My sister (28 yo) is having delusions about her former employer trying to spy on her, tap phones and emails or try to harm her in some way since last one and a half year (while she was already working there). She quit the job and came back home an year back and felt normal for about 4 months and the delusions started again.
I came to know about all this around 5 months back (just when the delusions started again). She suddenly stopped talking at home, eating at home and would be confined in her room. She even accused me of hacking her mobile and accused my mom of spying on her. This continued for a month, and then she got a job offer and she got a bit better for about 15 days. She started going for the new job, and within 15 days her delusions came back.
And since then, her delusions have started getting worse. She now thinks all her family members and friends are bought(bribed) by her former employer to try to harm her. She thinks her family members mix sleeping pills in her food & records her voice. She thinks that everyone is trying to prove she is mentally ill and whenever anyone suggests her to see a doc, she thinks they are conspiring against her with her former employer.
She doesn’t eat food at home, stays inside her room all the time, orders food from outside or goes out to eat.
We visited many psychiatrists and everyone said these are symptoms of schinzophrenia but were not ready to write the diagnosis on paper since we were not able to take my sister to the doctor’s.
Finally, we were able to arrange a home visit from a psychiatrist, and fortunately we were able to make our sister talk to the doc. But she refused to take any medications prescribed by the doc and told her that there is nothing wrong with her.
Now the doc is saying that she needs to be hospitalised since she is not ready to take medications and is not ready to accept that there is anything wrong with her. The doc also said that she has suicidal tendencies and it is dangerous.
Now the problem is, our family is not able to gather the courage to admit her to the hospital. We see her going to the office daily, take care of herself, talking to neighbours, delivery guys normally. Everything about her behaviour is normal other than the delusions.
We are afraid that if we admit her to the hospital, she will think that we are indeed trying to harm her and are trying to ruin her life and career. She also has freelance projects etc. that will be ruined if we admit her to the hospital. On the other hand, she desperately needs help and that could be provided to her only if she is admitted to the hospital as she is not ready to discuss at all regarding her delusions with anyone. She is adamant that all of this is happening in real to her.
The most disturbing thing about all this is that I found a print out of a blog post in her room, that she had written regarding that she supports the idea of suicide. In that article she has narrated that all of this is happening to her friend and she supports her idea of suicide as she doesn’t support all this harassment/torcher by her family members and former employer.
What should be done in this scenario? How to help her?
PS: My father has some symptoms of paranoid personality disorder that I realised a few days ago while browsing the web about mental illness. Also, in my fathers family history, there has been instances of paranoia, though at old age. This could be something genetic.