As someone who has many a friend who have had to use mental health services, including a few people who have legit been locked up, both by choice and against their will, there is a wide range of types of mental hospitals and how they treat their patients, and what kind of patients inhabit these hospitals. I have had friends who were in places like in Lilith, while others were in places just like Shock Corridor. In NYC, we have a hospital called Bellevue, which has a great emergency room, but is also a hospital that the cops bring the mentally ill people who have been arrested. If you have ever been there at 2AM you would know that Shock Corridor is not that far off.
Also, mental illness is a wide category, and the reactions of people with these illness' not only vary by the diagnosis, but also by the individual. I have seen people whose outward reaction is to be quiet and reserved, while others literally see things, thrash around, and scream as if possessed. Some just rock back and forth and mutter to themselves. This is one of the main reasons why mental illness is so hard to treat, there is no way to know what is going on in the head of someone suffering from it, unless they let you know, and even then, their view on it is very subjective.
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