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Suggest Treatment For Auditory Hallucinations And Delusional Behavior

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Posted on Mon, 16 Feb 2015
Question: Dr. Bishnoi, how can we get help for XXXXXXX if we cannot talk about meds with him? He also has a delusion that he will lose all of his money but if I can find enough money myself, I would pay for it at least to get him started.
Is his suffering related to what the voices are commanding him to do or something else? Would suggesting he get help to stop them be beneficial or would that make him more upset? My daughter doesn’t know him well and doesn’t feel comfortable talking with him about it as she doesn’t know him that well. I don’t want to involve the courts or police in any way so we just have to wait till he responds or wait six and a half months to go up to his store if his delusions get less…there is no common friend except the” former” friend who got him to file the injunction originally and she is a mean spirited person who was making fun of all of us behind our backs as she wanted to destroy our relationship and hates Jews…
I called his home today but when he answered, something he never does if he doesn’t recognize the number, I got the distinct impression, he was hoping it was me as he sounded eager and like he actually wanted to talk, a lot like the old XXXXXXX I used to know. I was scared and hung up. Later when I was talking to my daughter, I accidentally sent the email to him I hadn’t planned on sending until Feb 14th. I am so disappointed in his lack of response I don’t know if I was right about my feeling that he wanted to hear from me. What do I do now? Do you think I was right in my initial gut feeling resonse to his voice? He sounded excited, not paranoid, and hopeful.
doctor
Answered by Dr. Seikhoo Bishnoi (1 hour later)
Brief Answer:
He can be asked to visit a psychiatrist

Detailed Answer:
Hello again

There are few things that determine whether you should talk to him about medicines. One thing is whether he accepted previously that he is suffering from schizophrenia? If he ever asked a doctor for help by own? If he took antipsychotic medicines previously?

Still as per my opinion you can talk or suggest him to visit a mental health professional but don't talk about medicines. Patients of schizophrenia have some repulsion to take medicines and asking them to take medicines may result in negative response.

If he remain comfortable in talking to your daughter then after two or three talks she may form rapport with him and can suggest him for help. But this will require a lot of hard-work and patience from her side. I would not suggest the help from your former friend of you don't confide her.

Please try to wait for right time to call him or to mail him. Mailing at frequent intervals will do nothing good. His delusions may get strong due to that. I would advise you to mail him again on 14th Feb and let's see his response. Don't feel depressed even if he doesn't reply because he lacks insight.

From our conversations and last discussion it appears that he want to hear from you, his repeated checking the XXXXXXX supports this. Also if he doesn't wanted to hear from you he would have blocked you. His unblocking the mail also proves this.

Please don't feel distressed, hope for best. Pray for his recovery.

Thanks
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Seikhoo Bishnoi (12 minutes later)
Is he ever going to respond? I feel like he wants to hear from me but there is never any response. Also it is not clear how often he is working any more. When I called I was expecting just to find out if he was working or not, I didn't want to talk to him and I didn't.It scared me but he sounded like he was anticipating talking to me even though he didn't recognize the number as mine. It was just a strong gut feeling.His usual way due to paranoia is to hang up the phone if he doesn't recognize the number but instead he answered it which was weird...no I won't do that again. I will just email him a short email on the 14th.Thanks.

I don't think my daughter will be willing to talk to him as she has a lot of stress just now. He and I went to see a therapist over a year ago which he completely forgot. He was very angry because the therapist diagnosed him with classic paranoid schizophrenia. XXXXXXX told us he had a breakdown forty years ago and his wife took care of him for eight months and that he didn't need medicine anymore..he was upset with me because he didnt want to waste the money, thats why
i said I would try to pay for it but he won't even hear of it..I don't know what to do anymore. We are blocked at every turn..
doctor
Answered by Dr. Seikhoo Bishnoi (1 hour later)
Brief Answer:
Don't loose your hope

Detailed Answer:
Hello again

We can't predict when will he respond because you have no direct contact with him and also he is not taking any treatment. Hopes and optimistic thinking are the reasons for our repeated tries. Mail him intermittently and wait for his response. At least he is not blocking the XXXXXXX again, and this can be considered as positive gesture.

Try to request your daughter at least to see him, and if possible try to talk to him.

Thanks
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Seikhoo Bishnoi (8 hours later)
I will ask her but am not sure she will do that. I am doing the best I can but tne longer this drags on the less hop I have. My daughter has trouble talking to people she doesnt know well.
doctor
Answered by Dr. Seikhoo Bishnoi (6 minutes later)
Brief Answer:
Request her to talk to him if possible

Detailed Answer:
Hello again

Try to ask her if she can interact with him because she has probably no legal hassle (like you and your son), and she can easily talk to him without fear. Also along with this try to relax yourself and keep faith in GOD. Try to keep away negative thoughts. Attend your therapist sessions and hope for best.

Thanks
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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Suggest Treatment For Auditory Hallucinations And Delusional Behavior

Brief Answer: He can be asked to visit a psychiatrist Detailed Answer: Hello again There are few things that determine whether you should talk to him about medicines. One thing is whether he accepted previously that he is suffering from schizophrenia? If he ever asked a doctor for help by own? If he took antipsychotic medicines previously? Still as per my opinion you can talk or suggest him to visit a mental health professional but don't talk about medicines. Patients of schizophrenia have some repulsion to take medicines and asking them to take medicines may result in negative response. If he remain comfortable in talking to your daughter then after two or three talks she may form rapport with him and can suggest him for help. But this will require a lot of hard-work and patience from her side. I would not suggest the help from your former friend of you don't confide her. Please try to wait for right time to call him or to mail him. Mailing at frequent intervals will do nothing good. His delusions may get strong due to that. I would advise you to mail him again on 14th Feb and let's see his response. Don't feel depressed even if he doesn't reply because he lacks insight. From our conversations and last discussion it appears that he want to hear from you, his repeated checking the XXXXXXX supports this. Also if he doesn't wanted to hear from you he would have blocked you. His unblocking the mail also proves this. Please don't feel distressed, hope for best. Pray for his recovery. Thanks