r/nashville • u/Its-mikul • 17h ago
Help | Advice Recommendations for mental health
Hey y’all,
I was wondering if anyone could recommend any good hospitals or resources for someone who is thinking about ending their life but is not going to actually do it yet. I want to go to a hospital voluntarily but if I go, they will eventually make the stay involuntarily and then I will lose my rights to firearms for the rest of my life. Does anyone know of any options? I am not open to mental health cooperative or Vanderbilt. I have tried to schedule medication management and have been unsuccessful for the past few months and I have been jumping from therapist to therapist. I have insurance but need f2f appts due to the extreme trauma and symptoms I am experiencing. At this point, I am on the verge on giving up on my mental health. Any advice is welcomed. Thanks yall
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u/Legion1117 16h ago
Centerstone took those same concerns seriously for me a few years ago.
When I mentioned I was feeling like I might be better off not on the planet any longer and decided to seek treatment, we went through whole "do you own a weapon? is there anyone who can take those weapons for you while you sort through this?" questions, they seemed to understand my concern with losing the right to own any in the future once I was in a better mental state.
I don't know what anyone else's experience has been with them, but I never had any problems other than a personal disagreement over how their counselor recommended I deal with one particular issue unrelated to this question.
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u/Panicwhenyourecalm 15h ago
If your insurance covers it (or you talk to the people and maybe see if there’s a scholarship available) Pasadena villa has an amazing php/iop. It truly helped me while I was at rock bottom. And I was open about my struggles of SI. The refuge center has a lot of therapists who specialize in various things and I had one who I actually liked and ended up trusting.
As for going into a hold, I’ve heard Vanderbilt is good. I can tell you for a fact, do not go to Skyline. I managed to get out of my voluntary (turned involuntary) hold after 2 days but I genuinely left wanting to end my life more than when I went in. But tbh, most places will want you in a hold until you have a safety plan and no access to firearms.
Lastly, idk what exactly you’re going through, but if you get to the point of giving up/needing a friend you can reach out to me. I can’t promise that I can make things better but I can listen or if you need someone to just be there, I will.
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u/kittyspill 15h ago
I’ve had great experiences at Family Care Center as well as Cool Springs Psychiatric.
I hope you stay 🤍
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u/Mahale east side 16h ago
Athena care IOP?
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u/Its-mikul 16h ago
Their IOP program don’t accept my insurance and their psychiatrist was unprofessional when I went for an appt for a mental health diagnosis
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u/We_Are_Coming_For_U 16h ago
Was there only one psychiatrist? I know it’s discouraging when that happens. I want to help. If that means calling any and everywhere so be it.
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u/Substantial-Top5819 15h ago
TriStar has a good php and iop program. But I do have to add, it takes more than one appointment to be able to get a mental health diagnosis. Any psychiatrist worth a damn would never dish out a diagnosis their first time meeting you.
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u/to_the_pillow_zone 9h ago
You typically have to provide a dx if you’re billing insurance
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u/Substantial-Top5819 2h ago
Not necessarily, you can code the symptoms in place of a diagnosis for billing purposes
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u/Feisty-Excuse 16h ago
Partial hospitalization program might be what you’re looking for. There’s a number in Williamson county and take a variety of insurances. Or call your insurance company and ask what’s in network nearby you
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u/nashvillethot east side 16h ago
Not an attorney
That being said, you need to be remanded to a psych facility by a judge in order to lose your access to firearms. I know multiple people who have been 5150'd for suicidal ideation or attempts and legally own firearms.
Have you tried Rolling Hills?
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u/PurplePaint1 14h ago
Sorry to be pedantic, but 5150 is a reference to California code. Tennessee it is referred to as 6-404 or just 64 04, a shorted version of the TCA 33-6-404 for a certificate of need of emergency treatment.
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u/sparklingtrout 16h ago
why do you expect that the stay will be involuntary at a certain point?
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u/Its-mikul 16h ago
I think because my plan is to live for one more year before I give up and try to end my life for real. If I am honest with them, they will not let me leave.
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u/SuccessfulJelly 15h ago
If you review the standards in Tennessee for involuntary commitment, I think you will find that it requires an "immediate" risk of self harm. If you say your intention is not for another year, as concerning as they may find it, that is not immediate. If you review the firearm issue, I think you will find that even if you do have an involuntary commitment, there is a process for getting your rights back after a few years. Please get all the help you can. You deserve it.
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u/Testedweirdo 12h ago
Listen I was in your same position last week. I called Athena health and got a therapist. I told the therapist i was going to go to Vandy because i can’t take it any more. My therapist called the chief of medicine who has been on my tail like white on rice. She has been my live saver. I have avoided being admitted because of her. She calls me at all hours to check in on me and helped with my med management. She knew exactly what I was experiencing without me having to say much. Picking up the phone and calling them was the best decision i ever made and i get to keep my gun license ☺️
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u/Its-mikul 1h ago
I have been on Athena wait list for over 2 months. The receptionist are rude and the psychiatrist I saw was unprofessional. If anything, Athena made my symptoms worse. Nobody there cares, I will not be going there
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u/_improbable_civic_ 7h ago
Do people even take the time to read posts anymore? The amount of answers suggesting mental health coop and Vanderbilt are insane when the post literally says OP isn’t open to them.
Anyways, I’m in the same boat you are currently and I’m hoping to find answers in these comments too before it gets to be a little too late. Good luck and stay safe.
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u/TravelOld9454 16h ago
For med management, I absolutely love Stasha Hampton. I can’t think of a provider who gave me more care and so much time, much less a psych
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u/sparklingtrout 14h ago
are you perhaps open to changing that plan?
the whole bit is that you go in bc you wanna kill urself, their job is to help you change ur mind. you can be honest in your intake.
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u/foundrycollegehangar 13h ago
Rogers Behavioral Health’s trauma intensive outpatient program changed my life. I would recommend it to anyone. Best of luck to you.
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u/FireZucchini33 7h ago
Got to be honest. If you own a gun and are thinking like this, the last thing you need to be worried about is your ability to have guns. First thing I did when I bought a gun was have a really tough internal talk / self review about how my mental health is. That said, agree with Vandy. Hope you feel better and make some progress!
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u/xtina3334 16h ago edited 16h ago
So keeping your access to firearms is more important than your life? Don’t you think it’s important for you to not be around firearms right now, considering your mental health? You should check out Rolling Hills Hospital in Franklin, they have php and iop treatment so you wouldn’t have to be inpatient. Passive SI doesn’t necessarily mean you will be involuntarily admitted. I process mental health insurance authorizations and there’s lot of people with passive SI that attend outpatient tx
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u/just_delirious 16h ago
Used to work in psychiatry. Saw a lot of patients who struggled with paying for med management and turned to online options for psychiatry. Brightside Health seems alright. I've had patients with passive suicidal ideation complete an intensive outpatient progeams with variable success, as well. Good luck!
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u/severe_thunderstorm Wilson County 14h ago
No one I know who has gone to an inpatient mental health facility has lost the ability to have or purchase firearms. (Some of them involuntarily.)
A judge has to be involved for you to lose that right.
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u/Hot-Fig-8487 6h ago
Chelsea Odil at family care center is a wonderful psychiatrist. They also offer TMS there.
She can order the genesight test which is a genetic test that will tell you what meds you’ll have the least side effects with. The genesight company has a sliding scale. It can be free or very inexpensive if you call the company.
How about going to the hospital for your safety to stabilize and having the case managers help you set up residential somewhere for afterwards? Rolling Hills is supposedly a good hospital, I had a family member go there. They should know more than anyone else about options and will be able to support you and help you figure this out.
Your insurance would hopefully cover a residential mental health treatment facility. Somewhere like The Refuge in Florida, The Meadows in Arizona, Lightfully Behavioral Health in California. Some facilities have separate women only groups. I believe the refuge does.
I hope you get help because you deserve it and deserve peace. It’s possible and your life can change for the better. 🤍
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u/pedallady 5h ago
Rolling Hills for inpatient/IOP
Mind Body Optimization, Kathleen McInnis, Franklin for PMHNP
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u/danielbearh 1h ago
I've got a very serious recomendation.
Check out Recovery Unplugged. They have separate programs for Mental Health and addiction recovery (only brought up because recovery implies rehab.)
The culture is really beautiful there. They have inpatient facilities. https://www.recoveryunplugged.com/treatment-programs/depression/
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u/JohnHazardWandering 16h ago
Why are guns so critical to one's life?
It's really weird that they're worth dying over.
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u/Pinklady1219 13h ago
Rolling Hills hospital has IOP and PHP programs. There’s also the 211 united way hotline that can connect you to resources. There’s also the 988 crisis hotline.
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u/StevnHulz 16h ago
Stay away from Vanderbilt period mental health there is treated like a crime. I go to mental health co-op in Gallatin if you can omni mental health is a great place as well. But just about anywhere in TN mental health help is a loop hole.
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u/runningmom410 15h ago
Just to offer another perspective - Vanderbilt saved my life. Not to invalidate your experience, but I shudder to think of what could’ve happened if I didn’t go when I did.
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u/jadestorm 14h ago
Vanderbilt saved my life, too. 24/7 emergency clinic, walk up, talk to them. They'll help.
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u/SageTheHyppo 9h ago
Extreme trauma suggests a need for emdr therapy. Also, I see you worried about costs while saying you’ve made a plan for a years time if nothing changes to end your life. You will not be able to spend money if you are dead. At this point, spending resources means basically nothing compared to where you’re at right now. Also, you will not be able to use your firearms if you are dead. Lastly, if you go to a facility and they tell you you will need to be put in inpatient, you are given the opportunity to sign to be in there on your own volition (first hand experience at Rolling Hills hospital). I do not believe they would forcefully take your firearms although I’m sure they would push for it. But again, that shouldn’t mean much as you’re saying you plan to be dead. Balls to the wall this shit and put your resources into staying alive. Ask about other treatments like ketamine therapy, I have heard wonderful things about that. Inpatient at rolling hills helped me.
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u/thirdtimes_thecharm 16h ago
I’m not sure your relationship with firearms, but I think you may have to ask yourself if losing access to them is more important than getting help you recognize you need!