KevinMD January 5, 2024
Constantine Ioannou, MD

It is a typical day on the inpatient unit. A patient is refusing medication, and I want to take her to court to compel her to take medication while her lawyer is arguing for her right to refuse.

Me: “She’s clearly psychotic. She has lost her family, and she has no place to live… all because of these delusions.”

Lawyer: “But is she behaving in a dangerous way?”

Me: “Being unable to survive in the community is not dangerous?”

Lawyer: “Well, there is no imminent risk.”

We decide to go to court, and in this case, we win. However, there are others we lose despite everyone agreeing that the individual is psychotic.

The delivery of psychiatric care differs from other...

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