My son is in hospital again.
He has been living in a house I purchased, I am there almost daily, he also has case management. He has been getting Risperdal Consta every other week, administered by a visiting nurse. He also takes something as a mood stabilizer. I am my son’s guardian.
Several 2nd generation APs have been tried. Historically, either, they have not worked at all, or have resulted in some improvement, but then we have seen deterioration in positive symptoms. I am not sure he has every really been without paranoia and delusions for quite some time. He still doesn’t have much insight into his illness, and feels his thoughts are all real.
I know hospital social services will contact me, urging me to consider residential placement for my son. This last episode included some suicidal thoughts, which will make it harder for me to stand up to this urging. (He also did some major damage in the home.) We have tried residential placements, but have been dissatisfied with the options - they are typically large facilities, with a population considerably older than him, and not oriented to therapeutic services, only remaining medicated and housed. When my son is doing better he loves his house, and he has never been comfortable or happy in a residential setting - missing the privacy and independence. Also, the ‘better’ ones will only accept people who are stabilized.
His PDOC has now decided to try 1st generation APs, and is starting him on Navane. As of yesterday my son was still very delusional and paranoid.
I just don’t know what I will do next.