I think my husband has schizophrenia please help!

Hello, I believe my husband is in the 1st stage of schizophrenia. I believe it’s been going on for about the last year and a half. His mother was diagnosed late 30’s with paranoid schizophrenia. He is 44. He has been heavily relying on Ai (grok) to learn how to mask and control his behavior. In doing so he has been diagnosing everyone around him. He suddenly went no contact with his entire family. Siting they are narcissists enablers, golden child etc. he says he is a scapegoat. Over the last few months he has also

now labeled me as a narcissist. He’s making wild accusations, stories from his childhood do not match what really happened. He seems to be targeting our son now making statements that he may not be his father. He is discussing taking a heroic dose of mushrooms for clarity. He’s showing lack of motivation, barely working. Showering has slowed down. He’s showing extreme sadness. I am scared

Have you confronted any of this behavior? What’s he say? I bet he had (or has) fears of becoming schizophrenic since his mom had schizophrenia. Can you get him to a doctor, like a psychiatrist or will he not go? I would say that these problems are not going to go away on their own, he needs help. Yeah, I don’t know if he has schizophrenia or not but hygiene problems are very typical in schizophrenia, it’s also typical for someone with schizophrenia to reject their loved ones or have delusions about them, I’ve seen that a lot on this site. Do you guys discuss any of this that’s going on? I would get him to a doctor as soon as possible.

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Yes, I have discussed lightly that I am worried and that he has a family history. His mom says she’s been recognizing slight differences and changes for the last two years. He’s very paranoid. Thinks now that he is no contact with his family that they are going to come poison our dogs. Added more outdoor cameras, changing passcodes and door locks. He does not believe he is sick. He thinks his family is putting the idea in my head. It’s so bad I am about to leave with the kids but I love him dearly and I want him to get help. The only help he received was 2 appts he went to for a narcissist abuse therapy place. He said the therapist asked him why he was there because he seems to be handling it all himself.

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Well, this is what many parents and siblings and spouses often talk about and recommend on this site: From ChatGPT:

leap method for anagnosia

The LEAP method is a communication approach designed to help people talk with someone who has anosognosia — a condition where a person is unaware they have a mental illness or medical condition. It’s commonly discussed in schizophrenia and bipolar disorder treatment.

The method was developed by Xavier Amador, author of the book I Am Not Sick, I Don’t Need Help!.

LEAP stands for:

  1. Listen
    Listen without arguing or immediately correcting the person.

  2. Empathize
    Acknowledge their feelings, even if you disagree with their beliefs.
    Example: “That sounds frightening.”

  3. Agree
    Find areas where you can agree.
    Example: agreeing they want less stress or better sleep.

  4. Partner
    Work together toward shared goals rather than forcing treatment.

The idea is that arguing “you’re sick” often makes people more defensive, while LEAP tries to build trust and cooperation.

Anosognosia itself is not simple denial — it can be related to changes in brain function that affect self-awareness.

You can learn more from the LEAP Institute and Xavier Amador’s book page

Maybe get this book.,

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I really hope he doesn’t choose to take a dose of mushrooms,

My sibling had his 1st psychotic break after a large dose of lsd,

From my experience substance use has always complicated the situation for my sibling

What Nick777 mentioned is good advice I would add seek support for yourself now as well your own therapist family/caregiver support groups

Heypeers.com is a good place to connect to a group

As well as Nami.org