*This is the part of my mental illness saga where things get R rated and borderline X rated. It’s the part where things get really disturbing and gross. Bodily secretions are involved. You have been warned. (I’m afraid this warning has got some people excited and will draw the wrong kind of audience to this blog but hey, what can you do?)

My birthday came and went at that treatment facility in Idaho. This year there were no gifts to open, no candles to blow out, no friends or family to gather around me and sing happy birthday. On the phone call with my mom and Marlene, my mom wished me a happy birthday and told me my godmother also wished me a happy birthday. She informed me that a friend of mine had left a message on our home phone saying that she’d tried to call my cell phone but it was disconnected and that she wanted to get together with me. My mom had called her back to tell her that I was in a residential treatment center.

When I compared this birthday to my last birthday, I was filled with intense grief and shame. My last birthday had been a birthday on which I’d had friends presenting me with a cake and singing happy birthday to me. That was when things were good for me and I’d decided I wouldn’t be self destructive any more. Now look how bad things were for me and how self destructive I’d become.

I was sinking to new lows in my behavior and it was upsetting the other residents. At one of our group sessions a resident said there was someone who was doing something that was bothering her and she wanted to address them but she hesitated to do so. The leader of the group guessed that the person she wanted to address was me.  She confirmed that yes, it was but she didn’t want to voice the issue because it was embarrassing.  At that point I said “I know what you’re talking about and I’ll stop doing it.”

A few days later the therapist who had led that group session called me in to his office. He said “In our last group you told Melanie you would stop doing the thing that was bothering her but today we got complaints that you were sticking your hands down your pants and touching yourself.”

Yes, you read that right. I was publicly masturbating (If doing that doesn’t make me crazy, admitting to it on a public blog probably does.)  There was definitely no sexual contact of any kind allowed at that place and very few opportunities to be alone so the most obvious explanation for why I was doing it would be that I was a raging nymphomaniac who could not suppress her sexual desires but that was not the case. I’m still a virgin and I’ve never been that in to masturbation as a form of sexual gratification.

So, why was I doing it? For starters I was..well, you see…um.. I kind of…oh, there’s just no delicate way of saying this… since my hygiene was really bad at that point things were getting pretty itchy and uncomfortable down there.

There was also an element of comfort seeking and sensation seeking to it. I was in a lot of emotional distress so I did what I could to comfort myself. I’m on the autism spectrum and I constantly crave stimulation, sensation and movement. I often jump up and down, flap my hands and pace back and forth. Being in a controlled environment where I was constantly supervised, in confined spaces with groups of other people and had to sit in one place for long periods of time hindered my typical methods of sensation seeking so I picked alternative methods. Speaking of picking, I also picked something else and it made it pretty hard for the other residents to eat their meals.

Speaking of meals, the program was big on healthy eating. Nutrition is important for both mental and physical health. The only problem was that the kind of healthy foods they chose to give us were the kind of foods that tended to produce a lot of gas. Since we were living in close quarters with each other, that was rather unfortunate. One of the flaws of that program was that they gave us food that made us really gaseous and then on our behavioral score cards they’d write us up for “passing gas in public.”  At one of our group therapy session a grievance a resident aired against one of his roommates was “When you fart I can barely breathe!”  It wasn’t long before I joined the ranks of the flatulent. At one point a resident said “If you’re going to sit next to me, can you please not gas?”

I have no recollection of doing these things but my mother tells me that the staff at Innercept informed her that I put a dead snake that I found on the ground in my mouth and that I crapped in the back of the van. I do like to touch and play with all kinds of animals but I’m not generally in the habit of putting dead reptiles in my mouth. I’m also toilet trained. I wasn’t quite myself at the time though. While I’d like to think it was someone else’s poop they found in the back of the van, I’ll acknowledge that there’s a very real possibility I was the culprit.

Aside from biological urge/necessity and self soothing, there were other more egregious reasons for my outrageous behavior. I wanted to mess with people, I wanted to cause trouble and I wanted to play the role of a crazy person. Why would I want to do that? you ask. It’s complicated. Years later when I described the behavior I’d engaged in at Innercept to a psychologist of mine she suggested that I engaged in that behavior because I was feeling so much pain, chaos and turmoil on the inside that I felt the need to replicate it on the outside. I think that’s the best explanation for my behavior we’re ever going to come up with.

Some other mental health professionals came up with some not so good explanations for my behavior. I’d assured the psychologists at Innercept that I was not hearing any voices in my head but they weren’t going to take my word for it. My behavior indicated to them that I had a psychotic disorder. Aside from the gas passing, the crotch touching and the reptile tasting, they noticed that I”seemed to be responding to internal stimuli”. What they were probably noticing was me smiling, frowning and flapping without any obvious external stimuli to prompt such a response. I’ve always had a tendency to get lost in thought, to smile when I think about something that amuses me and frown when I think about something that upsets me. I’ve also always had a tendency to flap. It’s just part of who I am and part of being on the autism spectrum. It has nothing to do with hearing voices.

Nevertheless, my behavior was a cause for concern. My mom had read research that suggested people on the autism spectrum are at an elevated risk for schizophrenia and I was around the age where schizophrenia tends to develop. One of the therapists at the program administered a series of tests to assess my grip on reality and was surprised when I got an almost perfect score. He was sure the tests were going to indicate I had some kind of thought disorder. As he said to my mother, “You can fake crazy but you can’t fake sane.”

There were some people who felt I was faking crazy. At a group therapy session a resident said regarding me “I think she’s faking her shit. She’s too smart to really be like this.”

Was I faking being crazy? Yes and no. There was certainly an element of performance art to my behavior but sometimes when you fake being batshit crazy for long enough you actually become batshit and the fact that I felt the need to fake batshit in the first place showed that I wasn’t quite right in the head.

Regardless of my reasons for engaging in that kind of behavior, I know that it was not appropriate. I didn’t think it was appropriate to engage in at the time either but I did it anyway and that made me an asshole. A mentally ill asshole but an asshole nonetheless. When one of my roommates called me aside to tell me how much it bothered her when I touched myself, she cried as she spoke. When I saw her tears I felt genuinely bad. Although I disliked some of the staff, I had no ill will toward any of the residents. They were mostly nice people and it was not right for me to make a hard time they were going through even harder.

I was harming other people with my behavior but I was harming myself more. One day when everyone had had it with my behavior, a staff member said to me “Kira, get in the car, I need to drive you somewhere.” “Where are we going?” I asked. “We’re just going for a ride” she replied.

It turned out we were going to a place called Stabilization. Stabilization was a house out in the woods reserved for residents who were behaving badly. The idea was to give them a chance to calm down in a “low stimulus environment”, which essentially translated in to sitting around doing nothing all day. Sitting still all day is unpleasant for a lot of people but it’s especially torturous for someone like me on the autism spectrum with a nervous system that has a constant need for movement and stimulation. Let’s just say I sought stimulation in alternative ways that the staff who were supervising me found disgusting and did not appreciate.

My time at Stabilization did nothing to improve my behavior. Once I returned to the program I continued to act out in a disgusting and bizarre ways. Even though the testing had shown that I wasn’t psychotic, I’d been put on anti-psychotics. Since at that point I was really skinny because my depression had made me lose my appetite, I was given an anti-psychotic that increased appetite. The problem was it made me ravenously hungry at a place that limited my food intake to three small meals a day.

One day I was so hungry that I ate a piece of fruit out of the garbage (hey, maybe that’s also why I put the snake in my mouth.)  “You can’t eat out of the garbage! That’s disgusting!” The staff member who caught me doing it said. On my behavioral score card I was written up for eating garbage.

That night I became violently ill. I vomited and had diarrhea all over my bed. “That’s what happens when you eat out of the garbage” the program psychiatrist told me.

The next day the same staff member who had driven me to Stabilization told me that we were once again going for a ride. “Where are we going?” I asked again. This time she told me exactly where I was going. I was going to the mental hospital.

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6 thoughts on “Adventures in Mental Illness: Part 4

  1. I admire your bravery. You wrote about very personal and hard things. I am glad you did though! Hope it helped you. Was very interesting to read and am looking forward for more.

    Liked by 3 people

  2. I love how you write about your experience with self-deprecating humor. Great coping mechanism. Makes it easier to survive and to communicate. Clearly, the residential treatment facility hadn’t a clue how to help you. Thank you for sharing your perspective on what it’s like to live on the autism spectrum.

    Liked by 3 people

  3. Wow- you are a great writer. You have such a strong voice and I couldn’t stop reading your post. At the end I wanted more! I admire your transparency, truly! It’s refreshing! I am sorry you had such troubles and were not well cared for it seems in the treatment centers. Thank you for using your experiences to share with and educate others! ❤️

    Liked by 2 people

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