Yesterday my nieces asked me about when I was sick. They had moved back into town just after I became floridly psychotic. My niece said, “You weren’t the Deas we knew in Dallas.”
It’s really hard to describe to people how psychosis can be so devastating. Descriptions of strange thoughts or beliefs and hallucinations don’t really delve into the emotional fear and confusion. Similarly, describing something to older teens who don’t have the benefit of many years of lived experience makes it even more difficult.
One of the things I told them was to call an ambulance next time I start acting strange, which launched a conversation about how they felt I had “wanted” to be in that crazy state in which they found me. Horrified, I quickly corrected them and, as best I could, tried to describe how when I was psychotic I didn’t know I was sick. Agnosia often plays a role in schizophrenia. Nobody chooses to suffer like that. Intervention is what I want.
Forced medications and forced hospitalization is a big topic for people with psychotic disorders. Many families and loved ones struggle with the issue as they watch their friend, brother or sister, child or parent spiral into madness. While there is not a single clear-cut answer, I do think achieving a functional stability should be the end-goal for anyone with psychotic illnesses, especially when we can’t make good choices for ourselves.