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Psychosis, Mental Breakdown?? What is this?

122 replies

WorriedandStressed2026 · 02/07/2026 00:34

Hello everyone,

I need some advice please. I’ve name changed so it’s not outing.

My brother 40 years old, no previous mental health history - high flying career, very intelligent and always advising us on matters, has since last week suddenly changed!

He started by saying to me in confidence that he has suddenly figured out that his best friends (since his 20s and who he regularly socialises with) are out to get him. He has since blocked all of them. He says They have hacked his devices and they are listening into his conversations. He is very paranoid.

He says he can’t sleep. He can’t eat. He doesn’t go out anywhere incase “they” are tracking him.

He’s left his work.

We don’t know how to approach this. I called 111 and sought advice but they said he needs to be in the room. He doesn’t think he has a problem and that everything is real.

I’ve advised him to go GP. But he thinks he doesn’t need to. He just wants justice for being hacked. Today he was saying the Russians are involved as he checked the IP address and it was a Russian location.

I am so desperate to help him, I am worried what this means for him. Does anyone have any idea how I can access help please?

Thank you.

OP posts:
HappyLilacReader · 02/07/2026 09:52

He sounds like he's having a 1st episode of psychosis.

Call your local MH crisis line without him in the room. They will advise and that also means you can say 111 isn't the solution and neither is getting him to the GP because of the reasons you've given.

Ask what they suggest?

If they don't suggest anything workable, ask them about nearest relative rights to request an assessment under the MHA (mental health act). Ask them who will be his nearest relative under the MHA and how to contact an AMPH (approved MH professional) to request this. An AMPH may not necessarily agree to it but it gets a dialogue open between the family and MH services and gets your DB on the radar of MH services.

Let him/encourage him to call the Police to report his concerns that he's being hacked. The Police can then support your view that he is unwell. Often, this is a route into MH services as your DB may not tell the GP what he's thinking, but he'll tell the Police.

Do not try and get a private Dr to see him. Do not buy any meds off the internet to give him.

Teenytinydot · 02/07/2026 10:23

You need to get through nhs early intervention. They are honestly fantastic. It’s one of the nhs sectors that actually works really well.

What area are you in OP.

This is a medical emergency btw. What’s happening to his brain is akin to a stroke and you need to move fast and stop being polite.

MindThePause · 02/07/2026 11:31

I wouldn’t try and treat the symptom until the cause is known.

Any other changes you’ve noticed around weight, colour (paler, gone red in the face ?) tiredness, weakness ?

Any falls or accidents ?

Any chance he’s been using street drugs recreationally ?

Off the top of my head the first thing I’d be trying to get him to explore is tests to rule out any hormonal changes, such as thyroid, or Cushings. Because those were raised as something to investigate when one of my in laws had late onset psychosis.

Would the GP be willing to prescribe any of those and/or tumour markers tests ? For myself I’d want me shoved in a CAT scan or MRI to check for a brain tumour. But I’m paranoid on that front due to family medical history.

There are many things that can trigger psychosis, from other organs misbehaving, to more worrying conditions like Alzheimer’s. As well factors like taking what can be marketed as safe, or even life enhancing, drugs (sometimes called nootropics)

I was put on benzodiazepines because I was exhibiting symtoms of extreme anxiety out of nowhere. It was the bloody menopause and HRT has largely resolved the issue. But I’m still stuck with a benzo addiction/dependence because they are a bastard to wean off of. So I tend to lean towards finding out what the MH issue is a symptom of BEFORE treating the symptom in isolation to suppress it, thus delaying the diagnosis of the underlying cause (if there is one)

Teenytinydot · 02/07/2026 12:05

MindThePause · 02/07/2026 11:31

I wouldn’t try and treat the symptom until the cause is known.

Any other changes you’ve noticed around weight, colour (paler, gone red in the face ?) tiredness, weakness ?

Any falls or accidents ?

Any chance he’s been using street drugs recreationally ?

Off the top of my head the first thing I’d be trying to get him to explore is tests to rule out any hormonal changes, such as thyroid, or Cushings. Because those were raised as something to investigate when one of my in laws had late onset psychosis.

Would the GP be willing to prescribe any of those and/or tumour markers tests ? For myself I’d want me shoved in a CAT scan or MRI to check for a brain tumour. But I’m paranoid on that front due to family medical history.

There are many things that can trigger psychosis, from other organs misbehaving, to more worrying conditions like Alzheimer’s. As well factors like taking what can be marketed as safe, or even life enhancing, drugs (sometimes called nootropics)

I was put on benzodiazepines because I was exhibiting symtoms of extreme anxiety out of nowhere. It was the bloody menopause and HRT has largely resolved the issue. But I’m still stuck with a benzo addiction/dependence because they are a bastard to wean off of. So I tend to lean towards finding out what the MH issue is a symptom of BEFORE treating the symptom in isolation to suppress it, thus delaying the diagnosis of the underlying cause (if there is one)

I don’t think that’s the right approach here. You can fanny around with anxiety but psychosis you cannot. Every minute, every hour this goes untreated is rewriting his brain and changing its structure and function. This is why I say it’s akin to a stroke. This is a serious emergency. He needs antipsychotics and some lorezapam fast and then he needs to rest.

And I am not one for medications either. I also say once he has insight and is 90% recovered he needs to come off the antipsychotics just as fast. That’s the only path to full recovery I have seen. A risky one. But worth it to have a chance at retaining full function.

BertieBotts · 02/07/2026 12:14

I think it's not a bad idea to let him contact the police, because as someone else said it will be an official record. Although police aren't medically trained I expect they can recognise when someone is delusional.

I would probably try to find an angle to approach which leans into his beliefs as to why it would be helpful to consult a GP because I'm sure he's not appearing as completely lucid at all times. For example you said he's struggling with sleep and eating, perhaps one of those things could work? I know you said he's worried that "they" will access his records but I wonder if you could get him to ask the GP to keep it off his record, that might for one thing clue them in to the fact it's not really about sleep, but also enable him to actually go there.

bigsoftcocks · 02/07/2026 12:18

If you’ve got the money find a private psychiatrist. Get appt asap

bigsoftcocks · 02/07/2026 12:19

Crisis via NHs will cause you to lose the will the life and probably him.
Because demand is so high thresholds are ridiculous so they might just tell him to
meditate or make a cup of tea.

bigsoftcocks · 02/07/2026 12:21

bigsoftcocks · 02/07/2026 12:19

Crisis via NHs will cause you to lose the will the life and probably him.
Because demand is so high thresholds are ridiculous so they might just tell him to
meditate or make a cup of tea.

Edited

Per an earlier poster once you are in you will get what he needs but it’s hard and soul destroying.

him not wanting help will be part of the condition

JoaNiic · 02/07/2026 12:39

Let him go to the police to tell them his delusions. This is good evidence of what his beliefs are, to help him get treatment.

once he gets treatment, this will be under control and forever after, he will have awareness of his condition and be able to stay on top of it. You haven’t lost your brother forever. He’s in a crisis. You are doing brilliantly. Lemon balm tea is great, maybe he’d even take L.theanine. He’s manic and no doubt exhausted. There are very strong antihistamines that help hugely with sleep.

humptydumptyfelloff · 02/07/2026 12:57

Op I went through exactly this with a family member.

take him to the police station and explain to the custody sergeant he wants to report something but actually tell
him what’s going on

they have a duty of care and will contact the on call memral
health team there and then.

tell them your worried for his and other people’s safety and how quickly it’s come on

also tell them he lives with your parents who are elderly ans vulnerable.

it’s an emergency and should be dealt with as such

i found my family member wandering around barefoot at 5 am shouting about random things.
we managed to get him into bed and convince him he was v tired and needed a sleep.

I then went outside and called our local
surgery as soon as they opened and explained what was happening.

they wernt any help and sign posted me to crisis team who didn’t answer their phone

the fear for you is awful I’m sure as I remember it v well

its sudden realisation that you need help instantly but have no way of getting it at that moment

when I went bak upstairs to check he was trying to climb out of the window so I rang 999 and they sent an ambulance who were amazing and persuaded him to go to be checked out.

I can’t remember the exact way we persuaded him but he eventually listened to them and we went

we saw a phychiatrist at the hospital who prescribed anti phycotic meds and monitored him for 12 hours.

he then came home and as he was on the radar the help started to come throigh

four years down the line he is on meds and can have moments of anxiety that we have to keep an eye on and he will sometimes go slightly rogue but we’ve all learnt how to recognise it now and intervene when needed.

hay5689 · 02/07/2026 13:05

The crisis team were a total waste of time when we were in the same position as you with a family member. They told us they needed to speak to the person but no person in psychosis is going to agree to that. In the end we had to contact the police due to an incident which nearly ended badly and the police had the power to section them, (I think it was a section 136), and they were assessed by medical staff and then kept in a hospital for treatment under a section 2 order. It was quite overwhelming at the time for everyone involved but after getting the help they needed they are now a lot better and taking medication and receiving help from the mental health team. It’s crazy that you can’t get help for a person going through a mental health issue until they agree, the system needs a radical overhaul so families and friends can get help for their loved ones earlier.

JoaNiic · 02/07/2026 13:13

Good luck, op. We’re all rooting for you.

HumberSquid · 02/07/2026 16:13

WorriedandStressed2026 · 02/07/2026 07:17

Thank you. I’ve tried the GP route.

Not sure how to get him help. Wish there was a way I could get him to come with me and the GP could prescribe him something.

Have you tried bringing the GP to him? They should, in cases like this although you may have to push a bit.

GeorginaWilby · 02/07/2026 16:43

We live in America and I want to tell you about our experience here with getting a psychotic person help. By the way, everything was free because of my son's insurance plan.

My daughter-in-law started acting weird after the birth of her baby. At first, we thought it was anxiety and tried to assure her that she and the baby were doing fine and all that. She had two months of increasing anxiety, which included taking the baby to the ER (A&E) for no real reason, and calling ambulances for herself because she thought she was having heart attacks. Suddenly, over 3 days her behavior became very bizarre and we became very worried about the baby. She told my son an old boyfriend was stalking her and showed my son 'evidence' that this ex was hiding inside their house. She was even seeing him disguised as other people driving past the house. (She and this ex were together 10 years earlier and he lives 3,000 miles away).

We had to separate her from the baby when she pulled out her pocket knife, while holding the baby, opened it and said she was going to defend our family from this creepy ex-boyfriend. Just before that at my house, she tried to run into a snow blizzard to hide the baby from this ex - because she thought he was getting into both our houses.

That night my son took his (breastfed) baby to his house and I kept her at ours. By this time she had forgot all about her baby. She never knew she lived in another house or had a baby. All that night and into the early morning, I saw things that no mother-in-law should ever see. It was horrific. She had completely lost her mind. I didn't know it was even possible in a young woman. 7am next morning my son phoned me and I told him what had been going on. He drove her over 90 miles, through snow, to a hospital which had a large psychiatric unit. She had stopped screaming for the drive there because she thought it was Christmas and was in awe of the deep snow. On the drive, she said she needed to pee, but my son told me later, he'd rather she went on his pick-up seats than to take her into a public place.

My son told the receptionist his wife was a danger to herself and others. Immediately security was called. Two burly security men showed up, frisked her and removed her pocket knife and baling twine from her pockets. (We farm and having knives and a bit of twine in your work jacket is not uncommon). She was taken to the 'family waiting' room. They told everyone in there to leave. The guards waited with her until people from the psychiatric department came to get her. She did try to make a run for it at one point, which lightened the mood a bit because she can't run very fast.

Once in the psych unit, she was put into a small cell to wait for one of the department's psychiatrists. Her psychosis was very severe, nothing they gave her could stop it. 6 weeks later, she believed one of the security guards was her new husband and her old husband, my son, was a potted plant. The potted plant was artificial, which added insult to injury. She refused to keep her clothes on, and so the psychiatrists never talked to her alone. They couldn't understand why the usual meds weren't working on her. She would only sleep for half an hour tops. At first everyone thought she had postpartum psychosis because we were led to believe she'd never had an episode of psychosis before. Her baby was two months old btw.

While informing her family of her situation, my son was informed she had been like this before. She'd been on various mental health meds since she was 14. I think her brain must have been used to the strongest meds available, which she had taken for years, but stopped when she met my son. Nobody in her family thought to tell my son, not even when she was pregnant. Her own mother had postpartum psychosis and tried to hide her baby at one point. They should have warned us, but I think they were just glad to be rid of her. We live 3,000 miles from them.

It took a dozen rounds of electroconvulsive therapy (ECT) to restore her brain to factory settings. All in all, she spent two months in the psychiatric hospital and then about 16 months in a group home. The group home was in fact a large park like area of nice apartments, with a cafeteria, library, gym. Lots of fun outings and activities. Their meds were supervised and she couldn't leave overnight without being signed out. She loved it there. She even found herself a boyfriend who has schizophrenia.

Because of her dishonesty, and much, much more, my son divorced her when she was in the group home. He worked with the team at the group home, to help her through the divorce. By the way, she did come home for 3 days after the psych unit and before the group home, but didn't want to be around her baby and had suicidal ideation. Being near her baby triggered anxiety, even though she was now heavily medicated. It turned out she never wanted children. She told me later, she got pregnant as my son wanted children and she wanted him to marry her.

That's our American experience with mental health, and how I became a mother again in my 70's.

Wishitsnows · 02/07/2026 17:14

Good luck with the mental health crisis team in your area. Even though they claim to be 24/7 they are normally on answerphone. Even with active psychosis they may not act and it is very hard to get them to section someone who clearly needs it. Even with self harm requiring surgery, self neglect and delusions they won’t section someone as the person can mask it sometimes and they refused to look at video proof. Your brother clearly needs help but it’s so hard if they don’t consent as the don’t know they are sick.

Middlemarch123 · 02/07/2026 20:02

In my experience of supporting a close relative, who now lives with me, following psychosis, and was sectioned earlier this year, it sounds like he’s starting a psychotic break. My relative was paranoid, his friends were watching him, the radiator in his bedroom was pumping out gas, and the tv was recording him…it was very sudden and scary. Previously to this he had spent four nights without sleep, packing around.

I phoned 111 option 2, and the call handler insisted on speaking to him, he refused. Eventually he did talk to her, she told me after talking to him that I needed to get him straight to A&E which I did. He was convinced that other cars had trained snipers shooting him, I had to lock windows and doors because he wanted to get out, it was horrible. Anyway three hours after presenting at hospital he was admitted on the MH unit. The following night he was sectioned, the following night moved to a unit for sectioned patients.

You need to get him in front of mental health professionals, crisis team are useless. I was close to calling police and an ambulance before he finally agreed to talk to 111. He needs seeing. It’s horrible to cope with for family, I really feel for you.

And psych doctors prescribe anti psychotic meds, which are life saving. GPS don’t. He needs assessing by a psychiatrist.

Pokingbroccoli · 02/07/2026 20:11

If you can go to the police with him they should be able to take action to section him and get medical treatment for him. I have a family member who has had frequent mental health crises and the police have often been involved alongside medical staff.

Beachbeach · 02/07/2026 20:16

I would completely let him call or visit the police. It will be a good paper trail for how he is behaving. He will unlikely come across as stable and sound mind

WorriedandStressed2026 · 02/07/2026 21:40

Thank you everyone. I have read all the comments and I appreciate people sharing their stories. It seems he will get better but God knows what our journey will be like. I was at work out of the city today but went to see him and spoke to him, he said he got good sleep last night and he ate well (Mum confirmed this).

I’ve taken tomorrow off work - so will be spending the day with him to see how he is, in terms of when he talks, if he’s talking about his paranoia again and what his thoughts are. Today he presented well - aside from around 20mins where he seemed really sad and in like a trance or something.

I can’t keep in contact with him via phone as he doesn’t trust his device so I’ll go over in the morning. I think we will have to brace ourselves. If he loses complete grip of reality then will call the Police and the Ambulance. I will also call the Area Intervention team when I’m not around him, to ask what they suggest.

OP posts:
Teenytinydot · 02/07/2026 23:43

WorriedandStressed2026 · 02/07/2026 21:40

Thank you everyone. I have read all the comments and I appreciate people sharing their stories. It seems he will get better but God knows what our journey will be like. I was at work out of the city today but went to see him and spoke to him, he said he got good sleep last night and he ate well (Mum confirmed this).

I’ve taken tomorrow off work - so will be spending the day with him to see how he is, in terms of when he talks, if he’s talking about his paranoia again and what his thoughts are. Today he presented well - aside from around 20mins where he seemed really sad and in like a trance or something.

I can’t keep in contact with him via phone as he doesn’t trust his device so I’ll go over in the morning. I think we will have to brace ourselves. If he loses complete grip of reality then will call the Police and the Ambulance. I will also call the Area Intervention team when I’m not around him, to ask what they suggest.

He’s not going to get better without treatment.

Seriously OP you need to take this seriously. At this stage he could get better with help. If you leave this then that’s it for life. On antipsychotics which put you in a trance and on and off psychosis’s for ever.

It is very very serious. We need a national campaign on this.

He sounds good at masking but if you challenge him he will crack and you will see. Please don’t wait and see. I had psychosis. My family acted fast and made merry hell until I was seen. I have made a full recovery against horrendous odds. I know 3 other people who have has psychosis. They didn’t get help fast enough and they have never been the same again.

He might hate you for it but in the long term he will thank you. PLEASE DO SOMETHING! Channel your inner dog with a bone 🙏

suki1964 · 03/07/2026 00:04

TBH , If he won't engage with the GP, I would let him call the police

It's not ideal, but the police are so well used to being called out for psychiatric crisis and they can detain him for psychiatric evaluation .

Its unfortunate that we are in a place where we need the police to intervene, but better that route then allow it to get worse

Ladamesansmerci · 03/07/2026 00:16

The quicker you treat psychosis, the better than outcomes. Don't wait around.

Early intervention will be the best service. They are used to working with people who lack insight and don't want to engage, it's their bread and butter. Iny area, they do accept referrals from family members. You shouldn't really need his consent, as he lacks capacity around his psychosis due to not having insight.

If you are really struggling, honestly just let him go to the police and let them escalate it. Their are mental health teams who work directly in the police service.

Otherwise, tell him you are worried about his sleep/the fact he seems run down, and get him to the GP with you, then get them to escalate it.

Be sneaky if you need to, but make sure he gets some support.

I'm a mental health nurse btw so appreciate it's very very difficult when your loved one lacks insight into their mental health. Best of luck OP, and I hope your brother gets support. You sound like a fab sister.

Hermyknee · 03/07/2026 00:20

I really think you ought to get him seen by a neurologist. Has he got any signs of an infection?

JoaNiic · 03/07/2026 13:23

As an extra bit of info, there’s something called CBTp which is cognitive behavioural therapy for psychosis, which is a tool for those with tendencies, to keep reality checks. If you could, your family and you, get acquainted with it or find a practitioner, it will help a lot to keep the mind grounded.
Good luck op.

butterfliesandbee · 03/07/2026 17:00

He also needs his b12 levels checked. Low levels (or normal ones) in some people aren't enough and can cause massive mental health changes. Have very close experience of this and monthly b12 shots were the answer, and that's after a section and psychiatric admission.