Schizophrenia Forum - How Do I Respond to a Schizohrenia?
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How Do I Respond to a Schizohrenia?

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lib24

New User, Becoming EHEALTHy
Joined: 17 Sep 2006
Posts: 1
How Do I Respond to a Schizohrenia?
Posted: 09-17-06 13:14pm

My older brother (22) has schizophrenia. He has been hospitilized 3 times. He seems to have an obsession with the fbi watching him, but despite everything my family has went through with him, he thinks he is perfectly normal. He thinks the natural noises in the house like little clicks in the walls are the fbi trying to irritate him. And everywhere he goes, they could be and probably are watching him.

During the past he misinterperated incidents where he thought people were fbi agents were on the tv just to let him know that knew about him and were watching him. He also apparently believes that they can read his thoughts at times because of an incident when he was listening to the radio: if he wanted a drink, a song about drinking would play; if his heart started beating fast the song title would be "rapid heart beat."

he was been relatively stable since the last time he was in the hospital. He goes to school full time and works at night. But every few weeks he begins talking with me about how the fbi is watching him. He tell me to be quiet and listen for the little clicks in the walls that happen naturally in the house, but he is convinced this is the fbi and is absolute proof the fbi is watching him. When he does that or takes me through all the other "coincidences" of his past fbi experiences I am not sure how to anwser him. I've tried to tell him that the noises and coincidences were just misinterperted which only made him mad and to him explaining further how they were absolute proof, even though the incidents don't really make sense. I've also tried to tell him that he has schizophrenia because people with schizophrenia seem to have similiar obsessions with the fbi, I even pulled up information about other schizophrenic's stories that involved the fbi which were very close to his. He just said they were crazy and his experiences were different.

Nothing seems to work and I am no longer sure how to respond.

Whenever he beings these incidents up he says he knows that I don't believe or trust him. And how real everything is. It seems nothing will oonvince him other wise. How do I respond to him? He only brings this up around me and never around our parents.

Thanks.
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singledad

Experienced User , Rather EHEALTHy
Joined: 19 Aug 2006
Posts: 86
Location: New Mexico

Posted: 09-17-06 16:48pm

Paranoia is a common symptom of schizophrenia, a feeling of being watched - in fact, he is being watched, but by you and your family, and it may be easier to create an abstract "enemy" like the fbi, rather than deal with the fact that people are concerned about his odd behavior - it might stem from denial on his part.

Synchronicity - the thing with the radio merging with his physical and emotional state is called synchronicity - sort of a chain of very eerie conincidence - most likely due to autosuggestion, but it can get very strange.

Nevertheless, to him, it most likely seems very real, and as i've said, his fears are not entirely unfounded, except that he's displacing them. I've mentioned it to others in this forum, but i'll say it again, do whatever ou can to reduce his stress, see if you can get him to obsess about something more productive, yoga was mentioned by soemone, adn I think it's a very good idea: buy some books on the subject, and try to get some on traditional yoga, there are some very complex spiritual aspects and rituals: chakras, mandalas, mantras, etc., to it that might keep him occupied, and help him organize his thoughts.

Try to keep up, because any religious/spiritual system like this is also, on it's most basic level, a sort of language, with specific word-concepts for things that might otherwise be difficult to describe, yoga is very much about the mind body conection, and you may be able to talk about things that you otherwise have no common symbolic/linguistic concepts for.

It's a system based on mental/physical feedback, calming and focusing, all of which should help.

It's also going to be stressful for you, so you may actually want to try it yourself, it can't hurt - try to find some traditional yoga classes, and investigate it, talk to the instructor about your brother and his situation.

Otherwise, about all that can be done is to medicate. An idee fixe like this is very difficult to dislodge - in a sense, his paranoid construct provides him an anchor for his conscious mind, which would otherwise be adrift in a very chaotic and terrifying manner - it's actually more comforting to believe that the fbi is after him - it at least makes some sort of sense.

Don't confront him or try to talk him out of it, it can actually make an obsessive compulsion like this worse - unless he starts really getting agitated - show him there isn't anybody at the door, and that at least for now, he's safe - this is an incredibly stressful experience for someone to go through, and in some cases, it better to play along a bit, and reassure him to attenuate the stress, without neccesarily reinforcing his fantasies - then play it down a bit indirectly (i.E., remain calm, try a little humor, etc.) after he calms down, when you can try to subtly distract and redirect him into more productive areas.
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