What Causes Delusional Disorder When Suffering From Schizophrenia?
Don't feel depressed his behaviour is due to paranoid ideation only
Detailed Answer:
Hello thanks for choosing HEALTH CARE MAGIC for your health related queries
I have read your question and I can understand your problem. Your boyfriend who is schizophrenic told you that he loves you and later with in two days he told you to stay away from him. This probably occurred due to his paranoid ideas. A patient of schizophrenia may develop sudden delusional idea against someone and this can change his perception about any person even a loved one even in a short time. This was probably the reason for his sudden change of mood. He later blocked you and filed a harassment complaints against your sons (which was later withdrawn).
Such sudden events caused severe depression and you got delusional and this resulted in admission to hospital.
Now after summarising your history I would like to know few things-
- Whether he has been diagnosed with schizophrenia previously?
- Since how long he was with you and any abnormal behaviour you have noted in him before these events?
- Whether he is on some medicines?
Now I want to tell you that in patients with paranoid ideation there is lack of awareness about the illness and individuals don't know whether they are doing right or wrong. So consider his bad behaviour as a behaviour due to his illness and this is not real. When his symptoms will improve he should become aware of your contribution. But this will take time and I will advise you to not to try to contact him at least for now. Don't make yourself ill as even though its your difficult time still you have to control your emotions.
You developed severe depression and delusions following these events but this is time you should utilise in recovering. Don't feel devastated and guilty, his behaviour was due to paranoid ideations and this can't be regarded as real behaviour. Continue to take your medicines and give him some time, he will improve and then your will also improve in your symptoms. He has unblocked his mail and also workplace this shows that he cares about you, but his paranoid behaviour is making his mind changed. He has texted your son that he would call and he look scared and this shows that he need some time.
As per my opinion you should give him some time at least a couple of day and then you can contact him.
Thanks, hope this helps you. Please provide me details what I have asked and more details of your symptoms if any in follow up questions.
Dr. Seikhoo Bishnoi,
Consultant Psychiatrist and Psychotherapist
His symptoms will improve with natural course of illness
Detailed Answer:
Hello thanks for asking again from HCM
Thanks for providing me details of his symptoms and now I can make his diagnosis that he has full-blown paranoid schizophrenia. His symptoms like his dead wife is talking to him, satan is against him are classical features of schizophrenia. You are absolutely right that he may become suicidal or homicidal out of his delusional behaviour but you can't notify authorities. If it is possible that any other common friend could do that?
The present problem started in May and he blocked XXXXXXX and phone but later unblocked mail and work phone and this is a good indication. He even texted your son that he would contact again and this shows that he is acknowledging your contribution but also need time to improve. He probably changed the number because of ambivalent thinking. Ambivalence is one of common symptom of psychotic disorders in which individuals have doubts and ambivalence about their actions. But he is in improvement side because he has unblocked you.
The hospital staff made wrong diagnosis of delusions when you got there admitted for depressive symptoms and you took pills with alcohol. Probably there are not aware of his illness and were not expert enough and they mistook your diagnosis. I apologise you for wrong assumption.
I know its difficult but you have to move out of depression and have to wait, because psychotic disorders especially schizophrenia takes time to improve in natural course of illness. Try to improve your depressive symptoms.
Usually the patients of schizophrenia require medicines for treatment. If they refuse to take medicines then improvement depends upon natural course of illness. 7-8 months has passed and as per my experience in coming month he should improve.
You are a former psychiatric social worker and you should understand that he is ill and he is not doing all these things knowingly. He is under influence of his paranoid delusions which are compelling him to not to keep contact with you. I can understand your condition and you are really suffering because of his illness, but we don't have any more option at least for now. I would request you to please try to improve your condition by medicines and by psychotherapeutic methods. This will help in improving over all situation. I would also request you to not to email him at least for now, wait till new year. You can send him a card, that should work. He is in ambivalent thinking and will improve till that time.
Thanks, I hope this helps you and you follow my advise.
Wish you a good health. Please ask again if you have more doubts about his illness.
Take care
Give him some time to improve from paranoid ideation
Detailed Answer:
Hello thanks for asking again
I know its really painful to be in such situation but for welfare of you and him it is necessary that you should give him some time. This is Chanukah time and you people couldn't spend together. But like I have said earlier, through natural course of illness he will improve and will realize everything.
Currently he might become paranoid if you will try to contact him and this will further deteriorate the situation so it is better to give him some time.
There is no common friend and everyone considers him mentally ill and throws him out. No one is there to help him, but you also can't help him because of court.
I can feel your pain and advise you again that wait for some time.
Thanks, hope this helps you.
Take care