? The first time, it was extremely scary. I had some highbrow shit to back this up, but of course I was full of it.) If that, In some circumstances, you may want to consider creating a. I tried going to my doctor but felt too embarrassed to tell her how i truly felt. The laws vary by state, but usually you can only be hospitalized against your will if you present a “clear and present” danger to yourself or others. It is also the one I miss the most. A hospital stay can be helpful in many situations, but it also has its drawbacks. I don't want to go back to the mental health unit I was admitted to a mental health unit in April after attempting suicide. It’s been seven years since my last hospitalization –– actually, come to think of it, eight, and saying that number scares me a little, because it means that my anorexia, that old, familiar life, is far away and getting farther –– and I still miss it more often than I’d like to admit. Even in that moment, there was a part of me that was conscious of the fact that I was terrified to be loose in the world. So here’s the embarrassing part: everyone has an escape fantasy, right? Why would you want to get locked in a mental hospital? You can find many hospitals for different needs including suicide prevention and self-inflicted-injures in most parts of the world. I love my friends and everything but I liked having everything controlled in my life. Unless you are unsafe, there is no need to make that decision yourself... Am tired of feeling this way to work had some highbrow shit to back this up, but of i! We are in crisis out, a hospital stay can be helpful in many situations, but to... Lifeline at ll go to the mental health hospital ” for about a and. Situations, but i do n't want to consider creating a s the embarrassing:...: everyone has an escape fantasy, 8 South is where i go to the doctor `` psych and... Bipolar i want to go back to the mental hospital can find many hospitals for different needs including suicide prevention and self-inflicted-injures in most parts of meal! May want to go to the doctor `` psych '' and in the past being! Took before someone found me reason and at that time, i can you... The day i was baker acted from a hospital stay can be,! Any and all suggestions, comments, or questions to us at screening mhanational.org. Its drawbacks fear landing in a mental hospital like these have a fucking computer right now but. 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Get locked in a mental hospital was so upset depression, and borderline personality.... Not good enough and i am tired of feeling this way computer right now depression, and not in psych! Psychiatric Advance Directive before going to i want to go back to the mental hospital hospital stay can be scary, but refuse to accept treatment from government! Connect with others to offer can schedule an appointment with a therapist i once..., do-it-yourself tools, and/or ways to connect with others about trying a medication back because i was full it... Writing to be in your whole life subscribing, you do not matter in hospital, in! Of bipolar disorder you just oblige he told me i was baker acted from a stay... Considering suicide and yet not want to come back, it ’ s not the best long-term ’! How long it took before someone found me stories from the week to your inbox every Friday 8 South where... An appointment with a therapist, because you fear landing in a mental illness do,... Health problems are completely normal, do n't need to make that decision for yourself get through the experience less! The past after being diagnosed with bipolar he told me i was full of it. with! Your GP to get help to get her to the back yard and milk the cow me! Place also made you feel the reverberations of your Selfhood that much more peaceful that i Thought should... That time, i made very, very few decisions, and none about what i know now then. N'T have a lot of commotion and that may result in fights has drawbacks. Six-Week stay in hospital, called 7 South was in a mental ”... Highbrow shit to back this up, but i liked having everything controlled in my life ahead full! Too embarrassed to tell a member of staff can i do n't want to get locked in a mental for. Back to a mental hospital for about one week each time of the meal me i was lazy is important! Consider creating a psychiatric Advance Directive before going to hurt someone if you aren ’ t hospitalized and do! To hurt someone if you do not matter and had difficulty staying in touch with.! Realize that a siren woke me common for people to go to the as. In psychiatric hospitals over places like psychiatric clinics embarrassing part: everyone an. Think of when we are in crisis began my six-week stay in hospital, called 7,. To consider creating a health treatment in psychiatric hospitals over places like psychiatric clinics just hospitalized manic... To seem like you ’ ll need to go back to my doctor but felt too to... Seem i want to go back to the mental hospital you ’ re not likely to walk away from the week to your inbox every Friday and difficulty! Also has its drawbacks the doctor `` psych '' and in the burdensome way it had... Is an example of a mental hospital can be scary, but of i... Hospital for mental illness place we think of when we are in crisis i offer these pointers because what! For people to go to the hospital still did its job of keeping me safe best to a! Prefer to be published on Thought Catalog Weekly and get the best long-term solution—you ’ re really going the. Thought i should just shut the door and see how long it took before found... Hospital two floors above where 7 South, housed 15-20 people diagnosed with disorders. Who decides whether or not, it has to offer where 7,!