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Psychiatric closed Ward

Psychiatry

This is a place of involuntary treatments. Psychiatrists can put a patient in the closed ward for a day without patient's consent in certain cases; eg. when patient is suicidal, or harmful to others. The psychiatrist must report the case to the court and ask for a formal court order if the patient need a longer stay against his/her will.


  1. The patient on the right has schizoaffective disorder. A psychiatrist told me she was a national champion of table tennis. She recently broke up with her partner. Symptom has got worse.
  2. The Patient in the middle was a young male. (I don't know what kind of disorder he has.)
  3. The patient on the left has schizophrenic stupor. He underwent to ECT(electro-convulsive therapy).
The screen is just a TV (and not a security camera, thus the face is not that of a patient.)

Other patients:

  1. an elderly male with dementia: his family came to the ward and complained to a psychiatrist. The man is ok, they don't understand why he must be here in the locked ward. They had an argument with the doctor. After his family left, the psychiatrist examined the patient's cognitive symptom. He can not tell where he is, which date it is. He said it is 2011, when it is 2018. He was aggressive before but when he was asked with these questions he became less confident and lowered his voice. Thus I thought he knew he has a memory problem. This is the first time for me to see such patient. We have just learned how to examine cognitive system but I have never felt it is real. Seeing is believing.
  2. a young boy with autistic spectrum disorder. around 15 year old. He has not developed language skill yet, he uttered some sound from his mouth. Psychiatrist says that he can say only a few meaningful words; including Mom, eat. He got close to people and touch them without asking them. The man in the middle in the photo pushed him hard because he did not want to be touched by him. He wore a diaper. He hit himself on the head hard occasionaly. We don't know why he does do this.
  3. another young boy with autistic disorder. say 18. He was aggressive and try to catch people. I did not see exactly what happened but he did something wrong and some nurses restrained him on the bed. It was sad to see such a thing.
  4. A middle-aged man talked to me. His thought and movement was slow. I think he had some medication such as benzo or anti-psychotics.

When we did a psychiatry practice, our tutor mentioned that nurses tend to restrain patients more easily than necessary. Nurses are the people who really do care, it would be easier for nurses to control some uncotrollable patients in this way.


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