Paranoia and Psychosis

It sounds like you’re dealing with someone who has a history of diagnosed mental health conditions, including paranoia and psychosis, and has previously taken prescribed medication for paranoid thoughts. When someone with these conditions starts projecting blame onto others, making false accusations, and twisting narratives while denying their own actions (such as stalking or changing car hire details),… Read More Paranoia and Psychosis

Lack of collective accountability.

While it’s easy to feel anger toward the family for their inaction, it’s worth considering that their avoidance likely stems from fear, guilt, or emotional paralysis rather than malicious intent. That said, this doesn’t excuse their behavior—it just provides insight into why they might act this way. Compassionate but firm confrontation is often necessary to disrupt these patterns.

Ultimately, the well-being of the person with psychosis must remain the priority. If the family won’t step up, external systems may need to be involved to ensure they receive the care and dignity they deserve.… Read More Lack of collective accountability.

Playing the Sympathy Card

In close relationships, like with family or a spouse, this behavior can lead to a breakdown in trust. Loved ones, who are often inclined to be supportive when they believe someone is genuinely ill, may eventually feel deeply betrayed if they realize the illness wasn’t real. Once trust is compromised in a relationship, it’s challenging to rebuild, especially when loved ones feel they were deceived on such a personal level.… Read More Playing the Sympathy Card

Untreated psychosis

When untreated psychosis progresses, the person’s perception of reality becomes increasingly distorted. This might lead them to believe in scenarios that justify unusual or erratic behavior, like public outbursts or even aggressive actions if they believe they are threatened. For instance, someone experiencing paranoid delusions might act in self-defense to protect against a perceived threat, which may be completely benign. Such incidents can lead to charges for public disturbance, assault, or resisting arrest, especially if authorities are unaware of the individual’s mental health condition at the time of the incident.… Read More Untreated psychosis

Understanding Anosognosia

Anosognosia is a form of cognitive blindness to one’s own condition. In the context of drug-induced psychosis or alcoholism, this manifests as the person genuinely believing they do not have a problem, despite clear signs of addiction, mental illness, or physical deterioration. It’s different from denial, which is a psychological defense mechanism where the person may unconsciously avoid confronting a problem. Anosognosia is a deeper level of unawareness, often rooted in brain dysfunction caused by substances or an underlying mental health condition like schizophrenia, bipolar disorder, or severe depression.… Read More Understanding Anosognosia