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Here’s the link: Under My Skin Book Blitz Info
UNDER MY SKIN on Goodreads
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Welcome to the cover reveal for
Under My Skin by Laura Diamond
presented by Swoon Romance!
Be sure to enter the giveaway found at the end of the post!
Bookish Brit Adam Gibson is one wonky heartbeat away from a fatal arrhythmia. But staying alive requires Adam to become keenly focused on both his pulse and the many different daily medications he must take in exactly the right dosages. Adam’s torn between wanting to live and knowing that someone else must die in order for him to do so. He needs a new heart.
The pressure is getting to him. Adam stops talking to his friends back home, refuses to meet kids at his new school, and shuts his parents out entirely. His days are spent wondering if can cope with having a dead man’s heart beating inside his chest, or if he should surrender to the thoughts of suicide swirling around in his head.
And then a donor is found…
Outspoken artist Darby Fox rarely lets anything stand in her way of achieving her goals . Whether it’s painting, ignoring her homework (dyslexia makes a mess out of words anyway), kissing a hot boy she doesn’t even know, or taking the head cheerleader down a peg , no one has ever accused Darby of being a shy. She also happens to be the twin sister to a perfect brother with good looks, good grades, manners, and the approval of their parents – something Darby has never had.
Darby’s always had bad timing . She picks the worst time to argue with her brother Daniel. In a car with bald tires, on an icy road in the freezing cold, the unthinkable happens. In a split-second, everything changes forever.
Under My Skin by Laura Diamond
Publication Date: April 12, 2016
Publisher: Swoon Romance
Laura Diamond is a board certified psychiatrist currently specializing in emergency psychiatry. She is also an author of all things young adult—both contemporary and paranormal. An avid fan of sci-fi, fantasy, and anything magical, she thrives on quirk, her lucid dreams, and coffee. When she’s not working or writing, she can be found sniffing books and drinking a latte at the bookstore or at home pondering renovations on her 225 year old fixer upper, all while obeying her feline overlords, of course.
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Blogger and aspiring author, Christine Danek, asks Lydia and I a series of questions about what would happen after someone attempts suicide. Be sure to check out Lydia’s response to acute management of an overdose.
I’m going to focus on two questions in particular:
“I plan to put [my character] into a psych ward shortly after she is treated. What is the procedure there? What type of medication would [my character] be given?”
In the state of New York, every person admitted to an inpatient psychiatric unit is given a particular legal status. Basically, it boils down to two choices: Voluntary or Involuntary. Voluntary hospitalization is simple enough. The person elects to be admitted to the psych ward. Involuntary hospitalization is more complicated in that the person does not personally elect to be admitted. The Mental Hygiene Law allows a physician to do an Emergency Admission if someone is presenting as an acute risk of harm to self or others.
I point out this is New York’s procedure because each state has its own laws. Other states do not have the option of Involuntary hospitalization, whether or not they plan to kill themselves or harm someone else. There are laws (Tarasoff I and Tarasoff II) that outline a clinician’s Duty to Warn and Duty to Protect, but that’s another post altogether.
Once the legal status is determined, other admission paperwork is completed such as a written document of the history and physical, medications to be ordered, diet, labwork, observation level, and a treatment plan outlining various treatment goals. The person is shown to their room (they often have a roommate) and oriented to the unit (where the dining room is, where the group room is, where the rec room is, etc).
Most inpatient psychiatric wards have daily group programming where patients participate in mental illness education groups, exercise groups, recreational therapy groups, medication education groups, and relaxation techniques (to name a few).
Someone who has attempted suicide, but no longer feels suicidal could be monitored on Q15 minute checks (someone checks in on the person every 15 minutes, round the clock). If the person still feels suicidal, then they may be put on a 1:1 sit, meaning someone literally sits with them and follows them around 24/7 until they are no longer a risk to themselves. A person can have what’s called bathroom privileges (where the sitter doesn’t follow them into the bathroom), or they may not have bathroom privileges, depending on how acute the situation is.
The person would have 24/7 access to nursing and support staff. They’d meet with the treatment team (usually consisting of a psychiatrist, social worker, nurse, and/or nurse practitioner, psychologist, etc depending on which facility the person is admitted to) on a daily basis to discuss their progress, if the meds are working, if there are any side effects, and to determine a discharge plan with follow up care.
Regarding medications, each medication regimen is individually determined. If someone is diagnosed with depression, they’d likely be prescribed an anti-depressant. If they have Bipolar disorder, they’d be prescribed a mood stabilizer. If they have a psychotic disorder, they’d be prescribed and anti-psychotic. If they have an anxiety disorder, they’d be prescribed an anxiolytic. Often, people have more than one psychiatric issue and are prescribed a combination of the above meds. Alcohol and illicit substance use is also commonly seen and each person is monitored for signs and symptoms of withdrawal. They are treated accordingly for symptom management.
I could go on and on, but I think that’s enough for now. If anyone has any further questions, let me know!
As always, remember this is NOT to be construed as medical advice or treatment. This is for writing purposes ONLY!