He was 19. I saw that on his papers before I let him into the office. I knew it meant trouble.
Someone who was only 19 and was in the county mental health system had to be either big trouble or a big manipulator. Working with adolescents is tough for me because I have to “set limits;” often yell and scream. That is absolutely not my favorite way to be a psychiatrist, to read people the riot act. But 19 year olds often need that.
He had been recently hospitalized for a “psychotic break.” That is when someone who is alleged to be normal suddenly starts hearing voices and seeing things. It’s not always mental illness — maybe some drugs on board, maybe some kind of stress. At least I had the records from the hospitalization.
Yeah, drugs on board. Some speed, some pot. The “baby-momma” of his first child (God, was he proud) was no “fun” anymore. She wanted things like child support — clearly not a “fun” request.
Now I have read some recent studies from other countries — this is not the kind of thing they do here — that when there is the risk of hereditary pathology you can feed a kid Omega-3 fish oil and maybe prevent this “psychotic break” — or at least delay it. And yes — to me someone 18 or 19 years old is still a kid. Read more on You Can’t Help Me Unless You Are Like Me…