Judging from my own experiences, each situation and each kind of delerium or madness would be different.
The one time that I think I had an actual psychotic episode, I had been given the wrong medication for a misdiagnosis of what was later determined to be depression. I lived in a college dorm. The first thing that I noticed was that I had trouble sitting still. Walking around or lying down didn’t relieve the problem either. Then I could not stay still. I just had this irresistible urge to move, only moving did not cure the urge.
Within a few hours I had trouble walking. I was very shaky on my feet. But I did walk across the street to Vanderbilt emergency room. There I went through some of the worst of it in a room alone waiting to see a doctor. My mind was sort of in a rage. I thought that I was going to explode literally. I knew that people weren’t supposed to explode, but I didn’t think that the human body could contain the kind of anguish – mental and physical – that I was feeling. I was a sort of silent scream. I was the scream itself. It was the worst pain I’ve ever known. Passing a kidney stone pales in comparison. Finally, someone came for me.
When I tried to talk, the words would sometimes get jumbled up and I felt like I had no strength to get them out sensibly. I managed to convey that I couldn’t be still and probably needed psychiatric help. The doctor said their mental health ward was full and all that remained was for them to send me to the state hospital.
Normally, that would discourage most people. I asked them how I could get there. They said they could have the police take me. I told them to call the police for me. I tried to call my parents to let them know what was going on, but I couldn’t make much sense to them.
The police came and I got in the back of the car and lay down. I remember very little about the trip. I had on an emerald green coat. I will never wear that color again. We cut across town on Chestnut Street which went on and on forever. Sometimes my husband drives down that street and I get sick in the pit of my stomach.
When we got to the hospital, the floor was black and white and there was an Admissions Deak. The police left me there. Someone took me into a room where a woman sat behind a desk. She was talking on the phone. I lay down on a sofa and began to get very aggitated and sat up again. I started to chant, “Get off the phone. Get off the phone. Get off the phone.” Those words came out okay. I think I was rocking back and forth.
She did get off the phone. She was a doctor and she asked me who I was and why I was there. I told her my story and said that I wanted to be admitted. She gave me a thorazine and told me to go back to the dorm and take it and get some sleep. I was really scared to do that – to go back to where I started. But I did. Someone called the police, I think, and they took me back.
I took the pill and slept for 23 and a half hours. I remember getting up to go to the bathroom one time and having to push myself out of the bottom of the bathtub after falling in. I also came to in the floor near the bed with my panties still around my ankles. Another time I answered the phone and it was my mother. I just said, “Can’t talk,” and hung up. To the best of my knowledge, those were the only times I was conscious.
After almost a day of sleep, I returned to a reasonably normal state.
Fever delerium and reactions to synthetic heroin and other pain medications were pleasant. The high fever made me hallucinate: butterflies playing football, a World Series baseball game became my high school students playing football. I even sat up in bed and sang our fight song. Pain medication made me love everyone and be grateful – which I think is the natural state of man when unincumbered with life’s burdens.
For a while I was taking some medication which caused me to have hallucinations while I was sleeping. I always woke up and saw animals – a crow, a bear and a swarm of bees. I remember that I knew that the medicine was causing it and I could say that aloud, but I still begged not to be made to look at that crow.