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From: (Not Displayed) Received: 3:59 pm on Nov. 17, 2008 Return to Inbox
Subject: Life after the mental institute
Hi. I posted this on the forms today but didn't get helpful responses. I'm not too familiar with treatment and would appreciate any thoughts or advice on the matter. Thank you:

There's a good chance my therapist might refer to me to a mental hospital. I meet with my new therapist in a few weeks. I was seeing a counselor again (saw her two years ago too) at my college but got referred to an actual clinic instead since the counselor didn't think they could give me the help I needed. I haven't tried to kill myself; and I never would because I could never do that to my family. But I do think about it way too much. Along with that, I'm extremely critical of myself.

So much that I've lost all self confidence and positive imagine. Instead, I avoid people because I I feel inferior to everyone, I'm always stressed, I'm not motivated and never want to get out of bed in the morning and start my day, my college grades have dropped dramatically because I psych myself out that I'm going to fail and then I can't concentrate or focus on anything. My counselor asked if I have any hobbies; and I really don't. I don't find enjoyment in things anymore so I gave up any previous hobbies that I've had. I'm not really going into depth about it; but my life in general is frightening to be living with these thoughts.

I typically am a good student. I'm a hard worker and I've got business sense. When I get out of college I'll be successful at what I do. That is, if I can control my problems. I've tried to ignore them for a long time, but realize I need to fix them otherwise I wouldn't be able to live up to my potential and probably lose many friends because of my anti-social tendencies. Because I do want to get better, I am willing to do the therapy, and even the mental health institute if need be.

But the thing I'm worried about is life after the institute. I've worked as an government employee for the National Park Service for four years and want to after I graduate from college. Will I have trouble getting a job with this on my record; or any other job for that matter? I realize this would all depend on my college; but do you think this would set me back in college? I've heard the average stay at an institute is 30-60 days. I'm a recreation and tourism major. It's basically business management for outdoor facilities such as the park service. Pretty much the outdoors version of the business field.

A lot of my classes do with legal aspects and how to not get sued for your programs you develop.

It's not so much the fact that being admitted to a facility like this that bothers me; it's the affects it will have later on me such as finding a job. Do you think this would present an issue?   .

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Hey,

First I want to say that I think it's really good that you're working to get this all under control before it takes a more serious toll on your well-being.  I know that getting in for treatment isn't always the easiest thing to do, so it's great that you're taking charge here.

Moving on to the root of the question, privacy concerning your mental health history in a government job.  From everything I've learned and read (I am a psych major and have covered this a bit), all information about this should be confidential under the Health Insurance Portability and Accountability Act (HIPPA).  In this legislation, there is a stipulation (located in the Privacy Rule) that protects all protected health information.  Protected health information basically includes all of your medical history, medical records, and payments to institutions that provide medical care.  I believe that the only way these can be accessed would be if you were to get in legal trouble for something, and the records were subpoenaed by a judge for the investigation.

So in short, the answer to your question is that no, you don't have to worry about an employer (even a government one) finding out about this.  The only way they could would be if you disclosed your records to them.  It is actually illegal for them to access your records on their own, and (if they manage to get them) discriminate against you because of them.

As far as setting you back, I think that if you do this and still are enrolled in classes at the time, then yes, you will be set back.  Missing even a week of class in college can get you pretty far behind.  Because of this, I would have to recommend taking a semester off to get things sorted out.  Lots of people take a semester or even a year off at some point in their college career.  In the long run, I think your own well-being is a lot more important than getting out of college one semester earlier.  I would take the time off and get yourself healthy.

All in all, I wouldn't be too worried about what your life will be like after.  You aren't ruining any opportunities for yourself by doing this.  You're getting your life back on track, and hopefully working through some of the problems that have been holding you back thus far.  When you get out, the hope is that you'll be prepared to get a fresh start on college, as well as life.

Again, don't worry about employment or your college finding out about this.  It is all protected.  If you want to read more about this, you can check out HIPAA's website.  They have the full text of the act.

If you have any other questions about this, or need to talk to someone, don't hesitate to PM me.  I would be happy to help you out.  

Take care.

=Isobel

Posted at 11:15 pm on Nov. 17, 2008

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