When I tell people that Julie has gone back into hospital, they’re often very dismayed and shocked. I can understand that, though I wish I could explain that by the time an admission to hospital takes place, it comes as something of a relief to everyone concerned. The worst time is the time nobody else sees: the time immediately before admission, when the crisis is building, and we’re descending into chaos.
I try to keep normal life going as long as possible, even if it’s just going through the motions. This is because often we do pull back from the brink, and it’s easier to get back to normal if you’ve kept the engine running. So often Julie has hardly missed a day at college, and I’ve hardly missed a day at work, and nobody is any the wiser, even though the most appalling scenes are being enacted in our bathroom, and we’ve spent half the night in A&E.
But sometimes the crisis does gain the upper hand, and you find yourself going over the cliff edge. And actually once you’ve let go and committed to falling, free fall is quite a pleasant sensation. (Just as long as you don’t think too much about what’s going to happen at the bottom.). Just before you let go is a horrible feeling: everything is starting to disintegrate under the pressure, you miss out on sleep and exercise and eventually you know you’re losing. I know I’m feeling the strain when I start doing things I never normally do: putting my keys down in the wrong place and spending half an hour hunting for them, or snapping at someone at work. For a day or two, going to the hospital and letting somebody else take over the job of caring for Julie is a secret relief.
Of course hospital is not an easy solution and not a viable long term one. Acute psychiatric wards can be tough environments, even when they try to be comfortable and welcoming: impossible to disguise the amount of human suffering they contain. This is Julie’s first stay in an adult ward, and there are new norms and protocols to adjust to. Everyone seems so much older than her; everyone seems to smoke. Visiting there after a long day at work is a strain, and Julie is missing out on college. But they try to relieve distress, it’s a place of safety, and the initial plan is for her to come home again very soon.