He wants to achieve things that everyone wants to achieve - he wants a sense of accomplishment, he wants to be liked, he wants a relationship, etc.
He is 28 (as of yesterday). He’s been on Clozapine for just over a month, and steady at 200 mg/day for the past 2.5 weeks. He usually needs a high dosage to get things to work, but for the first time, it’s working at a lower than recommended dosage.
As background, he had his first break at 15, second at 17, third at 18 - all with paranoid delusions where people were coming to kill him, etc. Then, he was pretty stable until about 18 months ago. He was having problems, but wasn’t delusional. He started seeing a new therapist, got attached (as in literally fell in love), started off with delusions about having a relationship with her & it just got worse from there.
He has a paranoid schizophrenia diagnosis which he just got in the hospital a few months ago. Before that, it was psychotic depression, psychotic NOS, major mood disorders, etc. And, fairly extreme bipolar runs in the family, but I don’t know that anyone else has a SZ diagnosis - not that it matters. Mainly pointing out that there’s a mood component.
You know how you can feel disappointed when you wake up from a really awesome dream, and realize it was all just a dream? I’m thinking that’s how he feels right now, or will soon, only magnified about 100 times.
I have no idea what to do or say.
I’ve gotten really used to his delusions myself - I’m at a loss.
I do have an email into his case manager/therapist to get some advice, but she’s only met him once.
He’s in the middle of a switch because he got so paranoid about the first one they gave him, he wouldn’t work with the poor man.