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"Presenting with dissociative amnesia"

About: Fiona Stanley Hospital / Emergency Department Fremantle Hospital and Health Service / Mental Health Unit

(as a service user),

I sometimes present with dissociative amnesia. I have no memory recall, no idea what I’ve done or why. I present differently every time, and I feel they should treat me differently each time. Instead, they treat me poorly based on what’s written in my records. That’s the problem.

When I get unwell, I become argumentative. I didn’t come here to upset them. I came for help. So whatever I said must’ve been a reaction to something they did.

For instance, a week later, I presented again. On the computer it must have said something because a nurse insisted on checking my bag. I asked, "Can I check your bag then?" The nurse called security and tipped out my belongings. There was hand sanitiser in there, and they took it and said because I might drink it. I don’t know where they got the idea that I might drink it. I felt their behaviour was uncalled for - when I was discharged, my belongings, including the sanitiser and my medication weren’t returned. In my opinion, that’s theft. Those items are mine. The nurse said they threw that sanitiser in the bin, and now it’s gone. Another time I stayed there, I have no memory of most of it. By the time I left, items from my bag - including pepper spray and a tactical pen - were missing. This wasn’t the first time. During that week at FSH, I lost two pepper sprays. They don’t return my belongings, and it’s incredibly frustrating.

It’s hard to tell if they’re having a bad day or if something’s been written in my file that biases them.

At Alma Street, face-to-face interactions are different from phone calls. In person, I feel there’s a level of accountability because they’re physically there, visible behind their windows. On the phone, they don’t care. My case manager works 9–4, Monday to Friday, so after hours, I have to rely on triage.

They don’t understand dissociation and amnesia. This one is the worst - when I have no memory, I don’t even know how I talk to people or what I’ve done. Sometimes they spoke to the psych team and stopped me from calling. I feel they need more education about individual cases. It’s too easy for them to dismiss it as “abuse.” But I feel I’m not abusing them. My last case manager said, “How you speak is a way of reliving trauma.” That’s what they don’t get. I talk with fear. I talk heightened. I do whatever I need to feel safe. It’s not personal - it’s survival.

Part of the issue is education and understanding. When I present physically, people can see it, even if they don’t fully comprehend it. On the phone, they don’t see that. My case manager accessed my records at FSH, but even they couldn’t see anything that would indicate why they treat me differently.

I’m all about education and change - for everyone. I just feel like I’m not being heard.

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Responses

Response from Tim Leen, Executive Director Mental Health Services, South Metropolitan Health Service 5 months ago
Tim Leen
Executive Director Mental Health Services,
South Metropolitan Health Service
Submitted on 19/12/2024 at 3:48 PM
Published on Care Opinion Australia on 20/12/2024 at 9:39 AM


picture of Tim Leen

Dear limass37,

Thank you for taking the time to share your experience of Fiona Stanley and Fremantle Hospital mental health services. I would like to validate that your experience has been heard and shared with the mental health leadership group.

Without identifying information, it is difficult to comment on the specifics of your journey. I can confirm that mental health clinicians base their clinical decision making upon the specific presentation of the person they are seeing at that time, with consideration of the relevant sections of the medical record.

For the safety of co-patients, staff and visitors we cannot allow dangerous items to be brought on the department or ward. These items may be returned to patients on discharge if staff believe it is safe to do so.

I was sorry to read that you did not feel cared for during your phone contacts with Alma Street centre. If you would like to discuss this and your other concerns further, you may wish to contact the Patient and Family Liaison Service at FH by telephone on 9431 2787 during business hours or via email at FHFeedback@health.wa.gov.au.

The Patient and Family Liaison Service will be able to seek additional feedback related to your specific experiences, from the teams who have been involved in your care.

Yours sincerely,

Tim Leen

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Update posted by limass37 (a service user)

No response = silence. How is that going to help and repair things. Hoping to sweep it under the carpet. You have picked the wrong person to do it with.

I have phoned them twice and the receptionist says, I can’t take your details because it's anonymous, and I have offered to provide the reference number. I just feel really disappointed and frustrated. How many other people are feeling the same way? In my opinion, it just goes to prove that the small people are invisible and we have no voice. It seems to be the "I don't care factor".

I believe there is no excuse granted here, you have the number to re-read the story again and contact me and you haven't.

Response from Tim Leen, Executive Director Mental Health Services, South Metropolitan Health Service 3 months ago
Tim Leen
Executive Director Mental Health Services,
South Metropolitan Health Service
Submitted on 11/02/2025 at 12:13 PM
Published on Care Opinion Australia on 12/02/2025 at 1:52 PM


picture of Tim Leen

Dear limass37,

I'm really sorry to hear that you're still facing challenges. It sounds like you've been trying hard to get your issue resolved, and it's completely understandable to feel disappointed and unheard in this situation. You raised several important issues in your original Care Opinion post that we would like to explore further.

Unfortunately, as Care Opinion is an anonymous platform, we can only do this if you contact our Patient Family Liaison team. Please contact the Patient Family Liaison team on 9431 2787 or via email at FHFeedback@health.wa.gov.au with your full name and details of your experience to allow the relevant teams to investigate further and give you the time and attention you deserve.

Kind Regards

Tim Leen

Executive Director

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