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Hello MK,   I am sorry to hear your girlfriend is in such distress.   When you attempt to get her to seek help, you could couch it in terms like these, "I want to talk to you about what's going on.  You're upset about what people are doing or saying.  Would you like to hear what I think would help?  I'd like to take you to someone who could help you with that problem."   Coming out and directly asking her if she has schizophrenia will backfire, because up to 50 percent of the people diagnosed with SZ have a symptom called anosognosia, the lack of awareness that they have an illness.  As a result, they refuse medication.  I recommend you read Xavier Amador, PhD's book, I Am Not Sick, I Don't Need Help. He gives people techniques on how to couch what to say to a loved one to influence them to seek treatment, including medication.  You have to suggest that by staying in treatment and taking meds, you girlfriend will be able to achieve her goals.  Trust me, everyone has a life goal or two they'd like to achieve.   It sounds like your girlfriend isn't taking medication, or that if she is, it isn't working as effectively as it could.  There are lots of medications to try, and sometimes it takes trial-and-error to find the right one, also, new medications are coming out every day.   She needs help now, and she needs help right away.  Reading Amador's book will give you some ideas about how to approach your girlfriend and talk to her.  What happened to her didn't come on overnight, and if you take a week or two to read his book, that's fine, because the situation won't be resolved overnight.   Above all, if a person lacks awareness that she has an illness, if she genuinely believes people are out to get her or making fun of her, etc., trying to convince her that she has schizophrenia will defeat the purpose of getting her into treatment.  You'll have to resist your natural urge to ask her if she has schizophrenia, because even if she does, it sounds like she's not in a frame of mind where she's willing to accept she needs help.   So you have to talk to her in such a way that you get her to see that getting help would help her be free of the persecution she feels is going on.   I hope you and your girlfriend find some relief and peace of mind.   The bottom line is, she needs to be in treatment, and from what you said, medication might help her.   Regards, Christina
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