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A friend with paranoid schizophrenia?

Question:
I’m really strung out from all of this because it’s happening too quick!!! I’m kinda freaked out about it and feel like I’m over my head....BUT, this is my best friend and I can’t sit back and not do anything...also I promised him that I would be there for him no matter what happens. Anyone out there with advice? Or please give me some info or feedback on what is it that is going on with him? How can he snap in and out of his paranoia just by talking about things? Is this paranoid schizophrenia or is this a case of panic attack from the social anxiety?


Answer:
i have a male friend who is 23 years old (we have been each others best friends for the past 5 years)....he has a history of social anxiety and is currently taking zoloft. him and i spend a lot of time chatting with messenger, and also play a lot of on line games. during the past 2 months i have seen him getting more and more paranoid......he told me that people are listening in on his phone conversations, hacking into his computer, there are microphones in my car listening to us talk, mafias and the masons are spying on him and following him.........this past week he went to the police and his place of employment and asked them to do a background check on me as he is suspicious of me. 2 days ago he got sent home early from work due to his paranoia.....i happened to drove by his house and saw his car in the driveway and decided to stop in to say hi to him. when i got inside, he wasnt home which made me concern because of all the above recent events. so i decided to call him on his cell phone and he answered........he told me he was walking and would be coming right home to see me. when he got home.........man, i have never seen him so scared in his life!!!!! sweat was pouring down his face, shivering uncontrollably, fast shallow breathing........he kept on looking at the front door as if he was expecting someone to come running thru it to hurt him..........durign all this time, he was telling me that people are following him and taking pictures of him. he also told me he went to the local mental health agency, but he left the place because he thought there were hidden cameras. anyway, we talked for the next 2 hours......and i let him tell me everything that he had been experiencing. so on and on we talked, and gradually his paranoia got better and he calmed down. eventually it seemed like he got some insight and told me that he knows that this isn't real !!!!!.......he also told me that he had stopped taking his zoloft about 10 days ago. i went home and packed a few things, and stayed with him for a couple of days.....during these 2 days i see his paranoia and anxiety creep up every once in a while, and each time i would ask him what he is thinking, or what he is feeling. (i know him well enought to see his facial expression change and also the way he is talking about things.)........we wuld talk for a bit after each small episodes and he would calm down and tell em everything is ok. i should of mentioned that we had a similar incident like this which happened about 3 days earlier.....but it wasnt as bad as the incident i described above. but during each of these events, it seemed like after we talk his paranoia would subside, and he can see that he was being paranoid about nothing, and than he would tell me that he is foolish for thinking like that. also, he agreed that his parents should know about this, and i called them to let them know........during the conversation with his parents, his father told me that about a month ago he went to visit them and he told his father he thought someone was following him. so for now , my friend is currently staying with his parents for a few days just to get away from everything.........and him and i are working on trying to get him an appointment to go see a psychiatrist. but we arent having much luck......as all the psychiatrists we have called are too busy, or not returning our phone calls. i'm really strung out from all of this because its happening too quick!!! i'm kinda freaked out about it and feel like i'm over my head........BUT, this is my best friend and i cant sit back and not do anything...also i promised him that i would be there for him no matter what happens. anyone out there with advice? or please give me some info or feedback on what is it that is going on with him? how can he snap in and out of his paranoia just by talking about things? is this paranoid schizophrenia or is this a case of panic attack from the social anxiety? i dont want to see my friend like this!!!!.....he is such a gentle person and i've never seen him so scared in his life, and at the same time so helpless about everything that is happening to him.......its like his world had turned upside down !! I'd like to know how celebrities are NEVER diagnosed with paranoia. I mean, the paparazzi are everywhere: digging thru trash, hiding in bushes, ambushing vehicles, bugging wireless phones...bugging police stations (hello MJ!), bugging psychiatric hospitals (as seen on Court TV this past week!)...in short, they break every rule and create a siege mentality within their prey. It sounds to me as though your friend is being attacked at the spiritual level and the best thing for him to do is to concentrate on getting to know our Lord and Saviour Jesus Christ. I am confident that the more your friend reads the Scriptures and applies' the Lord's Word in his life, the quicker his recovery will proceed. Do you think demons can be exorcised? One friend recommended this, but I didn't want to deal with her New Agish friends. I've thought about offering a church a donation of $100 or whatever for this service. Somehow I can't work up the nerve to call and say "hi, i'm m., i'm a schizo and requesting an exocism." Pride cometh before a fall. I hear Jesse Ventura gave color-commentary on an exorcism he witnessed. (in a movie spoof of The Exorcist) this is a serious situation your frenid is psycotic bring him to er as soon as you can what you have said would warent an admission to a haspital at least in this country ireland zolft will do absolutly nothing for this he neads to be put on antipsycotics asap from what i know his brain is being damaged the longer you let him intertain these thoughts the harder it will be for him to respond to treatment when he gets it im shure he is not far of hearing voices by the sound of it its good that somtimes at least he can tell the difrence between reality and what he thinking talk to him when he is in this stae as talking to him when he is full blown will only make him think your part of the conspericy Going off zoloft cold turkey can cause serious problems. He should have gradually reduced the dosage before he stopped taking them. Sounds like your friend needs medical attention. From what you say, I think you responded well to what happened. That doesn't mean you can fix this; and, you may not even have a big role in what happens. It might be a good idea to stop and breathe, and "take care of yourself" as they say, much-abused though that phrase is. I suggest not worrying about whether it's sz or panic, or stopping Zoloft abruptly, or whatever. Stuff takes time. Even the syatem takes a while to arrive at a Dx. They try this and that, and the person has various adventures, and things evolve. It can be a long road, and you're not the driver. That being said, it does sound he may well end up in the hospital. What happens there is so variable, at least in the US, that it's not worth speculating about. Well, a few things: First, even though you might think he clearly needs to be hospitalized, he may not be admitted. That can depend on how many beds they have, his insurance situation, what mood the doctor is in, how your friend responds to them, etc. On the first visit, they may just refer him to a clinic. Second, if he's admitted, he'll be medicated. And third, he'll eventually be discharged. That might be before you think he's ready. (Refer above for the reasons.) For a lot of people, that cycle repeats. Once a person has a history with the hospital system, they seem to get admitted more readily. As far as p-docs in private practice: my impression (again, US) is that for most, their favorite patient is someone with insurance coverage and mild depression. People with psychosis seem to end up in clinics. Finally, you might attend a NAMI meeting, if there's one near you
(again, assuming US). I wouldn't treat everything said there as gospel, but people will know how to navigate the system in your area: what services are available, who to talk to, etc.



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