Kevin Nguyen3 said:🤔
I had intended to start a thread, but I decided against it. If you happen to see a new topic appearing under my name, please believe me when I say it wasn't me. 🤣
Anyway... I am currently in contact with someone dealing with a very specific psychological disorder.
It looks something like this—a cocktail of schizoaffective disorder and paranoid schizophrenia.
The catch? The illness hasn't been identified, nor is any kind of diagnosis even being considered; in fact, bringing up such a thing is completely off the table. Not even a conversation about it.
There are persecutory delusions, delusions of grandeur, or perhaps a combination of both, often punctuated by bouts of extreme aggression—truly violent outbursts.
And then there are those irrational ideas stemming from the aforementioned issues (essentially projecting one's own perceived importance onto society).
What is fascinating is that their intelligence remains intact, as does their affect and speech patterns.
Regarding the schizoaffective aspect, I can't quite pin down anything extraordinary, aside from perhaps some disorganized thinking or paranoia bleeding into delusional thoughts.
No hallucinations. Mood swings? Hmm... I suspect they exist, though I cannot say for certain.
The issue is that the phases of depression and euphoria don't alternate in the typical way; it isn't bipolar.
All of this is, admittedly, in a very early stage, yet the framework of the entire situation is starting to take shape.
I see what is happening, but I remain silent. I have absolutely no intention of trying to convince anyone that exactly what I am describing is taking place.
What should be done?
Do I simply turn away and let time eventually confirm the illness, or do I speak up and risk a total severance of our connection?
It is simple, really... I just don't know what to do.
Look, in 99% of cases, people dealing with psychosis don't think they're psychotic—they think everyone else is just an idiot who hasn't caught on yet. You can try to talk sense into them, but honestly, you're just whistling in the wind☕ . And hey, look, you *can* try, because when it comes to psychosis, the rule is usually that the earlier the treatment starts, the better the shot at recovery. If you let it drag on too long, the personality fractures so deeply there’s no coming back. Now, if the person isn't having full-blown hallucinations and their cognitive skills aren't tanking, it might be a milder version, but those "mild" types are the ones who will never, ever admit they're sick.
The biggest mistake you can make is trying to prove they're wrong. They always have "proof." Like, if they see a neighbor sitting at a Starbucks, that's "proof" that the neighbor is bugging them. There's just no winning that argument, because they physically cannot stop thinking the thoughts they're thinking, even if they wanted to.
When people hit a psychotic break, they lose that adult maturity and revert to being incredibly childish, so that old-school reward/punishment system always works perfectly.😉