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umpalumpaaa 6 hours ago

A while ago I was seriously sick + in a hospital (for a few months). The doctors told me that I won't be able to resume my regular job (software engineer). At the same time I was in a lot of pain – unable to sit, walk, stand. It was not really clear how it all would end.

I got deeply depressed and just wanted to die. The pain was just too much - even with controlled pain medication in a hospital setup.

I called the German crisis hotline almost every night and they were usually very very helpful. They listened - sometimes for 1-2 hours. In 90% of my calls I felt way better after calling them. They really are well trained and some of the personalities I talked to were pretty impressive and interesting… They have seen a lot…

b3ing 2 hours ago | parent | next [-]

In the US they try to get you off the phone after 5 min and you can hear it in their voice, I know there is a lot of traffic but still it doesn’t help

ButlerianJihad an hour ago | parent [-]

Imagine if you and 1,000 of your neighbors called the 9-1-1 dispatch for a little heart-to-heart.

This number in the USA is designated for people in crisis, and a crisis responder is going to be under time pressure to resolve your crisis or hand off the situation to some other team as it de-escalates.

My county also has a “Warm Line” that everyone is encouraged to call, but they do set timers. Once your timer runs out, they tell you how long to wait, and then you can call back.

If your case is so involved that it requires extensive discussion, then they can refer you to a clinic or local professional who can help, you know, during normal business hours.

Mental health care often involves long conversations, but the mentally ill can also chew up enormous airtime by talking, and talking to the wrong person. The crisis operators are not therapists and they’re not paid to establish relationships.

mothballed an hour ago | parent [-]

I wonder what they can really achieve in 5 minutes beyond sending the police to do a mental health hold on you? I always thought these lines in the USA were just ways to rat yourself out to get a mental hold (imprisoned, at your own astronomical cost) and then your civil rights (guns) revoked.

Having been imprisoned at a hospital, though not for mental health (falsely accused as drug smuggler by insane cops), I think I'd rather risk suicide if I were in such a state, rather than alert someone who would send the authorities.

Frieren 2 hours ago | parent | prev | next [-]

I hope that you feel better now. And I am very happy that you got help.

Mental help is never a cost for society, it is an investment.

ButlerianJihad an hour ago | parent [-]

> Mental help is never a cost for society

At the risk of going “No True Scotsman” on this assertion, I would point out that providing such services has been increasingly lucrative and it is a growth industry where new providers are arising constantly, and existing ones are expanding vigorously.

That means that the space for fraud, waste, and abuse is gigantic. I have, on occasion, perused the FOIA lists of de-licensed providers, and this list reads like a watchlist of dangerous religious cults, because that is literally what they are.

Imagine if the state and taxpayers could fund a variety of new religious movements in efforts that would be lauded as “health care”. It is absolutely amazing.

Many unlicensed or unscrupulous recovery facilities have been scooping addicts off the streets, because you taxpayers are funding “housing” and “treatment” that is so attractive to client and provider alike. Drug-addled Indigenous men willingly hop into unmarked vans that cross state lines to drop them into homes (literally looking like private homes in residential neighborhoods) where they supposedly get treatment “for free”.

Those outpatient facilities that are invisible only need to get a patient hooked so they keep coming back every month, and that’s a guaranteed paycheck. Everyone you see living under bridges and in sewers, they represent billable hours for outpatient clinics. They are far more valuable than they appear because of the taxpayer dollars that support their ongoing “treatment” and “recovery”. It’s probably not worthwhile to get them off the streets, because of how valuable they already are!

Reagan moved to close the asylums after One Flew Over the Cuckoo’s Nest, but if you drive through the cities today knowing what to look for, you’ll see enormous BH facilities going up like mu$$$hrooms, literally.

Not to mention the unspoken costs to sanity of the workers themselves. BH is always hiring and there are always job openings, even for the mentally ill themselves to be “peer support”, so often your treatment will involve one or more people with mental illness already. Nurses and doctors burn out. Have you ever seen Harry Potter and how many teachers for Defence Against the Dark Arts he had? It’s exactly like that.

In fact, the new national crisis line is established as a funnel, to funnel new and existing clients back into the “treatment and recovery” systems, because there is so much profit in keeping them there.

keybored 6 hours ago | parent | prev | next [-]

I’m glad that it helped and that it worked for such a seemingly somatic issue. I wouldn’t have thought that.

washadjeffmad 5 hours ago | parent | next [-]

That's understandable. I went through a period of chronic pain and, had it continued, I likely wouldn't be alive today.

The mechanisms protecting us from non-existence by millions of years of evolution can be eroded by pain. It's not something you realize you even have to lose until you've experienced it firsthand. I certainly never expected it, and it's hard for me to imagine what I'd intended while going through it.

jodacola 4 hours ago | parent | prev [-]

I just listened to a fascinating podcast episode of Armchair Expert on pain psychology that went into such topics [0].

May not be some folks’ cup of tea, but I was sucked in and want to study more.

[0] https://armchairexpertpod.com/pods/rachel-zoffness

dyauspitr 4 hours ago | parent | prev [-]

[flagged]

kridsdale1 4 hours ago | parent [-]

At least you’re honest. And I don’t think it’s rare. I know some Bay Area high end escorts and they say overworked programmers are the bread and butter.