Waiting for crisis team to call back

[Lulaloo92]

Boyfriends just crashed into a deep sleep. Hes convinced people are trying to kill him or get him. He can see cars and people watching him that arent there. Hes dehydrated. I believed him last night and this morning when he said people including police and landlord were on the doorstep at 6am and i only clicked on as the morning goes on that hes delusional.

I dont know what to expect or how long it will take.

Does he have a history of mental health issues or delusions. Is he already known to the crisis team. For now all you can do is wait, if you're worried about him you can call for an ambulance, if he is dehydrated that can cause confusion. Is his breathing and pulse OK, are you able to wake him up, is he on any medication.

His 26 year old dd has bipolar and has been very unwell. Weve always knkwn jes depressed but its never really been looked at enough

Hes snoring so breathing is good. Skin is slow to sink down on his hand and tongues pink but has wrinkles allover it. Hes frightned and thinks all the traffic is after him when hes awake.

I'd be calling an ambulance.

I would absolutely be calling an ambulance too. This may not be a mental health break and if it is, A&E are more qualified to assess.

Will he get into the car with you and go to a&e (check where locally has mental health services, not every hospital has specialised services) if not call 999 or 111 for urgent help depending on your assessment

Theres no a&e here and i cant drive. Hes been struggling mentally but i dont know if theres drugs involved. Hes recently been backed into a corner by a thug to let hom stay here and i think thats whats triggered the stress..

Theres a smart going out shirt soaked in his wash basket.
Theres a plate hidden under his sofa. Someones coat here (male)

When i told him ive called someone he accepted it as hes struggling but he still believes hes struggling because of the people trying to kill him.

Im quite sad ive just tried to clean up his flat. But it feels horrible like i dont know whos been here.

Ive been unsuccesful in getting him to drink tea which he normally loves. Hes still asleep. Worried when i have to wake him to talk to them his mood may change or he may be different.

Where are you, everywhere has ambulances and hospitals.

We have ambulances but ive gone through 111 and we will be spoken to now in 2 hours. He may well be taken to mh unit.

I'm sorry to say this has the hallmarks of a hefty coke binge.

🙄

What are you basing that on?

He will need medical causes excluding before he goes to a MH facility. Agree could be drugs but needs bloods and fluids if dehydrated so A&E would be best place to start.

CAMHS clinician here. If he's frightened but physically safe (i.e. not trying to harm himself, and still drinking some fluids) then waiting for the crisis team to call back is the best plan. A&E is likely to be busy, and if he's already disorientated and feeling threatened by everyday things like traffic, sitting for several hours in that environment will just make him more anxious. The crisis team will certainly want to arrange a full psychiatric assessment, which would be the most likely outcome if you went to A&E. That will include blood tests to rule out other factors that might be causing or contributing to his symptoms. Unless his state of mind changes and you feel that his symptoms are putting him or other people at risk, or the crisis team don't contact you today, it's better that he waits in the familiarity of his own home.

I know it must be frightening for you both, especially if you've seen his daughter when she was very unwell, but as someone who used to work in an Early Intervention in Psychosis team I just want to reassure you that an episode of psychosis is usually quickly resolved if the right care and treatment is given at an early stage. Even with the NHS in the state it is, EiP teams are generally on the ball.

When the crisis team phones you back, make sure you tell them that your partner's daughter has bipolar disorder. People are more likely to experience a psychotic illness if they have a first degree relative with the same condition, so this is very important info for them to know, as well as the details of his own symptoms.

Good luck to you both. I hope he's soon on the road to recovery.

I agree

He might not be delusional, he seems to keep dodgy company. I'd be getting out of his flat OP in case someone is after him

Plate hidden under the sofa maybe used for coke?

Was there any residue on the plate?

Paramedics came out. He was delusional infront of them but had enough capacity to decline going to mental health team. So i spent 7 hours on the phone trying to pass him over to proffesionals because i cant cope and its tough

Black bits of ash. I searched the flat last night found 2 grinders and a gold flat double plug socket type thing looked like some sort of scales. So i think its come of the back of some sort of binge i knew nothing about!