Mental Help Net
Mental Disorders
Basic InformationLookupsLatest NewsQuestions and AnswersBlog EntriesVideosLinksBook Reviews
Therapist Search
Find a Therapist:
 (USA/CAN only)

Use our Advanced Search to locate a therapist outside of North America.

Related Topics

Anxiety Disorders
Bipolar Disorder
Depression: Depression & Related Conditions
Eating Disorders

Buck Black, LCSWBuck Black, LCSW
A Blog about Anger and Other Uncomfortable Emotions

Who is the One with Mental Illness?

Buck Black, LCSW Updated: Nov 7th 2011

I once worked at a psychiatric hospital as a therapist assessing people for psychiatric hospitalization or referral to community resources. One day, as I was crossing the parking lot to the hospital, I observed a man in his 40s who appeared to be trying to pry the doors open to the psychiatric hospital. The doors were locked for the weekend. The man was repeatedly yelling “its locked…I can’t get in.” There was a staff member inside the building who appeared to just be standing there looking at him.

glass doorsI observed this man’s behavior from about 50 feet away. The longer I watched, the harder he pulled the door. He actually flexed the door enough to expose about a six-inch gap at the bottom. However, he was unable to gain entry. I decided that I needed to speak up and do my job. I said “Sir, I want to help. It looks like you need to get into the hospital.” He just looked at me. I said, “Lets go in and talk about it.” He again looked at me strangely. About that time, the staff member opened the door for him. He yelled, “The door just won’t open!” I followed behind him. Once I got inside the first set of doors, he loudly said, “Stop. I don’t know who you are!” I identified myself and he again looked at me as if I were rather odd. He told me that I could not come in any farther until someone identified me. At this point, I was thinking he was paranoid and I was worried that he could become violent. I was starting to get nervous and wished this was not the start of my shift.

After a bit of a standoff, the man asked the other staff member if she knew me. She identified me as a therapist who is coming in for the next shift. He then asked her if she was sure because he does not believe it. I then asked who he was. He said he was the maintenance man. Hardly believing him, I asked the staff member if this were true, or if he was a patient. She said that he was indeed a maintenance man. At that point, he seemed to relax. He stated that he was testing the door locks because it was reported they were not working. He went on to say he thought I was a patient who was trying to gain unauthorized access. I then explained that he looked like a man with a severe psychiatric disorder who was trying to pull the doors off the hinges in order to get into the hospital.

What is mental illness? It depends on the culture and the context, as it seems. I thought for sure the maintenance man was severely mentally ill, as he thought the same about me. Sometimes, there are explanations for bizarre behavior!


Buck Black, LCSW

Buck Black offers psychotherapy for anger issues through his practice in the Lafayette Indiana area ( via phone, email, and office visits. He also provides anger and stress management for truckers via phone, webcam, and email at You can also follow Buck on Twitter at @TruckerTherapy or @BuckBlack.

Reader Comments
Discuss this issue below or in our forums.

A Good Reminder - Janet Singer - Nov 15th 2011

Cute Story.......and a good reminder that things are not always what they seem.

Follow us on Twitter!

Find us on Facebook!

This website is certified by Health On the Net Foundation. Click to verify.This site complies with the HONcode standard for trustworthy health information:
verify here.

Powered by CenterSite.Net