DH has had 2 recognised episodes of psychosis and is under an early intervention. Looking back I think he's had low grade psychosis for most of the time I've known him (10 years) until the MH team got involved 3 years ago and hes been on antipsychotics. He has a CPN who likes to see him weekly. His CPN has been off sick for 6 weeks and he's declined to see another who offered to see him. His CPN has been back 2 weeks but he's not seen him due to work commitments, he had an appointment next week but has now agreed to work that day and will cancel his appointment and rebook for the following week. I've noticed hes stressed which is a trigger for him becoming unwell and I am concerned. When I've mentioned my concern he snapped at me to keep my nose out, it's none of my business. He said he doesn't think he needs to see his CPN anymore as he's been fine whilst he's been off sick. Looking back the times he starts saying that hes ok and telling me to keep my nose out and stop being 'controlling' its either preceded him getting poorly or been whilst so I think my concern is justified. And considering its me that ends up picking the pieces up I think its very much my business. But am I over involved?
I don't believe you're being over involved just showing concern. When my partner thinks I'm becoming I'll he tells me I need to speak to my care coordinator and when I tell him I'm fine he reminds me that its him and the kids that will suffer and that's enough for me to think well even if I don't believe I'm Ill I trust him and know hes just trying to help me.
He's just come home and conceded that I had a point and his comment about not needing his CPN was a bit off hand. I've reminded him how much it affects me too so hopefully he will take my concern on board.
You are not over-involved, you are just being responsible. Will your DH not see another CPN, or at least consider forming a patient relationship with one? Because people can work p/t, but MH issues are not.
Hi anxious sorry to hear about your worries. You are right to be concerned as in psychosis a sign of becoming unwell is having no insight into being unwell and refusing interventions. Is he taking his meds ok? Yes try to get him an appt this week and keep an eye if he gets any worse straight onto the GP or ooh etc xx
There is another CPN who supports me who has seen him before and done joint work with us, offered to see him whilst his CPN was off sick. He kept saying he would ring him but not getting round to it. He neds prompting with his meds so I know hes taking then as I get them out every night. He has said he will try to rearrange his appointment time today, not sure wether to send him a reminder, or if that is being too pushy. If I feel I need to I can ring his CPN direct, but I'm worried I'm over reacting due to my anxiety about him getting ill again. I don't want to be running to his CPN every 5 mins behind his back.
I'm trying to be rational: Theres no evidence of voice hearing He's not expressed any unusual ideas He's sleeping ok He's not showing any signs of erratic behaviour.
on the other hand: He's admitting to feeling stressed He's taking on lots of extra work He's fixating on someone at work whos not pulling his weight Hes wanting to cancel his CPN appointment I've just got a bad feeling about things.
To be honest I don't think hes poorly yet, but I think he's heading that way if he doesn't make changes.
We've had a very honest chat and I hope he's taken my concern on board, although I fear that he may be humouring me and thinks I'm fussing about nothing. He's changed his CPN appointment to next week which I'm a bit annoyed about, but I'll keep an eye on him and let CPN know if I think things continue to slide. Considering booking appointment with my carer support CPN to discuss my concerns see what he thinks. He's supposed to be doing some joint work with us, but were waiting for DHs CPN to review him after he got back from being off sick, and DHs just been putting it off due to work. I kind of get why as he's stressed about money but I keep trying to hammer home that his health has to come first.
Whilst his CPN's are male, I am another man with mental heath issues of my own. I have stood in that dark place where everything is black even though the sun is shining. I am very fortunate I am now on the way out and better understand myself and am coping with life (with the wonderful support of my wife).
I am not a trained mental health support worker, I am simply someone who has felt the pain of depression and mental illness and also been shunned for being ill.