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concurrent disorders

Mental illness patients who smoke are discriminated against by having separate smoking rooms in hospitals closed. As a result, they are being forced to leave the hospital grounds to smoke if they are not in locked units. This is unsafe for patients and others.
I was crashed on the couch, looking at the bottle of wine sitting on the sideboard. Thinking. It had been a rough day. I had felt the darkness coming on earlier and the thought of going into the abyss, again, was just too much. I couldn't face it again. I anticipated the oncoming exhaustion, the downward spiral and did not want to go there. The wine was looking good. And so was the thought of morphine. One hit and I would be in another place. It was a brief moment, but I knew as the thought of medicating myself flew through my head, that I was in trouble.
What's it like to be psychotic and unable to distinguish what's real from what's not real? How do people try to restore a family member to their sanity? Or cope with a severely ill person when there seems to be no way out?