Ten o’clock. Vraylar tunes out the static and amplifies the human signal from out of a confusion of nonsense voices. Every person with schizophrenia has a human voice that wants to make a connection with other humans. The fortunate ones find a way to do this, while there are many unfortunates who don’t. They end up working in janitorial if they work at all, and hang out where they find a safe place. Some patients have nowhere to go. Their families turn them out on the streets and they have to survive alone. They are at high risk for substance abuse and addiction… A lot of this sounds like my own life, but I was always lucky enough to have a home, thanks to my parents. In the mental healthcare world I’ve met some professionals who were good, but also others who were frankly clueless and unhelpful. The very worst ones tried to incorporate quackery into their practice. The woo woo stuff is positively aggravating to any person with psychosis and religious delusions. Treatment must be kept in the immanent, the ordinary and everyday. I feel embarrassed for one or two providers who didn’t have their own feet on the ground… So, this holiday season, may we keep in mind the less fortunate mentally ill who have no family and nowhere to go for Christmas Eve dinner. There’s probably no other group of people more in need of advocacy and empowerment.