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1. As someone who has had a few psychotic breakdowns, the 72 hour hold is just the start. Psychiatric facilities are not calming places, I can almost guarantee that the break from her routine and her obsession (secret codes on reddit) is likely to trigger a meltdown. At least in my state, the holds start at 72 hours, then the doctors can put in for a 14 day hold if they believe she is not safe. The patient can contest this in court, however given your descriptions of your wife's state of mind I doubt she would be successful. The holds increase in length from there. If they do not believe she is safe, she will not be released.

   In my opinion, the best case scenario is that she stays in the facility until they have balanced her medications and she has regained clarity.

   Again, as someone who has spent far too much time in the psych ward, these are the best things you can do to help her:

   Bring her books. Electronics are not allowed in any psych ward I have heard of. Bring her books she loves or by authors she has already read. Should she regain some clarity while she is in there, having something to do will help to lower the stresses of being held there against her will. If she has other appropriate hobbies (coloring, writing, sudokus, crosswords, etc) do what you can to provide them. Cheap disposable stuff from the dollar store or Amazon is fine. Make sure she has comfortable clothes. It will depend on her taste but some cheap sweats would go a long way. Look up the facilities visitation rules. Covid proved that all “patient rights” can be revoked any time on a whim, and not all facilities have opened up visitation again despite it being a right of all psychiatric patients. She may not want to see YOU right now, but there should be someone she would want to see. Start with family (mom, dad, siblings, etc) only inform her friends if they are VERY close and are a significant part of her support system. Further expanding on number three, see what their policies are on outside food. Most facilities do not want to deal with it, but some of my happiest memories from inside a psych ward were when a good friend brought me my favorite take out and we chatted till the time ran out. Advocate for her to ensure she is getting the care she needs. At all the facilities I have been to, I have had to fight to see a therapist while I was there. Unfortunately, most people see psych wards as a “holding tank” but they should have therapists on staff and if you push you may be able to get her on their lists. Be ready to hit the ground running when she gets out. See if your insurance covers IN PERSON IOP (intensive outpatient) therapy, or PHP (partial hospitalization). Try and see if you can get her on a wait list while she is in treatment. they will insist on a doctors referral so advocate for her to the psychiatric facility staff. Until the meds really start to work, there is no chance she will understand she needs help and she WILL NOT advocate for herself to get the help she needs. IOP is 3 hours of group therapy and classes 3-5 days a week to teach her coping skills, and to get the crazy stuff in her head out in a supportive environment. PHP is 6 hours 5-6 days a week of the same. Hopefully, meds will help, but she will need ongoing treatment to manage the trauma her mind has put her through these last months, and to deal with what the meds don't fix, because meds are never a perfect fix.

   Sorry for the wall of text, hope some of it helps. If you have any questions, ill do my best to answer them.

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2. he's complained many times about me, he says that he doesnt veiw me in a good way

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3. Well you know your thoughts aren’t true bud. She’s with you now and that’s all that matters

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4. He takes care of his 2 younger siblings a lot while his parents work and she's in soccer and orchestra which take up LOTS of their time. As well as her parents being very strict and not letting them hangout until they meet him which he's doing at her orchestra concert in April

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5. Yes definitely.

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