OPEN LETTER TO HUNT COUNTY REGIONAL OUT PATIENT PSYCHIATRIC CARE 2026

 

REALIGN MY CARE: NAVIGATING TOWARD TRAUMA-INFORMED TREATMENT

I am asking for relief from disabling trauma symptoms—not clonazepam.

As I prepare for my October 19 psychiatric appointment, I want that distinction understood. I accept the decision not to prescribe clonazepam. I am asking for appropriate alternatives and a clear treatment plan.

Yet the repeated emphasis on that medication leaves me concerned that my care has drifted off course. It feels as though the captain and crew are searching for the great white whale of addiction while I am trying to explain flashbacks, dissociation, emotional dysregulation, and difficulty leaving home.

Please realign this ship with the navigation stars of trauma-informed care: careful assessment, respectful communication, shared decisions, and follow-up.

WHAT MY ER RECORDS DOCUMENT

My Medical City McKinney records from August 29–30, 2026, list final clinical impressions of chronic PTSD and dissociative amnesia. The tested urine drug screens were negative, and the provider documented a negative alcohol result.

Those results describe that visit. They cannot establish a lifetime substance-use history. I am asking that they be considered accurately alongside the complete assessment and my treatment history.

WHAT I AM EXPERIENCING

After the August 29 Cracker Barrel encounter, which I experienced and reported as an assault, I struggled with recurring images of the manager’s face, the sensation of his finger against my chest, and intense fear when attempting to leave home.

Forty-seven days elapsed before my October 15 attempt to eat at Cotton Patch. Those weeks involved severe home restriction and avoidance, beyond my existing physical limitations. Going out did not mean I had recovered.

My ability to organize my experience in writing should not be mistaken for an absence of suffering.

MY REQUEST

I am concerned that my flashbacks are being viewed as implausible and my requests for relief are being interpreted as medication seeking. That is my impression—not an accusation explicitly stated in the clinic’s email.

I understand that flashbacks alone cannot establish the historical accuracy of every recollection. My symptoms and loss of everyday functioning still deserve careful assessment.

If my clinicians believe another explanation better accounts for my experiences, I want them to explain the evidence and discuss it with me openly.

I want a collaborative review of appropriate medication options, attention to my brain injuries and fall risk, coordination with therapy, and a written plan for severe episodes.

Help me bring this ship onto a course toward safety, understanding, and better functioning.

Brian “Happy” Bryanson

Source: Medical City McKinney emergency department provider report, August 29–30, 2026, pages 6–9; my journals and correspondence concerning the incident and its aftermath.

#TraumaInformedCare #CPTSD #DissociativeAmnesia #PatientAdvocacy