Questions about a schizo-affective friend?

Question

my friend is schizo-affective, (I know what it is!)

I want to know how I should have a conversation with him about his delusions.

Hes getting more comfortable talking about it and I just want to be prepared and not make him feel weird about it.

He is medicated but if he starts telling me about, for example, people following/watching him in the past when he was medicated.

What do I say?

What would I say if he was actually having any delusion when he is medicated?

Is that possible?

I know I should probally get some type of help for him, I just wanted others opinions on what to say.

Thanks!

Answer 1

If he is medicated he should at least have a psych-doc to discuss this with.  A lot of the time meds needs to be tweaked and changed as things go.  It is a constant balance between dealing with side effects and functioning.

As for talking to him, I'd start out by having the discussion on discussing this.  Yes, it might sound strange but as someone with a mental illness asking permission and asking me to tell them if they don't want to answer a question or discuss this anymore is HUGE.

As for specific delusions, when they are going on really go on your instincts.  

If he becomes clingy and is desperate work to get help or work with him through it.  Typically leading him out of any crowded place and finding quiet, less stimulating environment can be a good start.  

If the delusions seem harmless (yes, I know they are still disturbing) finding a quiet place is probably still a good thing but sticking to distracting him and not discussing the issue at the time might be a better option.  Once he is more lucid, ask if he remembers it.  Also ask him what he would like you to do.  

These are just my personal preferences (I hate it when people point out my issues to me when I am aware and trying to deal with them).  Really, as long as for the most part he is functioning and aware of his issues and following up with his docs, ask him how to help but try not to step in and caretake.  If he isn't getting help or really could be a danger to himself you might need to confront him on it.  

Most of all, ask him what he wants.  Mental illness can make someone feel so out of control.  Giving as many choices and space (when wanted) to the friend can sometimes be the most supportive and healthiest way to handle this.  And remember, always take care of yourself first.  Otherwise you will be in no shape to help him.