musicbabe
Emu Egg
Joined: Feb 02, 2012
Age: 42
Posts: 1
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 Posted: Thu Feb 02, 2012 6:47 pm Post subject: Issue with 19 year old with Psychotic Disorder Nos |
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My 19 year old insists he has been given super powers from God. He has been diagonsed with psychotic Disorder Not Otherwised Specified (NOS) but even with meds nothing seems to have changed. He becomes mean and even violent when told anything he does not want to hear. Any suggestions on how to deal with this would be helpful
Jeannie |
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tropicalcows
Snowy Owl
Joined: Oct 11, 2011
Age: 22
Posts: 135
Location: Ohio
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| Posted: Thu Feb 02, 2012 7:55 pm Post subject: |
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| He might need another medication or a higher dose if this one is ineffective. |
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Phonic
WHERE IS YOUR GOD NOW!!!??
Joined: Apr 04, 2011
Age: 20
Posts: 1331
Location: The graveyard of discarded toy soldiers.
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| Posted: Thu Feb 02, 2012 10:48 pm Post subject: |
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Don't let him go anywhere alone, take time off work (if you work) if you do - you certainly have grounds to, get help for usual daily things like going shopping from reletives so that you can keep a close eye on him, avoid bringing him outside when he's like this. Don't argue with him about his delusions, it never works, read the book "schizophrenia for dummies" if possible, keep in constant contact with his doctor and always ask for advice aff your doc before asking the internet
Regards
Someone whose had psychosis.
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LittleBlackCat
Toucan
Joined: Sep 11, 2011
Posts: 266
Location: England
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| Posted: Fri Feb 03, 2012 5:33 am Post subject: |
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| If you believe you (or anyone else) is at risk due to his violent behaviour it may be more appropriate for him to be receiving inpatient treatment until his condition is stabilised. Without knowing more about your personal circumstances or what country you live in I cannot be more specific, but I would echo that you need to be keeping in very close contact with any professionals involved in his care and keeping them informed of any incidents and concerns that you have. |
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Sweetleaf
Metalhead
Joined: Jan 07, 2011
Age: 23
Posts: 14869
Location: Somewhere in Colorado
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| Posted: Fri Feb 03, 2012 2:10 pm Post subject: |
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| tropicalcows wrote: | | He might need another medication or a higher dose if this one is ineffective. |
Or he might need a lower dose, drugs can have negative effects as well.....either way certainly something to look into to rule out if it's an issue with the meds.
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Bun
Bunnymen
Joined: Jan 09, 2012
Posts: 3250
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| Posted: Sun Feb 05, 2012 6:31 am Post subject: |
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| Phonic wrote: | Don't let him go anywhere alone, take time off work (if you work) if you do - you certainly have grounds to, get help for usual daily things like going shopping from reletives so that you can keep a close eye on him, avoid bringing him outside when he's like this. Don't argue with him about his delusions, it never works, read the book "schizophrenia for dummies" if possible, keep in constant contact with his doctor and always ask for advice aff your doc before asking the internet
Regards
Someone whose had psychosis. |
I always wondered *why* shouldn't a professional try to disprove their patients' delusions. I'm not even talking about the environment, but someone trained. |
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CrazyCatLord
Phoenix
Joined: Oct 25, 2011
Posts: 2177
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| Posted: Sun Feb 05, 2012 10:29 am Post subject: |
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| Bun wrote: | | I always wondered *why* shouldn't a professional try to disprove their patients' delusions. I'm not even talking about the environment, but someone trained. |
I guess it is because the psychiatrist or family member might become part of a conspiracy in the mind of the schizophrenic person. People with schizophrenia often think in black and white terms. People are either on their side (but suspicious) or against them. If they think that the people in their life can't be trusted, they will withdraw from them, reject their advice and refuse treatment.
But I've also read that the prognosis is much better if the patient is well educated. Schizophrenics don't lose their reasoning capabilities and can learn to distinguish reality from delusion. John Forbes Nash (whose case inspired the movie "A Beautiful Mind") said that he managed to intellectually reject his hallucinations and delusional beliefs at some point. So perhaps mental health professionals should be more honest with their patients and try to reason with them more often.
In my opinion, the worst thing a psychiatrist or a relative can do is to treat a person with a disability or disorder like a child or an idiot (or, even worse, as potentially dangerous). Give people some credit. They need to feel accepted and respected as a human being, not patronized and coaxed. |
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Bun
Bunnymen
Joined: Jan 09, 2012
Posts: 3250
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| Posted: Mon Feb 06, 2012 7:32 am Post subject: |
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| I think that because people need to feel accepted, they will want to be talked to. I wonder if psychotherapy had ever been tried with patients who had schizophrenia, who weren't drugged up to their eyeballs. |
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LittleBlackCat
Toucan
Joined: Sep 11, 2011
Posts: 266
Location: England
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| Posted: Mon Feb 06, 2012 5:04 pm Post subject: |
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Drug-free approaches have been tried with some success (although I believe this was mainly with people experiencing psychosis for the first time, not sure how it would work with people who have already been taking anti-psychotics for a long time). Try Googling Soteria as that is one of the more famous examples.
For the record, I am well aware that the vast majority of people experiencing psychosis are not a danger to anyone, but was reacting in my previous comment to the OP's statement that her son had previously become violent. Three of my four closest friends suffer from serious mental health conditions and I have had mental health problems myself. Although most of us have never been a danger to anyone, one of my friends is in the minority that becomes violent when he is unwell so I have first-hand experience of dealing with this. I care about him a great deal and have had to see him come to terms with hurting people he is close to when he has recovered and the pain it has caused all round. There is a difference between the reactionary "anyone with a mental health condition is an axe murderer" headlines we sometimes see in the press, and trying to manage a situation safely with someone you care about. |
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Bun
Bunnymen
Joined: Jan 09, 2012
Posts: 3250
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| Posted: Mon Feb 06, 2012 10:36 pm Post subject: |
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| LittleBlackCat wrote: | | Drug-free approaches have been tried with some success (although I believe this was mainly with people experiencing psychosis for the first time, not sure how it would work with people who have already been taking anti-psychotics for a long time). Try Googling Soteria as that is one of the more famous examples. |
Thank you.  |
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OliveOilMom
Queen of cans and jars
Joined: Nov 12, 2011
Posts: 6990
Location: Living in Faulkner's nightmare
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| Posted: Mon Feb 06, 2012 10:53 pm Post subject: |
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If he gets violent, I would second the idea of inpatient treatment to get his meds adjusted. They can watch him closely there and adjust the dose as needed until they find the dose or med that works for him.
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Frances
I can be a little much sometimes. |
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Sarah81
Toucan
Joined: Feb 29, 2012
Posts: 256
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| Posted: Wed Feb 29, 2012 4:23 am Post subject: Delusional |
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| Arguing with your son is pointless at the moment. Just agree and change the topic if you can, and get help to make sure he doesn't hurt himself. The management at this point is medication. When he is a little better you might talk to the treating team about how he can learn to manage delusions. But at the moment he is not in a state to learn anything. |
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Mithos
Phoenix
Joined: Feb 22, 2012
Age: 22
Posts: 685
Location: Ponyville, Equestria.
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| Posted: Wed Feb 29, 2012 4:30 am Post subject: |
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I'm sure you'll be fine. Don't worry!
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Bun
Bunnymen
Joined: Jan 09, 2012
Posts: 3250
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| Posted: Wed Feb 29, 2012 4:57 am Post subject: Re: Delusional |
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| Sarah81 wrote: | | Arguing with your son is pointless at the moment. |
| Quote: | | at the moment he is not in a state to learn anything |
Do you have any evidence to validate your statements with? |
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Sweetleaf
Metalhead
Joined: Jan 07, 2011
Age: 23
Posts: 14869
Location: Somewhere in Colorado
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| Posted: Wed Feb 29, 2012 11:07 am Post subject: |
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| CrazyCatLord wrote: | | Bun wrote: | | I always wondered *why* shouldn't a professional try to disprove their patients' delusions. I'm not even talking about the environment, but someone trained. |
I guess it is because the psychiatrist or family member might become part of a conspiracy in the mind of the schizophrenic person. People with schizophrenia often think in black and white terms. People are either on their side (but suspicious) or against them. If they think that the people in their life can't be trusted, they will withdraw from them, reject their advice and refuse treatment.
But I've also read that the prognosis is much better if the patient is well educated. Schizophrenics don't lose their reasoning capabilities and can learn to distinguish reality from delusion. John Forbes Nash (whose case inspired the movie "A Beautiful Mind") said that he managed to intellectually reject his hallucinations and delusional beliefs at some point. So perhaps mental health professionals should be more honest with their patients and try to reason with them more often.
In my opinion, the worst thing a psychiatrist or a relative can do is to treat a person with a disability or disorder like a child or an idiot (or, even worse, as potentially dangerous). Give people some credit. They need to feel accepted and respected as a human being, not patronized and coaxed. |
very good point
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