My sister (34) had a sudden destructive and psychotic (I don't know if I'm using that word correctly, sorry) breakdown the other day. She's usually a "normal" and functional adult (again, sorry I'm not sure on the correct terms). We don't know what is wrong yet. I know we can't ask for diagnosis on this sub but basically she suddenly went from normal life to violent, incoherent, and not herself. I'm guessing some sort of psychosis, but I don't know what caused it. She went from taking care of our elderly mom's house part-time to suddenly being very aggressive with her, pushing her around, trying to grab people's hands and scratching/digging her nails into people, harming herself by hitting her head and scratching her forehead, trying to break all of the phones in the house, pulling things off of shelves and tearing up every paper she could find, all while not speaking in sentences or acknowledging that anyone else was there, just screaming and repeating the same random phrases over and over again. Our mom called me for help so I restrained her and took her to a mental health crisis center where she was admitted for inpatient treatment. 

When we got there, she kept trying to jump behind the front desk, pry open locked doors, etc. So the staff knows she's not in a real state to make any decisions. We mostly took her there so she wouldn't be a danger to herself or others. She's been there for 3 days now, and has only called me once to ask to bring her clothes after I left multiple messages for her saying I needed her patient ID number in order to bring her anything. She has called our mom several times, but hasn't been making a lot of sense and always hangs up after 2 minutes. She knows where she is but won't talk about treatment or anything. Like: she doesn't have her toothbrush (because they provide them for people, and don't let you bring them in) but she refuses to ask for one, but she still keeps asking about it and mentioning it to our mom. I would assume she hasn't been attending any of the voluntary sessions she's supposed to be attending.

The problem is that she either can't figure it out or simply won't add either me or our mom to the medical release forms which are necessary for the staff to tell us what's going on from here. When she was checked in they said she would either be voluntarily or involuntarily committed, and that if it was involuntary then we would know? But every time I call for an update they just say that she has to be the one to tell us what the treatment plan is. Is this normal? Is she basically stuck there until she calls us to let us know she's being discharged or sent somewhere else? I'm also the one who is paying for her treatment, so I would at least like to know what she's being put into so I can plan for that. The staff is no help. I've told them to tell her to add me to her medical release documents, but I obviously have no way to know if they've told her or helped her do so, except that they keep saying they can't tell me that information.