My DH has lost the plot.

[in2theblues]

DH believes utter rubbish. You couldn't make it up. Nothing sane. I need to help him.

[PenelopePitstops]

OK more information please

[thornrose]

Like what?

[scarletforya]

Conspiracy theories or delusions.....?

[in2theblues]

He believes the doctor sat in his car. The other doctor is trying to kill him. All his old friends are part of the conspiracy. He even shot one of them and put the gun in the bin.

Latest is about whether the neighbour's dog dies. It's all so irrational. Is there anyone here who can help me try to see what to do?

[MrsCakesPrecognition]

Can you call 111?

[in2theblues]

I have a recording of what is a 'long story'. There is nothing rational.
I've tried to ask him about where these thoughts come from. He's told me it's a long story. All of the long story is complete rubbish.

[in2theblues]

I can't call 111. He's capable but he's got this conspiracy in his mind. A 'set up'.

Any mental health people please?

[mawbroon]

What doctor sat in the car? Has he already seen a doc?

I have suffered acute psychosis in the past and this sounds similar.

How long has he been like this?

[Up2nogood]

Have a look at rethink..
here for helping someone
And here for information on psychosis

[Cocolate]

My Mil talks utter nonsense when she suffers from an infection. She is chronically ill but in good form and well most of the time. DH always knows she needs the doctor by how much sense she's making - last time she told us there was a photographer in her kitchen interviewing her - very detailed but completely fantastical. Could it be something like that??

[in2theblues]

Thank you uptonogood.
I got paranoid once 'cos of PND. His paranoia disturbs me because I know it's based on complete bollocks.

I try. I ask him why he believes. I ask for evidence. I record and write down what he says.

What can I do to help him?

[duplodon]

If this has come on suddenly with no mh background he needs an urgent evaluation, it could as easily be neurological as mental health related. A and E or call doctor.

[MrsCakesPrecognition]

I have a relative who started having these sorts of conversations at work. They took her to A&E which set in motion a train of treatment which has helped her towards recovery. I think you both need professional, medical support sooner rather than later.

Are you in the UK?

[duplodon]

It's called confabulation. See this: en.m.wikipedia.org/wiki/Confabulation

[mawbroon]

How long has he been like this? Is he sleeping at night?

Obviously, I cannot diagnose what is wrong with your DH, but I can tell you how it was for me when I was psychotic.

When I was ill, DH called the GP who came out to do a home visit. That's how seriously they took it, it's almost impossible to get a home visit these days!

He then sent me to the psychiatric hospital for assessment and the Intensive Home Treatment Team took over.

The trouble with psychosis is that the person does not believe that they are ill and suggestions that they might be ill will likely be woven into the conspiracy theories and paranoia. This makes it very difficult for those around.

Bear in mind that somebody psychotic is likely to be terrified. I was convinced that there was some big plot to kill me and my family because I "knew" the truth about the conspiracy. Every time somebody mentioned that I might be ill, it made me more and more terrified. I felt better if somebody was willing to listen to my ramblings and became really agitated if anybody challenged what I was saying.

[in2theblues]

DH had a brain event in 2008. Ruptured anyruism.(sp) It all seemed fine and he got better a day at a time. Now, though, the paranoia is so difficult to deal with. We are in the UK.

[duplodon]

Sorry above was meant to say if neurological, it is confabulation. It could be delusion/paranoia too. You need a proper evaluation though, especially if you say he is presenting as 'capable' to the extent you feel you can't call 111.

[duplodon]

Aaah, I thought it sounded more neurological. Does he have aphasia as well?

[in2theblues]

Thank you mawbroon. What you've posted makes me believe there's a way out of this.

[in2theblues]

What to do next? Most of the psychosis is about the doctor's so making an appointment will, perhaps, exacerbate that.

I have, above, mentioned the brain event.

Today he said that Son and I lie. He's so adamant in his belief.

I am ashamed. I called him a 'nutter'.

[mawbroon]

I have just seen about his brain history. I know zilch about anyurism I'm afraid, but sounds like it should be checked out.

[in2theblues]

duplodon. I've just read your link. It's so true. Still don't know what to do.

[duplodon]

It sounds really hard and stressful for you. It sounds like a leftover from his brain event, not psychosis. It must feel hopeless sometimes, 2008 is a long time ago. He will believe everything he is saying is factually true. I don't think there is an easy answer.

There is discussion about it here on a dementia group. Confabulation is associated with aneurysm and dementia.

You must be worn out. It's like unresolvable grief.

[duplodon]

I think one of the main things you need to do is to make sure you have good support and can take care of yourself. What has happened to your family is tragic and what you live with is a heavy burden. Your pain is palpable. I think all of us as human beings just want to fix these things, to solve the problem, to make it go away... but I'm guessing if this has been a part of your life since 2008, there hasn't been an easy fix. How do you manage it on a day to day basis?

[GuiltyAsAGirlCanBe]

He is psychotic. Psychosis can come with lots if mental illnesses, including depression, bipolar disorder and schizophrenia. Your first port if call is the gp, or if he is at risk of harming himself or someone else, 999.

I am not a psychiatrist, but am a doctor and have worked in mental health.