Hey Steggy!! I saw the second chapter in the green room and I couldn't resist
I'm always super intrigued by stories that center around mental health issues because I work in the mental health field. I really liked the emphasis you put on this being a normal day. I've considered writing something to show what my average day looks like at work because it's so misunderstood, and in many ways under-appreciated. I just haven't gotten around to it :p But I liked that you're not trying to show the "craziest day" or make this particular day anything extreme other than this is his normal day of work and he happens to have this new interesting patient.
Since this is a first draft and LMS, I'm going to focus on big picture things you can think about for the next draft (whenever that happens) or for this remaining draft.
One big thing I'm wondering is when are we and where are we. There are a lot of misconceptions about psych hospitals and there are a ton of differences depending on where you are and when you are. True state psychiatric hospitals in the US are few and far between and are very hard to get into (at least in my state). There are psych wards in most major hospitals but they are designed to stabilize people and transition them to their next step of treatment, not for long term care (although some people do end up staying for longer periods of time). It can actually be tough to get into a psych ward too because at least where I live you need to pose imminent danger of harming yourself or someone else. Are we in a state hospital or a psych ward or something else? In terms of time - I'm assuming we're in present/modern times, but there will obviously be a lot of differences if you're going for a more historical take.
I'm definitely curious to learn why this character ended up here. I already like him I'm not sure what illness you have in mind yet, and that's fine. I think so far he feels like a real person and not like a caricature or like you regurgitated the DSM into a novel. I'm a little confused about why he's classified as having "incurable mental health". It would make more sense to me if this was historical because maybe that was really a classification at one time. But now, that would never (or at least should never) be on someone's chart.
I didn't really mind Ryan's attitude throughout this first chapter. He doesn't seem to be the most passionate person in the world or that he's really fired up and loves his job, but then again, no one does every single day To me, he sounds like he's a bit burned out. I didn't quite understand his line of questioning when he met Tad or why he's going to ask the same questions tomorrow.
Writing wise, I thought the execution was fine. You do a lot of things well writing wise. My one complaint would be that a lot of names are mentioned in this first chapter and I started to lose track of who is who and who is important. You mention some people (like Madeleine) but we never see her. I think you could either streamline the characters a little bit in this chapter just to keep it simple. Or, you could expand the chapter and show us more of his day so we can meet more people.
Overall, I think you have an intriguing start and I'm definitely curious to see what's going to happen next! I saw in a comment below that you're planning on researching psych wards more, which is awesome. I totally understand wanting to get the draft out and worrying about details and every last bit of research later Feel free to PM me if you have any questions about mental health related things! And please let me know if you have any questions or if you'd like feedback about something I didn't mention!
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