I work in psychiatric facility on a male-only geriatric unit. Most, but not all, of my patient’s are convicted or alleged criminal offenders.
I’ve learned a lot over the time I’ve spent in this position, but one of the major ones is that anyone can wind up here. I have patients who are college educated, have families and successful marriages, ran business, are scientists.
The brain does not care who you are, or what you’ve accomplished.
A lot of my patients were just living their lives when something triggered their psychotic break. Sometimes it was being houseless and unable to access their meds. Sometimes it’s mental or physical trauma, or sudden changes to their environment. Sometimes it was drug use, or bad reactions to medication. Sometimes, in geriatrics, their condition was manageable until they developed frontal-temporal dementia or Alzheimer’s.
Some of my patient’s have diagnoses and treatment starting when they were in their teens or twenties. Some of them had their first psychotic break in their 50’s.
Which is to say, like any disability, it can happen to anyone. It’s always a few steps closer than we’d like it to be.
And if you do have psychosis, either once or as a chronic condition, you deserve treatment, care, and a sense of humanity.