... had more than few symptoms of schytozphrenia? The sex stuff was wierd, the disconnection from what was really happening, he admitted to having halucinations, but in our last encounter, he claimed the neighbors and police were telling him to do things. Now in a hospital, he seems to be over-filled with his love for me, he's not himself and may really believe(no matter what I say)he will be released into my care. I'm a new girlfriend, now maybe just a friend, he seems to have multiple people in there to me-I've never seen anyone be so disconnected with reality while convinced it's everyone else. Should I worry about a personality disorder along with the depressive disorder, and how do I cope with knowing this will happen again?
First let me say that you are coping with alot. Your friend may not be schizophrenic, but be bipolar with psychotic features. Regardless of the diagnosis this is difficult for both of you to deal with. You need to let the hospital call the shots and if you do not feel comfortable taking care of him once he is able to come home then you have the right to say so. Otherwise, try to be understanding and supportive encouraging him to take his medication and seek counseling so to learn how to cope with the mania and psychotic features. I encourage you to learn as much as possible about his illness through organizations such as the National Alliance on Mental Illness (NAMI) by going to NAMI.org and finding your local afilliation. They can help you with learning about his illness and developing appropriate caregiving skills, if this is what you choose. This type psychotic break may occur again or it may not, really depends on how your friend takes to the medication and treatment. The best thing you can do for him now is to educate yourself about Bipolar Disorder with psychotic features or if they decide he is schizophrenic then educate yourself about that. Just remember it is an illness, not his fault, but his responsibility to get appropriate treatment.
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