Psychosis or paranoia

Posted by lolly906 @lolly906, May 30, 2019

My son has shown symptoms of pychosis since last Fri. He is 40 we took him in to help him 3 months ago, I never saw this coming, he recently got a good job, don't think its gonna last he refuses to go to any Dr. And we had him placed in protective custody Sunday evening but a mental health assessment said he was ok but he's not I've called Nami and everyone I can think of I have no idea how to help him and how long this will last he is paranoid of phones, Wi-Fi, everything taken things apart. His dad is going to make him leave does anyone have any suggestions or knowledge on this condition? I don't know what more to do I'm physically and emotionally exhausted and all mental health agencies just say call 911 which we have done and they can't do anything without his consent the mental health system is broken I have seen it now firsthand

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@lisalucier

Hi, @lolly906 – a few other members who might have some input on dealing with your adult son's psychosis or paranoia and how to help him are @etreyz07 @leonarda @yangedd @sirgalahad @susie2525. @mamacita also may have some thoughts.

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How do I connect to them? Just message each one? Not sure sorry

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@lolly906

How do I connect to them? Just message each one? Not sure sorry

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Hi, @lolly906 – when members are "tagged," or their usernames are included in a post like I wrote shortly ago, they will receive an email notification that I have done so, alerting them that their participation is requested, if they so choose. They can then click "VIEW & REPLY" in their email notifications and join in this conversation, if they would like.

Some further information on How to Mention Members and some other helpful topics you might be interested in is available at Get Started on Connect https://connect.mayoclinic.org/get-started-on-connect/ (or see same title in the gray box at the bottom of any Connect page).

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@lolly906

How do I connect to them? Just message each one? Not sure sorry

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@lolly906 If you start your post with their @name (just like I started this post to you), your message will get to them.

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@lolly906

That's scary to me at this point, I was hoping he would return to a normal state even if briefly, so I could get him to seek help, yes he must have an underlying cause, but I honestly do not remember any red flags for this, it took us by surprise, although he does have an alcohol problem which when he came here was part of the deal, no drinking and get a job, but yes I will do what I can praying he will change his mind and seek help but at this point he doesn't think he needs any he believes his paranoid world is the reality

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I wanted to add what my Mayo doctors told me regarding my situation, and that is to go to St Mary's when I'm having one and it's active psychosis so that they could run some more tests. Like there's a condition called porphyria (sp?) that I could be evaluated for.

Overall, I never had a psychosis prior to my myasthenia gravis disease starting when I was around 48 years old. But, I don't have a thyroid anymore, and the shock of having MG caused me to forget my thyroid pill i think, plus now, I've learned that my medication can cause psychosis plus my biological mother (that I never had the opportunity meet) had schizophrenia they say. So, perhaps there is some genetics going making me predisposed to it.

I went to an NIH study and the experts there say I don't hav ethe disease schizophrenia because i don't have negative symptoms and I didn't have my first psychosis until my 48th year. Schizophrenia has psychosis and negative symptoms both at the NIH.

Perhaps he has a neurological condition now, like I did? I've been tested for everything, lupus, MS, several diseases can cause psychosis. Frontal Temporal Dementia too.

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@Erinmfs

I wanted to add what my Mayo doctors told me regarding my situation, and that is to go to St Mary's when I'm having one and it's active psychosis so that they could run some more tests. Like there's a condition called porphyria (sp?) that I could be evaluated for.

Overall, I never had a psychosis prior to my myasthenia gravis disease starting when I was around 48 years old. But, I don't have a thyroid anymore, and the shock of having MG caused me to forget my thyroid pill i think, plus now, I've learned that my medication can cause psychosis plus my biological mother (that I never had the opportunity meet) had schizophrenia they say. So, perhaps there is some genetics going making me predisposed to it.

I went to an NIH study and the experts there say I don't hav ethe disease schizophrenia because i don't have negative symptoms and I didn't have my first psychosis until my 48th year. Schizophrenia has psychosis and negative symptoms both at the NIH.

Perhaps he has a neurological condition now, like I did? I've been tested for everything, lupus, MS, several diseases can cause psychosis. Frontal Temporal Dementia too.

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I'll reply to myself 🙂 Here's a wikipeda explanation of psychosis and bromide. My MG medication is called pyrostigmine bromide. I've reported that to my doctors, when I flare with MG I lose my mind. Perhaps its from the Mestinon they think (pyrostigmine bromide). https://en.wikipedia.org/wiki/Bromism

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@lolly906

Also with an episode of pychosis, do they come out of it at anytime? Or if they don't get meds will he be like this from now on? I mean is there any hope my son will come out of this even for a day without taking meds? I've never had this happen and don't know anything about it much I'm wondering if there will be a possibility of this episode stopping even for a day or so

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No way to answer that question, @lolly906, until your son has a diagnosis.
As it could be caused by a neurological problem, dementia problem, thyroid or other endocrinology disorder. He needs to be seen by a team of doctors (preferably at a medical center with a multidisciplinary approach, like Mayo or a university medical center) in order to get the correct diagnosis. Most likely medication and therapy of some kind will be needed.

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@hopeful33250

No way to answer that question, @lolly906, until your son has a diagnosis.
As it could be caused by a neurological problem, dementia problem, thyroid or other endocrinology disorder. He needs to be seen by a team of doctors (preferably at a medical center with a multidisciplinary approach, like Mayo or a university medical center) in order to get the correct diagnosis. Most likely medication and therapy of some kind will be needed.

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@hopeful33250 @lolly906 Teresa is correct about being seen by a team to get a solid diagnosis. Lolly, you mentioned your son has an alcohol problem and moved home? I know that extreme alcohol addiction can play havoc with mental fitness, also is there a chance that he ingested or tried something beyond alcohol, that triggered this? If he is living in your house, and you are concerned for your safety, you need to get your county mental health involved. Also, contact your local law enforcement and voice your concerns for yours and his safety. Many agencies have a CIT (Crisis Intervention Team) to help you. Keep notes of what you are seeing, as they may be needed for evidence. While your son is in a compromised mental state, he is probably resistant to any help, and will deny any problem.
Please keep your safety foremost, and come back to our cyber table to let us know how you are doing.
Ginger

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I would advise to see a psychiatrist, at first people around my town thought I had one illness that after seeing 2 psychiatrists I was told I do not have. Try to see one, find out what the illness is, then get the right medicine, keep seeing a psychiatrist and keep that medicine monitored. Also talk therapy and dbt which is amazingly helpful. DBT by Marsha Linehan has helped me soo much! The book is available at amazon.com. With medicine, a psychiatrist, being monitored, and learning how to cope with difficult situations like anxiety, social anxiety etc… that truly helps. I think it really matters to also do things that he likes to do, what are his hobbies, his talents? Encourage him to do them, go the psychiatrist, get the proper medicine, practice DBT Therapy. Marsha Linehan is truly awesome in my opinion for her knowledge. Encourage your son to read it, if he can't read it to him, support him and tell him he's loved. Millions of people have some sort of illness not just him, have him remember that have him understand that he is cared about and that he is loved.

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I also agree with above if he is upset get support, ask for support. So glad you were so honest and wrote this to the mayo clinic. I agree with the above get the diagnosis ( what I meant by find out what the illness is), get the right medication, have a place for him to contact ( crisis intervention), therapist, psychiatrist, family, friends,see if he can get into a group of dbt, see a psychiatrist, see if he has hobbies and allow them to distract him from his worries, distress tolerance helps, emotion regulation, interpersonal effectiveness, mindfulness, DBT Therapy ! Also remind him he is not alone, let him find the things he loves to do and enjoy them, encourage him to not avoid but to " ride the wave" face into it and realize he's a good person.

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@gingerw

@hopeful33250 @lolly906 Teresa is correct about being seen by a team to get a solid diagnosis. Lolly, you mentioned your son has an alcohol problem and moved home? I know that extreme alcohol addiction can play havoc with mental fitness, also is there a chance that he ingested or tried something beyond alcohol, that triggered this? If he is living in your house, and you are concerned for your safety, you need to get your county mental health involved. Also, contact your local law enforcement and voice your concerns for yours and his safety. Many agencies have a CIT (Crisis Intervention Team) to help you. Keep notes of what you are seeing, as they may be needed for evidence. While your son is in a compromised mental state, he is probably resistant to any help, and will deny any problem.
Please keep your safety foremost, and come back to our cyber table to let us know how you are doing.
Ginger

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Hello @lolly906,

@gingerw has some great ideas about keeping detailed notes (like a journal) of his activities, ideas, and actions. These could help you get him into a mental health facility even if he is not willing. Please especially takes notes of anything threatening he says about harming himself or others and especially if he talks of hearing voices that give him commands or criticisms.

Also be on the look-out for any pills, substances that might not be familiar. As @gingerw said, he could have ingested something harmful. Do you know who his friends are? Is it possible to talk to any of them who might have been with him before his psychosis started? This is the time to be concerned about his well-being more than privacy.

Remember @lolly906, you can contact a psychiatrist to get some help for handling this problem even if your son is not willing. Contact your pastor if you need some referrals.

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Agree with above as well that church, groups, dbt, psychiatrist, phd therapist, those are helpful as well! Be aware of what he is taking, get him to a group or clinic, journal and or do dbt handbook worksheets. Let him know he is cared about by you, tell him that you care and therefore doing something for himself would make you happy. See if this is something he is willing to do voluntarily or not then decide from there. Best wishes to you !

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Hello,@lolly906….sounds like you may need some kind of leverage. My daughter was a harm to others in that she was paranoid, calling the police night and day about people stealing from her. Talking about the spirits in her house. Some were friendly. Others were not. She tried to get her young son to come and see the "glory of the Lord revealed." She wanted him to come to her house to play with the little dead boy who visited.

We worked with a Psychiatrist, Psychiatric Ward, counselors, physicians, attorneys. My daughter wanted to be able to see her child. One day she fell apart in our home. She was being treated for Bi Polar, but this was something we had never seen before. She readily accepted our help. She ended up in one of the best Psych wards in the tri county area.

Of course when they wouldn't let her smoke, her tune changed. She wanted out. But by this time we had a court date. We were going to have her committed so she could have treatment. We sought permant guardianship of our Grandson, because he was never safe with her. We won. It broke our hearts.

But she had to at least get to the place where she could safely manage on her own. Take her meds. Have friends. She will never work again. If she tries, she will get fired. She is on permanent disability.

Once again, his safety and yours are uppermost in importance. Without medication, he is going to hit rock bottom. Honestly, I would be afraid to call 911. Even if he does not have a weapon, if he gets to the point where he is totally delusional, if police officers arrive on the scene and he does not comply with instructions, they will attempt to constrict his movements. Gun or not, if they feel he is a threat to them, they will attack. Adult children gave been shot and killed time after time in my state. And we have great police officers. But they will protect themselves at any threat of harm.

He has a good job. Can that be enough of a motivator to propel him towards medical help? He has a loving family who support him. Is that going to be his motivator? Does he have siblings , nieces, nephews, a love interest ? Is that his motivator?

If he feels sick enough…..that could be his motivator. You must pick your battles here. You don't need to tell him he's only imagining this investigation by government agents. That every bit of technology is bugged. Hey….some of it may be bugged, for real, for all of us!!!!!

Watch for your opening with him. Let him know how much he is loved. Let him realize that a few things just aren't right and they are getting worse. That you can see that he is hurting. That other people have been through this experience very much like him. This may be your opportunity to go with him right then for medical help.

I do not have a medical degree. But I have been where you are. Someone has used the phrase Welcome to Holland. You had your trip all planned to Paris and somehow you ended up in Holland. It is what it is. Holland is different. It's not where you planned on being. But it's actually pretty nice.

You might not be a person of faith. And that's perfectly fine if you are not. But it feels real good, personally, and again, this is me…to believe that not only I have done all I could , to help my child….But I have to give my child up to my higher power. I cannot do life alone.

Blessings and prayers to you and your family. We will be waiting here for you. Check in at any time. With us all working together, there is power and strength.

Mamacita

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