Psychiatric Times April 25, 2024
Nicolas Badre, MD, Aaron Meyer, MD, Matthew Abrams, MD

The current system of extrajudicial medical holds does not protect the rights of those who lack capacity to care for themselves due a medical condition.

“John,” a 30-year-old male, comes to an inpatient psychiatric unit. He has a good job, a large network of friends, a wife, 2 kids, as well as a first episode of psychosis. It may not be the most common scenario, but it certainly can exist. Several weeks ago, he started becoming obsessed with a fixed, false belief that a storeowner in his town was running a cult, where children were being harmed. His wife, family, and friends become increasingly distressed and bring him to the hospital. At this point, he has ceased to care for...

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