This is about my mom. She’s had delusions for at least the last 30 years. Both persecution and grandiose. Somehow she managed to live with them, though: they would come and go, and at times she had some insight about herself. As far as I know, she’s never had any other symptoms like hallucinations.
About three years ago, however, things came to a head: she left her house with nowhere else to go (out of feelings of danger), got picked up by the police, eventually wound up in a mental hospital, from which she was sent to a nursing home (she is quite elderly). Nowadays she’s very often in a state of panic from her paranoid delusions.
She has refused all treatment, either medicine or therapy: “there’s nothing wrong with me, there’s something wrong with you” (or “with them”). She’s been prescribed risperidone/risperdal, took it briefly and has declared that it “nearly destroyed her brain.” Now she’s been prescribed a 1-month shot of invega sustenna or paliperidone. As her guardian, I gave me agreement for them to give it her. But she’s resisting, and has just telephoned me in a state of utter panic: she’s afraid that the medicine will do something awful to her.
Should I stick with it, and have them give her the shot? Does anyone have experience with delusions and paliperidone or risperidone? Can there be anything to her feeling that it “will destroy her brain?”
This is a very hard decision to make.
Thanks a lot.