10 Things Could Land You in an Insane Asylum Back Then

by Johan Tobias

Back in the early 1900s, insane asylums were a booming business, and almost anyone could be labeled “insane” and shipped off to one of those grim institutions. A 1903 newspaper piece even quoted an asylum doctor who lamented how a jury of “ignorant, illiterate, indiscriminating men” could be summoned to decide a person’s sanity, essentially picking people off the street for confinement.

Why 10 Things Could Land You Here

10 Speeding

Speeding car illustration - 10 things could get you sent to an insane asylum

Are you a daredevil behind the wheel? In 1922 Detroit, getting caught for excessive speed could have landed you in a mental ward rather than a jail cell. A newspaper headline screamed, “Sanity Test for Detroit Auto Speeders,” reflecting the extreme measures courts were willing to take.

If a speeder failed the psychiatric exam administered by the court, the judge could order them sent to an asylum for “treatment,” a vague term that left much to the imagination. Beyond losing their driver’s license, these individuals were barred from ever applying for a new one.

One judge proudly declared:

I believe this new method will stop thousands of accidents each year. [The] Police Commissioner . . . has told me that under my plan of sending speeders to jail, and notwithstanding the fact that there are many thousands more automobiles on the streets this year than last year, there were 3,301 fewer accidents and that reckless driving has been cut down to 50 percent from 80 percent. If this is the result under my jail sentence plan, what will it be under the mental test plan?

9 Too Much Studying

Student studying intensely - 10 things could get you sent to an insane asylum

Could hitting the books too hard land you in an asylum? While students today might feel like they’re going crazy during finals, a 1915 Chicago newspaper reported that two sisters were committed after a judge deemed their intense study of Christian Science doctrines to have “broken down” their minds.

The Day Book detailed the case, noting that the sisters were sent to an institution by a county judge, effectively labeling their scholarly dedication as a mental breakdown.

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Christian Science, founded in 1879 by Mary Baker Eddy, remains a controversial faith that emphasizes prayer and homeopathic remedies over conventional medicine, often appearing in modern news when children are denied medical care.

8 Reading In The Morning

Morning reader on a street corner - 10 things could get you sent to an insane asylum

Imagine being penalized for a morning reading session. In 1915 Chicago, a headline declared that a woman named Alice Ostwald was found on a street corner at 5:00 AM engrossed in a novel, and that this innocent habit earned her a one‑way ticket to an insane asylum.

The snippet reads like a decree from a totalitarian regime, demanding strict control over personal habits. The report suggests that Ostwald might have been using the streetlamp’s glow—perhaps the only illumination available to a poor reader—to finish her book before heading to work in one of the city’s many factories.

Regardless of her motivation, the punishment seems wildly disproportionate: a simple act of literary devotion resulted in institutionalization, highlighting the absurdity of the era’s mental‑health standards.

7 Having A Drunken Father

Drunken father and struggling family - 10 things could get you sent to an insane asylum

In a 1913 edition of The Day Book, a provocative article titled “Shall We Build More Asylums Or Stop Breeding Epileptic, Idiotic, And Insane Children?” examined how poverty and a father’s alcoholism could doom a family’s children to institutionalization.

The reporter presented a typical case: a destitute mother, her six children, and a husband who squandered whatever money he earned on alcohol. With no means to feed or clothe the family, the mother faced a grim choice presented by the judge.

The judge could either order the mother to say goodbye to her children forever, sending them to an asylum, or reprimand the drunken father, force him to support the family, and return the mother to his household. In effect, children could be labeled “idiotic” and institutionalized despite no medical evidence of insanity.

6 Being Poor

Poverty leading to confinement - 10 things could get you sent to an insane asylum

Poverty was a frequent ticket to the asylum, especially for women dependent on a husband’s wage. One 1913 case described a 45‑year‑old stenographer who, after a “critical period” rendered her unable to work, turned to United Charities for aid. The charity promptly declared her insane and committed her for five years, after which she sued the county for false imprisonment.

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Another heartbreaking account from 1921 involved an African‑American mother wandering barefoot with her five‑month‑old infant. Both were placed in an asylum simply because the mother’s sister had previously been institutionalized, suggesting a chilling pattern of punitive confinement based on family association rather than any mental condition.

These stories underscore how financial desperation could be weaponized, sending vulnerable individuals into the shadows of asylums rather than providing genuine support.

5 Dressing Like A Man

Woman in trousers deemed insane - 10 things could get you sent to an insane asylum

Fast‑forward to today’s debates over bathroom access, and you’ll see echoes of the past: a woman who wore trousers and worked as a laborer was labeled insane in a 1916 newspaper snippet. The brief line read, “Mrs. Emma Miller … sent to insane asylum. Put on pants and worked as man.”

While we cannot confirm whether Miller identified as transgender, the report reflects the era’s intolerance for women who defied gender norms. At a time when women struggled to earn a living, dressing in traditionally male attire could provoke institutionalization.

The article offers no further context—no details about her marital status, employment, or family—only a condemnation of her clothing choice, illustrating how societal expectations could dictate mental‑health judgments.

4 Epilepsy

Epileptic patient in asylum - 10 things could get you sent to an insane asylum

Epilepsy, once blamed on demonic forces, often resulted in forced asylum stays when families could not or would not care for afflicted members. In 1895, Mrs. Mary Brown was declared mentally unsound and committed after a severe epileptic seizure caused her to fall into a fire and suffer serious burns.

The official reasoning cited her epilepsy and the accident, hinting that a spouse might have pushed for institutionalization to avoid caregiving responsibilities—a common, if tragic, motive of the period.

Because epilepsy has no cure, many sufferers were left behind in asylums, their conditions misunderstood and their lives largely forgotten by history.

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3 Having Sex With A Jerk

Young woman accused of insanity after affair - 10 things could get you sent to an insane asylum

In 1896, a scandal erupted when a young woman claimed she had a sexual relationship with an older, well‑known gentleman. She demanded marriage to legitimize the affair, but the man refused and, astonishingly, charged her with insanity.

The asylum’s commissioners examined her and concluded she was “crazy,” ordering her confinement. Later, authorities discovered she was pregnant, creating a dilemma for the institution, which was not equipped to house a pregnant inmate.

Consequently, she was released back to the county, and the record remains silent on her ultimate fate, highlighting how personal vendettas could masquerade as mental‑health interventions.

2 Not Being Able To Work Long Hours

Workers threatened with asylum for long hours - 10 things could get you sent to an insane asylum

The early 20th‑century fight for an eight‑hour workday pitted laborers against ruthless employers. In 1915, a lawyer representing the Associated Employers’ Association suggested that workers who could not meet excessive hour demands should be examined by a physician and, if deemed unfit, sent to a state asylum for care.

This draconian proposal was intended to intimidate workers, effectively threatening them with psychiatric confinement should they resist the grueling schedules favored by industrialists.

Such a policy would have forced countless laborers into asylums for merely being unable to endure the era’s exploitative work expectations.

1 Annoying The Wrong Person

Woman institutionalized for annoying a magnate - 10 things could get you sent to an insane asylum

In the early 1900s, crossing the wrong influential individual could land you in a mental ward. Mrs. Helen Pike, for example, was institutionalized in 1917 after allegedly irritating a streetcar magnate—no further details were offered about the nature of her annoyance.

Even more extreme, a young man named Richard Cullen was sent to an asylum—potentially for life—simply because he repeatedly tried to attract President Wilson’s attention while the president was touring the city in an automobile.

These anecdotes illustrate how, in that era, the mere act of bothering a powerful figure could be construed as a sign of insanity, leading to forced confinement.

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