L – #AtoZChallenge on Mental Health

Hi and welcome to the letter L post in the #AtoZChallenge on mental health. I did not have the energy to schedule this post in advance, because I was extremely tired over th =e past few days. Sorry for that. Here goes.


This is quite a suitable word for today. Lethargy means being overly tired and also often being unresponsive, not very alert. Lethargy can be both a side effect of sychiatric medication and a symptom of psychotic disorders, although in that case it usually presents differently.


Loneliness and aloneness are pretty common among psychiatric patients. Some people’s mental illness causes them to self-isolate, while other people suffer from being isolated from others. To combat loneliness, many support organizations for people with mental illness have buddy programs that pair a client with a volunteer.

Long-Term Care

Many people with severe mental illness need care throughout their lives. Outpatient care, even if it’s for life, is covered through health insurance or community assistance. There are strict limitations on outpatient care and people need to be re-assessed regularly. In the Netherlands, the Long-Term Care Act only covers long-term inpatient treatment for the mentally ill and institutionalization or supported housing for people with other severe disabilities. People with mental illness who lived in supported housing when the Long-Term Care Act went into effect in 2015, have five years of transitional rights to supported housing care, after which they need to get re-assessed. They may then get approved for care through the Long-Term Care Act, which is essentially for life. People with other disabilities who lived in institutions or supported hosuign by 2015, got approved for the Long-Term Care Act automatically.

In the original draft of the Long-Term Care Act, people with psychiatric disorders were ineligible for long-term, institutional care. Eventually, they are now eligible only if they’ve been in inpatient mental health treatment for at least three years. I wonder what this means if I fail at living with my husband, since I have been an institution patient for over three years but didn’t apply for LOng-Term Care Act funding right away.


4 thoughts on “L – #AtoZChallenge on Mental Health

  1. Lethargy and loneliness are a given with patients. On long term care, I see there are a lot of laws abroad. I’m not sure of India laws. What could that possibly mean here? Thanks for making me think on these lines.

    Liked by 1 person

    1. I don’t know much about India’s health care system either, if there even is a system. It’s mostly privatized right? In the Netherlands, health insurance is mandatory and the government decided on coverage but the insurers are (semi-)private. Community assitance and long-term care are funded by the government.

      Liked by 1 person

  2. I can relate to all of these, of course there are varying degrees of each at different points in my life but lately I am once again coming to terms with the fact that I will need special care and medications probably for the rest of my life. It’s not fun but when I get over it again and get back to work feeling better things should move on. Such a tough road, a tough lonely road.

    Another good post! You’re kicking the A to Z’s behind ;o)

    Liked by 1 person

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