Thomas Price12 said:Hey everyone,
A close loved one was hospitalized back in October, and after about a month, they were finally discharged with a prescription. Everything seemed to be going great at first—the meds pretty much wiped out all the symptoms (we're talking paranoia, auditory hallucinations, feeling like people are plotting against them, or thinking someone is breaking into the house when nobody is there, etc.). But over the last month, they've been stopping the medication, and now all those symptoms are rushing right back. They’re flat-out refusing to take anything now. They won't really say why they stopped, but from what I can gather, they just feel "happier" without them, or maybe they felt too drowsy and unmotivated while on them. I've tried talking, but nothing seems to work. They're convinced everyone is out to get them... honestly, I'm lost. What should I do? How can I help convince them to get back on their meds? If this keeps up, they're going to lose their job—they don't even want to take medical leave, they just want to quit because they think they're fine and everyone at work is just being shady. Does anyone know if there's any way to reach someone in this state and get them to start their treatment again???
The most important thing to clarify is what actually led to the initial hospitalization. With psychosis, there are these waves where symptoms flare up or settle down. Often, the people around the person don't realize they are actually "losing it" until things hit a breaking point.
When symptoms are at their peak—think obvious behavioral shifts, losing the thread of a conversation, staring blankly into space, totally checking out from reality, acting disoriented, talking nonsense, or not sleeping at all—that's usually when the people around them notice. It's often during those intense periods that the person might do something to themselves or others, which is what ultimately leads to a hospital stay.
If he stopped his medication after only a month, that isn't ideal from a clinical standpoint, but it doesn't automatically mean every single symptom has returned to its previous level immediately.
The real turning point in treatment is when the person reaches a level of self-awareness where they admit to themselves that the delusions or the sense of being lost wasn't healthy. That's the only way they'll truly accept the therapy. Usually, the need to force medication only becomes an issue once they act out in a way that is unusual or dangerous, whether toward themselves or those around them.