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Wednesday, August 17, 2011 who knows asks

Q: My boyfriend, stopped taking his meds over a year ago, he has gradually deteriorated and is now showing signs of both positive and negative schizophrenia

 he refuses medication, and refuses to visit any mental health centre as in his words they are shite, and why should he take medication for thinking differently to anybody else. He used to be really loving, and now it's as if all his emotions have switched off, his sex drive has gone from being ott to none existent and he talks to me and says that I have a man inside me or I am the mother who abandoned him. His conversations go a lot deeper than that, he has no self pride, he doesn't bathe that often, he is growing his nails as he says they are his claws, everyone is a grey clone, and he comes from a different universe and he keeps haveing memories of a big green ship in the sky. It then goes sexual, saying that everyone is turning into black men and shagging each other up the arse, don't know where that comes from. Do you think he needs sectioning if I can't persuade him to go and get help himself and if this happens I know it will probably be the end of our relationship as he won't trust me anymore and probably hate me for what I have done. He also says that he can smell urine or bleach a lot too, and when he has any pains in his body he says that someone has put plugs in him to hurt him. I know it sounds jumbled but I really am starting to feel worn out, unappreciated, but I can't give up on him as he is ill. Thank you for any reply in advance

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Answers (1)
Christina Bruni, Health Guide
8/21/11 2:02pm

His behavior now will be the behavior he exhibits for the rest of your relationship and the rest of his life if he doesn't get treated with medication right now.  You are right to worry he will reject you if you section him into a hospital, it's better he rejects you now than that you suffer interminably for the rest of your life with a psychotic boyfriend who refuses treatment.

 

You love him, obviously, so want to get the relationship back to the good times.  This will take effort because up to 60 percent of the people diagnosed with SZ have anosognosia, a symptom that is the lack of awareness that they have an illness.  So if they don't believe they're sick, they won't think they need meds.

 

Your boyfriend might need to be as you call it in your city or town "sectioned" before it gets a lot worse.

 

This is no way to live, either for him or for you.  He deserves better, and you deserve better.

 

So do whatever you have to do: because if you want to salvage this relationship and have any expectation of a normal life with him, you'll have to do something.

 

Because this will be the rest of your life with him: endlessly trying to force him into treatment if, like most people with anosognosia, he repeatedly stops taking the medication.  You will have a battle on your hands.  This might not be the last time he goes off his meds.

 

Regards,

Christina

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By who knows— Last Modified: 08/21/11, First Published: 08/17/11