Sometimes you know you’re ready to leave before the staff agrees. Sometimes you’re discharged before you feel ready. Either way, the process can be disorienting, rushed, and overwhelming.

This chapter is about how to advocate for discharge, prepare for life outside, and stay safe while you adjust.

🔹 When Can You Leave?

Discharge usually happens when:

  • You’re no longer considered a danger to yourself or others

  • Your symptoms have improved (or insurance coverage has run out)

  • A psychiatrist signs off on your release

  • You request it (if you're a voluntary patient)

If you were involuntarily admitted, you may have to wait for a formal evaluation or court review. If you're voluntary, you can request to leave—but it still might take a few days.

🔹 How to Ask for Discharge

If you feel ready to leave:

  • Be specific. Say things like:

    • “I’ve been sleeping well and taking my meds.”

    • “I no longer feel suicidal.”

    • “I have follow-up care and a safe place to go.”

  • Ask direct questions:

    • “What do I need to demonstrate to be discharged?”

    • “Can we begin creating a safety plan?”

  • Write it down.
    If you feel unheard, ask to file a formal request. If available, ask a social worker or peer advocate to help.

🔹 If You’re Discharged Too Soon

Sometimes discharge feels premature. The system is overloaded, and decisions are made fast. You might not feel stable yet.

If this happens:

  • Ask for a crisis plan before you go

  • Make sure you leave with your prescriptions and next appointment

  • Contact a peer warmline or crisis text line

  • Go somewhere quiet and safe—avoid returning immediately to chaos or stress if you can

The first 48 hours are fragile. Treat them as recovery time.

🔹 What to Ask For Before You Leave

  • Written discharge summary

  • List of current medications and dosages

  • Follow-up appointment with a provider or clinic

  • Crisis numbers or safety contacts

  • A place to go (housing, shelter, trusted friend)

You have the right to these things. Don’t leave empty-handed.

🔹 What to Expect in the First 48 Hours

  • You might feel overstimulated or disoriented

  • Sleep may be off

  • Voices or thoughts might return

  • People might expect you to “act normal” right away—ignore that

This doesn’t mean you’re getting worse. It means your brain is adjusting. Give yourself space to re-enter slowly.

  • Add a short summary or a list of helpful resources here.