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Suggest Treatment For Auditory Hallucinations
Question: I am so sad again Dr Bishnoi. In July when XXXXXXX filed the injunction he said that I said that he could be a homicidal killer to a woman a bit frightening and confusing since he had told me he was deeply in love with me...he also said that "entities" were telling him he was a murderer and it was his job to murder people. A bit scary and confusing..I am not sleeping and am in pain all the time....it seems like its taking so very long and he must have forgotten about me by now...so what is the point of waiting another three weeks.its also hard because on the 21st he will be 64 and we have no access to him...
Brief Answer:
His symptoms were probably hallucinatory voices
Detailed Answer:
Hello again, I apologise for answering late
The complaints that entities were telling him that he was a murderer and it was his job to murder people were probably due to hallucinatory behaviour. Though I haven't seen him but it appears that due to auditory hallucinations he started hearing voices which were saying derogatory words to him. Such symptoms are cardinal features of paranoid schizophrenia.
Waiting will give him time to remain alone and we can hope that his symptoms should improve. Though there is no certainty but repeated XXXXXXX at shorter intervals will make his delusions strong only. Contacting him after a gap will not result in any harmful effect. Repeated XXXXXXX can be taken as intruding and disturbing and his condition may get worse. So this was the reason I asked you to wait.
As he is turning 64 on 21st you can send him a mail at that time. Explain what you think about him in mail and lets hope for good. But don't expect very good response, even if he doesnt block the mail or reply in thanks, we can take this a positive progression.
Don't be depressed, try to pass the time and hope for best.
I hope this helps you to some extent. Please ask a follow up question if you have more doubt.
His symptoms were probably hallucinatory voices
Detailed Answer:
Hello again, I apologise for answering late
The complaints that entities were telling him that he was a murderer and it was his job to murder people were probably due to hallucinatory behaviour. Though I haven't seen him but it appears that due to auditory hallucinations he started hearing voices which were saying derogatory words to him. Such symptoms are cardinal features of paranoid schizophrenia.
Waiting will give him time to remain alone and we can hope that his symptoms should improve. Though there is no certainty but repeated XXXXXXX at shorter intervals will make his delusions strong only. Contacting him after a gap will not result in any harmful effect. Repeated XXXXXXX can be taken as intruding and disturbing and his condition may get worse. So this was the reason I asked you to wait.
As he is turning 64 on 21st you can send him a mail at that time. Explain what you think about him in mail and lets hope for good. But don't expect very good response, even if he doesnt block the mail or reply in thanks, we can take this a positive progression.
Don't be depressed, try to pass the time and hope for best.
I hope this helps you to some extent. Please ask a follow up question if you have more doubt.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thanks Dr Bishnoi...I have given up hope of living any more. I have a lot of physical pain as well as sleeplessness but am not sure if I should tell him I have no more will to live or not since he has been gone..how much detail about what I am feeling should I tell him? Should I tell him that I have lost my will to live or not? Will that make him worse or more delusional? I am just not sure why he dropped me after seeing me in the hospital....and what is going on with him that I would be "intruding" on him when we were inseparable for many hours every day for over six months..I don't understand what I would be intruding on. In addition I am quite certain he has DID and complex PTSD from lving on the streets when he left home at 15 and even younger....I was struggling before I met him with the will to live as I am always in so much physical pain from the dystonia and my bad leg that spasms and causes such lack of ability to do anything anyway and now that he is gone and I had hoped we would marry and go to Israel together all my hope for the last part of my life is gone..he was pivotal in those plans for me AND my son...I don't have any hope..he just abandoned me, at first because he was afraid that he was going to be responsible for my death and then after that I don't know what...I am not sure how to get that hope back as I was going into a depression when I met him but we had so many good times together and I had hope for my life with him andnow there is nothing except endless days of trying to watch TV and nothing else but lying in bed due to pain and depression...thanks for your help but please help me to understand how I could be intruding on him when I never see him anymore or hear from him...
Brief Answer:
Any behaviour can be considered as intruding behaviour by him
Detailed Answer:
Hello thanks for asking a follow up
Please don't loose hope for living. You are a believer of GOD and life is a gift by GOD, we should never give up hope for living.
As per my opinion you should tell in detail about the bad effects you are having. Don't make the mail lengthy, but putting a little details about your suffering should be there in mail. As per my opinion don't mention that you have lost hope, but mention about your other symptoms.
A patient of Schizophrenia can consider anything intruding that may become a basis of delusion. Like even offering a glass of water to him may be considered. He may start thinking that some one has put slow poison in glass or something like that. We can't predict the basis of delusions.
Childhood traumas, poor rearing during developments are one of common factors that are postulated in psychopathology of Schizophrenia.
One more thing I would like to mention that he has abandoned you because of delusions, try to understand his condition and to some extent accept this. His abandonment should not become suffering for you. No one can predict his clinical progression, as he is not on medicines, you can't contact him, so we are just hoping for good. Please try to come out of the trauma, this will help you in thinking in better direction.
I was saying that repeated XXXXXXX sent to him by you can be considered as intruding, because he is in delusions. This was the only reason I asked you to wait at least for 4 week in out previous conversations.
Thanks, hope this helps you in understanding. Please don't hesitate to ask a follow up.
Any behaviour can be considered as intruding behaviour by him
Detailed Answer:
Hello thanks for asking a follow up
Please don't loose hope for living. You are a believer of GOD and life is a gift by GOD, we should never give up hope for living.
As per my opinion you should tell in detail about the bad effects you are having. Don't make the mail lengthy, but putting a little details about your suffering should be there in mail. As per my opinion don't mention that you have lost hope, but mention about your other symptoms.
A patient of Schizophrenia can consider anything intruding that may become a basis of delusion. Like even offering a glass of water to him may be considered. He may start thinking that some one has put slow poison in glass or something like that. We can't predict the basis of delusions.
Childhood traumas, poor rearing during developments are one of common factors that are postulated in psychopathology of Schizophrenia.
One more thing I would like to mention that he has abandoned you because of delusions, try to understand his condition and to some extent accept this. His abandonment should not become suffering for you. No one can predict his clinical progression, as he is not on medicines, you can't contact him, so we are just hoping for good. Please try to come out of the trauma, this will help you in thinking in better direction.
I was saying that repeated XXXXXXX sent to him by you can be considered as intruding, because he is in delusions. This was the only reason I asked you to wait at least for 4 week in out previous conversations.
Thanks, hope this helps you in understanding. Please don't hesitate to ask a follow up.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Can there be any way of knowing what his delusions are at this point? I have lost hope and do not consider my life worth living without him..he is part of what I had hoped would be part of my life and beyond that there is nothing worth living for anymore...he did seem to leave his emails unblocked for long periods close to a month before Chanukah...I have no idea anymore..I miss him all day every day...nothing about God makes sense anymore as both my son and I had visions and dreams from God about him being with us and going to Israel with him. In one vision that was all in color supposedly those are from God, I saw him under the canopy with me all dressed in green ceremonial dress and the blue of the Mediterranean Sea...my son prayed and asked God when all of this would come to pass and thought he was being told to "watch the economy". Could he still love me then or not? I am not interested in doing anything any more...not without him..so why not tell him I have lost hope when it is part of my suffering or the loss of the will to live anyway...what would that do to him?
Brief Answer:
Its very difficult to predict his clinical condition or delusions
Detailed Answer:
Hello thanks for asking again
Its very difficult to predict his clinical situation. You have no contact with him and I am afraid there is no other way of knowing at what points his delusions are.
Yes we have discussed the dream in out previous conversations also. This dream occurred most probably because you care about him a lot and this is why you are seeing him. He was blocking and unblocking the XXXXXXX and this could be due to ambivalent thinking. But if he loves you or not can't be predicted because he is not under his sound state of mind. He is not aware of his actions so this can't be judged as that point.
Please try to improve your condition, try to think positive. This will help you in thinking in better direction and you will feel good.
Thanks
Its very difficult to predict his clinical condition or delusions
Detailed Answer:
Hello thanks for asking again
Its very difficult to predict his clinical situation. You have no contact with him and I am afraid there is no other way of knowing at what points his delusions are.
Yes we have discussed the dream in out previous conversations also. This dream occurred most probably because you care about him a lot and this is why you are seeing him. He was blocking and unblocking the XXXXXXX and this could be due to ambivalent thinking. But if he loves you or not can't be predicted because he is not under his sound state of mind. He is not aware of his actions so this can't be judged as that point.
Please try to improve your condition, try to think positive. This will help you in thinking in better direction and you will feel good.
Thanks
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Above answer was peer-reviewed by :
Dr. Shanthi.E
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