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Suggest Treatment For Paranoid Schizophrenia

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Posted on Sat, 3 Jan 2015
Question: My paranoid schizophrenic boyfriend told me he was deeple in love with me then two days later told me to stay away. He filed an injunction against us which was withdrawn. Now months later he blocked and unblocked our email but today returned my Chanukah gift. Can u help me?
doctor
Answered by Dr. Vipul Prajapati (1 hour later)
Brief Answer:
Detail required

Detailed Answer:
Hi dear,

Thank you for your Query.

First of all please tell me that why you say your friend is paranoid schizophrenic ?

Which symptoms or signs you observed in him which is not normal?
Also please give me details regarding his pre-morbid personality.

Also tell detail regarding relationship with family member and friends.

Since when you both are in relationship and since when such problem arise?

Awaiting your response.

Thank you

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vipul Prajapati (38 minutes later)
We were together for about seven months and when he saw i was in the hospital he withdrew from me. He was hearing his dead wife talk to him and also was diagnosed with paranoid schizophrenia by a therapist we saw together. He told me he loved me more than he did his wife who had died two years before and he didn't think that was possible. He was talking about satanists and how they were psychically abusing him too. In February he chased me out of his store and sent some bizarre emails to me and my son...he just dropped out of sight. we called for police welfare check in February which made him really paranoid as heis terrified of being hospitalized as he had been when he was committed in his twenties for a "breakdown"and in May when we went to his store he was angry and told us to leave but then he calmed down and later told me how much he loved me but that "entities were telling him it was his job to kill people as he was a "murderer". It scared and confused me that he said that and that he two days later told me to stay away from him that I was obsessed with him. He blocked all of his emails and in July filed an injunction for harassment against us that was withdrawn...since then I have been trying to email him and he now keeps his emails unblocked but he never responds to me. my son called him in November and hung up on him and then texted him he would call him later but changed his phone number instead..then he unblocked his emails and his phones and when I talked to Dr Bishnoi he thought it would be a good idea to send him a Chanukah card and gift but yesterday I found he had returned it by putting it under my car...Dr Bishnoi said that that shows ambivalence but I love this man and had hoped he would go with us to Israel to minister to the holocaust survivors...I am heartbroken. He has no other family or friends but us and my son 24, lives with me and loves him too...I am so confused...does he hate us what? Dr Bishnoi thought it was a good sign that he politely returned the gift that it was just his paranoia that was in the way..what do you think..what should I do next? we are leaving for Israel in February and NEVER coming back to the states..
doctor
Answered by Dr. Vipul Prajapati (14 minutes later)
Brief Answer:
Need to take treatment

Detailed Answer:
Hi dear,

What ever you described about him suggest that he might have psychotic illness probably schizophrenia.
And in schizophrenia you need to take treatment for a long time.
One can not be better by counselling without treatment.
First of all i will advice you to consult a psychiatrist as from your history i would say that his mood changes frequently and have suspicious behavior secondary to illness.

What ever medication he is taking right now are just anti depressant but he requires anti psychotic medication which helps him to be better and come out from such illness and maintain stable relationship.

If you take him with you at present he might be more suspicious towards you because in psychotic illness change in environment may precipitates suspicious.

There are many medication which helps him like Atypical anti psychotic like risperidone, olanzepine, arpizole, qutieapine etc..

If he is not ready to take oral medication than there many long acting injections also available for such patients.

So consult psychiatrist and discuss medication and illness.

Thank you



Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vipul Prajapati (38 minutes later)
He won't even see me Doctor and I am so distraught. He used to love me but now wants me to stay away and as I am not engaged to him and he doesn't want to see me because he is so paranoid that I will get him treatment or hospitalization, he has stayed away from me since May when he said he was deeply in love with me. I have no way to get him into treatment that is completely out of the question not going to happen....he lives alone and sees no one exept when he goes to his shop and that is it...I am so depressed and sad....can't he go into remission, should Itry to even contact him what can I do to get him back? He used to trust me but now he doesn't trust anyone...Dr Bishnoi said to not stop contacting him but he just keeps rejecting us....what can I do if anything to get him to trust me again outside of treatment which is completely out...
Addendum, FYI he is NOT willing at this time to have ANYcontact with me let alone take any suggestions for treatment from me..I feel like he hates me.....I am helpless and this has thrown me into a deep depression. the welfare checks we had done on him made us suspicious of him and caused this deep paranoia and now we cannot have anyone check up on him. The vcourt made us promise to not see each other for a year so when we leave for Israel he will be totally alone with no one who cares about him or willing to help him. Most people just stay away from him as he has gotten so strange

Oops. Forgot a few things...his pre morbid personality I am not totally sure as he began with schizophrenia I amalmost positive over 40 years ago when he was in his twenties. I did not know him then. His second wife died three years ago and I met him two years after she died...but when he was with us before he got so angry and suspicious of us andI meant to say that he was afraid we would have him hospitalized which is only partially a delusion as we wanted to get him help, he was the kindest most loving gentlest man I have EVER known in my entire 65 years...but this man currently is not the same man I fell in love with...he is suspicious, angry chased me out of his store and before we laughed andtalked and yet was talking to his dead wife and a 'psychic satanist" whom he kept saying was doing sexual things to him psychically..I thought it was weird ut wasn't afraid until May when he said "entities" were telling him to "kill people as (he)I am a murderer." its been four months since the injunction was withdrawn but the judge made us promise not to see each other for a year..I will be gone by then....
doctor
Answered by Dr. Vipul Prajapati (13 hours later)
Brief Answer:
Medication is must

Detailed Answer:
Hi dear,

I understand your problem but in schizophrenia natural remission is rare.

And he has much positive symptoms of schizophrenia and so no one comes in contact with him so difficult to care for him.

As he also stay away from you due to suspicious so he might not understand that you want to help him.

Best way is to contact him as regular person and not a patient and than once slight trust develop than you can take him to psychiatrist. If he still rejects you then better stay away from him for 1-2 days and again try to speak with him.


In this illness behavior of person is unpredictable, sometimes may be he behave well with you and at that time you needed to take him to psychiatrist

One thing is final that without treatment there is less chances of improvement.

May be his pre-morbid personality also suspicious

So you can help him by consulting a local psychiatrist and discuss with him. May be psychiatrist may visit home as friend and see his condition.

You never talked about his friends.
If any friend whom he trust may help him than you

Thank you

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Vipul Prajapati (32 minutes later)
Thank you. No he doesnI just found out thatany friends OR family except a disabled step son whom he is responsible for....he thinks I am trying to get him committed and so mistrusts me whom he was in love with "deeply" in May. When he filed the injunction against me after that date, the judge withdrew it but told us we had to promise not to see each other for a year. I just found out that we really arent supposed to have CONTACT until August 25 of this coming year. So until that date we cannot see him. He has no family or friends and is totally isolated> He also has delusions about people stealing or using up all his money. No psychiatrist in the states would be willing to visit him at his home and he doesnt trust anyone anyway
and wouldnt let someone in his house anyway... I just dont want to leave him here alone and go to live 10,000 miles away...I feel so helpless and hopeless....we don't even know if he would try to chase us out of his store or home....I am afraid we may have already lost him...
doctor
Answered by Dr. Vipul Prajapati (1 hour later)
Brief Answer:
Medication is the only option

Detailed Answer:
Hi dear,


If he mistrusts you and rejects you then better stay away from him for few days.

As you are not able to meet him as per court, so without meeting him how you cannot help him.
First of all you can contact his son and make him understand about his condition. And tell him that you are not trying to get him committed and explain him how much you loves him. And your only intention is to get him treated.
His son is the only hope which can help him.

One thing you can do is ask in court of law about his mental condition and take permission to arrange a visit to a psychiatrist and do treatment of him.

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

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Vipul Prajapati

Psychiatrist

Practicing since :2009

Answered : 849 Questions

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Suggest Treatment For Paranoid Schizophrenia

Brief Answer: Detail required Detailed Answer: Hi dear, Thank you for your Query. First of all please tell me that why you say your friend is paranoid schizophrenic ? Which symptoms or signs you observed in him which is not normal? Also please give me details regarding his pre-morbid personality. Also tell detail regarding relationship with family member and friends. Since when you both are in relationship and since when such problem arise? Awaiting your response. Thank you