Touture delusion only once - is he schizophrenic?

Ive dated a man on and off for 10 years - hes had alot of childhood trauma- plus endured alcoholism - drugs - but stopped all of that. Ther was many years he seemed cruel and narcissistic too- Anyways- ff to a year ago.- We were together- it was amazing- planned on getting married but then suddenly he had to tell me about this night in 2017that happened where he was toutured and beat and had to speak to Jason Momoa and Charlene Theron facetime on a phone- he had her cut her hair- they asked him to give movie ideas for a very popular movie - Yes - Im aware this was a delusion- 2024 he was hospitalized and he signed himself out after a week and since then he is paranoid these people are watching him and what do they want - and hes big into religion & penial glands - etc. Hes lost weight and lost alot of hair …my question is
THIS is the only delusional episode he ever speaks about.(its real to him ) there are no hallucinations and no more delusions. Except he feels everyone’s out to get him .
Would this be schizophrenia? Meaning there is only THIS delusion? My therapist told me to ask - because she was unsure.
Hes definitely a different person now …very timid & scared…
He is UNMEDICATED - UNTREATED for anything

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Do you, personally, know if his childhood trauma was a real experience?

Yes - absolutely. His dad has always been controlling & his dad threw his kitten out a window -(my bf was maybe 8) His uncle also molested him . His dad has made fun of him with his uncles too.

He should be seeing a psychiatrist who would be able to render a professional opinion and recommend treatment. Maybe you could offer to see one together as family therapy. You could say you need it for yourself, which is true.

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And you were there to witness the kitten being thrown out of a window?

I ask because my son had compelling stories regarding being abused as a child and none of them had ever happened.

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I was not there to witness this. I have been under the understanding that this happened via his dad - himself . I have asked myself if this is all true - trust me . I have confronted his dad with the molestation and stuff …Idk…maybe none of it really did happen

Its the strangest thing because someone / at the hospital they gave him Abilify and offered him a 30 day shot - which he refused. Someone diagnosed him as schizophrenic…Im just having a mind block and cant remember who or how . He will not go see anyone - he believes the therapist that they had him see immediately when he exited the hospital - was part of the touture in 2017…im just at a loss. We keep our space between us . He lives with his parents now - and thry keep him in a " theres nothing wrong with you " bubble.
I guess im just confused because everything in his life reflects on this ONE delusion from 2017…but i guess i assumed there would be more delusions & hallucinations? He absolutely has symptoms of SZ…Just curious how that works. I would love for him to seek help or go bk on Abilify

I guess i dont really know for sure. Ive personally confronted his dad with some of these. Which he never said anything to me . I guess i genuinely do not know

And paranoia is delusional too. I’m sorry

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I absolutely thought so. I just needed or wanted clarification on the " one main huge delusion " I asked my therapist but she didnt know the answer.
So may i ask - because i am struggling hardcore with this - what is the outcome? Especially if he refuses treatment or medication? I really truly just do not understand how SZ works untreated. I do appreciate your response & help

Hi, just my 2 cents. It’s my understanding that delusions can come and go and there may be some he never mentions, and some things might be derived from a distorted memory, but one that had no famous actors in it in real life. Without knowing either of you I still feel a strong need to advise that he get professional help and a professional diagnosis as soon as possible. I also feel that it’s important that regardless of how long you have known him that you be careful while he is not being properly diagnosed or treated. Behaviors in these situations while rarely violent, can be very unpredictable and in some cases frightening and unpleasant. I speak from my own experience. Be careful and if possible, strongly advise him to get professional help ASAP, Best regards.

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On and off for 10 years- not sure why it matters- one delusion or more- how are you? What are you doing to take care of yourself? How is this relationship good for you? What’s important in your life? Take the focus off him and put it in yourself- let him be him and let you take care of you- there is nothing we can do to control, cure or change another person- if this relationship is not working for you - why are you still on it?

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