This is a story about brainwashing...

How do you think that somebody who has worked for the best part of 20 years in the investment banking technology sector, mostly as an IT consultant, would re-adjust to being under lock and key in a psychiatric hospital? The answer is: very easily.

Hospitals and the NHS are a home from home for anybody who's worked for an organisation with hundreds of thousands of employees. The ways that large organisations function are largely the same. The way that systems and processes are supposed to control large numbers of people, are nearly identical.

Being in the loony bin was welcome relief from the bullshit day job, but it's not like I had absented myself from all responsibilities. I still had to have my wits about me to avoid being medicated against my will and put under a 'section' - involuntary commitment to a secure facility, by rule of law - which could have seen my 2 week voluntary stay extended anywhere from 28 days to 6 months.

How did I manage it so easily? Perhaps it's because I knew I could leave any time I wanted to, but perhaps it could be because nearly 20 years of going to a shit office to do a shit job, has kinda prepared me for the monotony, rhythm and routine of spending weeks on end trapped somewhere I don't want to be.

There was a danger that just the very act of asking to leave could have triggered the doctors to decide to force me to stay longer. I knew that I had to remain calm, and give the medical team  enough of a peek at my psyche to be able to make a judgement that I was safe to release back into the wilderness.

The psychiatrist who took me under his care was in two minds, after 6 days, whether he was going to insist on 'committing' me, so that he'd get 28 or so days to poke around inside my head. Naturally, most people would freak out, if they found out that their liberty was about to be taken away from them. It's a game of brinksmanship: who's going to blink first.

Obviously, we don't 'commit' people any more to asylums. Instead we detain them under a section of the Mental Health Act, and put them in secure psychiatric facilities. You're no longer a loony in the loony bin. You're a "service user" in a "care facility". Of course, I'm not saying that the function is not useful or should not be trusted. I'm just pointing out that the names of things have been changed.

Bizarrely, if you say "I'm going to kill myself, I need to be locked up" you are very unlikely to be locked up. If you walk up to the hospital reception desk and use their phone to contact the switchboard, ask to be connected to the bleep holder for Psychiatric Liaison, and explain frankly your situation, you will have an amusing conversation with the poor Psychiatrist who has to follow official channels, but you're not going to get anywhere. The times that I have been admitted as an inpatient to a psychiatric facility, it has just taken time & patience. Only the truly desperate will sit in Accident & Emergency for 13 hours just patiently waiting for help.

Conversely, if you say "I'm not mad, I'm fine" once you're in the system, or in any way try to rush the process along, you're going to end up held down on the floor with somebody injecting Risperidone and Haloperidol in you, and you might wake up 40 years later, shuffling around the corridors of some institution, with the marked side effects of powerful psychiatric drugs causing you to make involuntary facial movements.

You can't fight the system. You can't fight the frustrating fact that you'll never get ahead in life and must instead sit at a desk keeping a seat warm, just so that your boss can appoint somebody from outside the company to come in and be incompetent at the job you were hoping to be promoted into, even though you were experienced and qualified to do it. You can't fight the frustrating fact that your miserable boring existence, helping the rich get richer and the poor get poorer, is making you pretty depressed, and you really want to fuck everything off and watch everything burn down.

Who is mad and who is sane? That doctor who just declared you to be mentally ill probably talks to their imaginary friend called Dob or Gob or Dog or Dod (or is it God?) who really knows? There's no proof that their imaginary friend exists, just like the doctor has no proof that the voices you hear aren't real and you aren't actually the Son of Dob, resurrected on Earth.

The invisible line between sane and insane is very blurry, when billions of people genuinely believe in magic, invisible entities that don't exist, and have absolute faith that some children's fairy tales are actually instructions that should be devoutly and literally followed to the letter as some kind of prescription for life.

It seems highly irreverent to say it, but people need to speak up, because the loonies are actually in charge of the asylum, when we elect and hand over power to people who believe in their invisible friends, fairy tales and magic.

By the way, for the record, I don't hear voices and I don't think I'm Jesus. But then, saying that kinda makes me sound a bit mad, doesn't it?

Tags: #mentalhealth #nhs #hospital #suicide #depression #religion #politics