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What Causes Delusional Disorder When Suffering From Schizophrenia?

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Posted on Tue, 30 Dec 2014
Question: My schizophrenic boyfriend told me he was deeply in love with me and two days later told me to stay away from him....I was devastated but after two months of blocking me he filed an injunction of harassment against both my son and I. We were devastated...we had NOT harassed him...I subseqently got seriously depressed as I was so confused and hurt. I was diagnosed with delusional disorder as no believed at the hospital that he still cared about me. He had been blocking and unblocking his emails and is now unblocking his workphone though previously he had bloced us and changed his phone number.How long will it take to answer? I love this man but he is so paranoid he doesn't respond to either me or my son except to unblock his emails and now he has unblocked his store phone.....is there anything I can do?I truly love this man and my son and other people who saw him with me KNOWS he loves me...why would he unblock his emails if he hates me or wants nothing to do with me? He texted my son he would call him back and though my son said he was scared. When my son tried to text him back he had changed his cell phone. When we were with him he was continualy monitoring his computer feeling that people were trying to get him or bother him and he really freaked out about phone calls. Is there any chance hewill ever respond to us now as he is showing signs of wanting us to continue contacting him? I am becoming seriously depressed and non functional. He told me he loved me more than he had his dead wife which he didn't think was possible now no word at all for months....
doctor
Answered by Dr. Seikhoo Bishnoi (28 minutes later)
Brief Answer:
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
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Seikhoo Bishnoi (3 hours later)
No No No! I was diagnosed with delusional disorder because the inpatient hospital staff thought that he no longer cares about me. If this is true then my son is delusional too! He DOES still care about me and I was hospitalized because I took pills along with drinking half a bottle of brandy....He is not on meds and was diagnosed with paranoid schizophrenia but threw away all of his meds in his twenties...a woman we both know convinced him to file an injunction against my son and me which was withdrawn but he is so paranoid of cops and the court that we are no longer sure what is going on..he had blocked my emails and phone calls previously but has now unblocked them but though we have been emailing him since October he NEVER RESPONDS! I found out that at least now he has unblocked his work phone which he was also monitoring and yes he was talking about satanists coming after him which could have been real but he was also talking about his dead wife talking to him....I haven't seen him since May and he no longer contacts us. About a month ago my son called him and he hung up on my son and then texted him that he would call him later...but then he changed his cell phone number so that XXXXXXX could not talk to him anymore. The police have threatened to file charges of harassment against us if we ever call for police welfare checks and that is the way it is now. I finally got a copy of the hearing that was held in May and it says that we promised not to contact each other until the end of this coming August.....I am seriously sad and depressed as this man declared his love for me three times declaring to my son andme that he loves me more than he did his dead wife...no one is there for thisman. He lives alone and could commit suicide or homicide if the"entities" tell him is a murderer and is supposed to kill someone like he heard in May..I am sad all the time all day long don't want to live and just lie in bed even with the anti depressants. I have DID and PTSD...I do NOT have delusional disorder...that was a mistaken diagnosis as the staff at the hospital thought I was psychotic. I do NOT have a psychosis except maybe for a major depressive disorder...this is a nightmare....you made several mistaken assumptions. I am former psychiatric social worker and now cannot trust what I believed about him and me or even my own gut feelings.My son feels he still cares about me but I have had no feedback. I am struggling once againwith abandonment and rejection and confusion....I DO NOT HAVE DELUSIONAL DISORDER! NOW I CANNOT EVEN CALL THE COPS IF I AM AFRAID HE IS SUICIDAL AND THAT IS A REAL POSSIBLITY....Oh yeah....he said that his dead wife was talking to him as well as this satanist....he was put up to the injunction because he was afraid I was trying to put him in the hospital. My son said he would look at his computer and start talking to people who were not there. A wicked woman put him up to filing the injunction and I emailed him last week and told him that if he ever did dothat again I would call for a hearing and thejudge would likely commit him involuntarily for psychiatric evaluation. Unfortunately that probably scared him even more although now he has continue to unblock his work phone and his emails...I emailed him yesterday and we have not heard from him. Now I don't know if he cares at all about me or ever will again. He needs help but the cops are against me because apparently he said he was fine when they checked him last week. They don'thave much training for this andthink I am the crazy one,my son and I because I was so depressed over this....my son and I cannot do anything more but I will be depressed until he comes back into my life which he may never do...
doctor
Answered by Dr. Seikhoo Bishnoi (2 hours later)
Brief Answer:
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



Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Seikhoo Bishnoi (1 hour later)
I am crying as I read your reply...I know he wanted to get married and had hoped that we could have spent Chanukah together...he was/is my best friend...I was afraid that he would take me back to court and told him the bottom line of what would happen if he would do that that I would be forced to tell the judge that he is mentally ill. At some level I know he is aware of this. The miracle is that he didn't re-block me. Now I found out that the judge made us promise not to CONTACT each other when all we all three heard in court was that we could not SEE each other for year from August 25th. I am certain it is not good for him to be alone and isolated that long so am torn...I have no way of knowing what is happening with him now as a result... I am afraid of being dragged back into court anyway by him and he is probably also afraid of the same thing....I am praying that somehow my son and I will make it to Israel even though we are only half Jewish and XXXXXXX is full blooded Jewish the whole schlock Ukrainian and French he is.and maybe he will want to emigrate too ...I appreciate so much your kindness and knowing so well what you do and your compassion....I was not treated at all with compassion or understanding and I KNOW I am not delusional....I know when someone is afraid but like all of us when we are personally involved it is hard to be objective...I miss him so much during this Chanukah season...People are either throwing him away because they think he came from Satan or they are saying I am delusional. Neither is true...thanks for your help Dr Bishnoi..I hated to tell him what would happen if he took us back to court but as he only has limited insight into his illness and at one time really trusted and loved me, I knew I was doing it to shock him into some awareness of what could happen if he keeps on involving the courts. I don't know what to do because he is so isolated and there is no one common friend we have anymore...most people just see him as meshugga and throw him away...but he has such a beautiful soul and heart as do you it would seem...thank you so much...I hope you read the reply above. I am sad today as now I know that he has unblocked his home phone as well. He gets very agitated as he is doing a business and has to be there tonight for this big annual Christmas event....he hates Christmas as do we.....nothing happened the way I thought it would this year....
doctor
Answered by Dr. Seikhoo Bishnoi (2 hours later)
Brief Answer:
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
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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What Causes Delusional Disorder When Suffering From Schizophrenia?

Brief Answer: 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