Hello Bluelighters,
this is the situation:
A friend (mid thirties ~85kg) has been suffering from paranoia for a long time, gradually turning worse and worse. he permanently suspects and accuses everybody around him to steal his stuff or fuck with his mind. I know where this comes from, there were incidents in the past that explain or even justify this. He used to be a smart and caring person, it's still in him somewhere but i doesnt show very often these days. I am one of the very few persons he trusts (well not exactly but in his context this can be considered trusting)
he is a heavy amphetamine and cannabis user (constantly while awake, and as you can imagine he hardly ever sleeps) and lately he'd ingest pretty much anything that comes along, thoughtlessly. he must know about the dangers, and besides, i'm trying to reason with him on that on a regular basis (hating it). he knows psychotic episodes, he's had them before, but not nearly as bad as right now.
I bumped into him about 72 hours ago, he seemed kinda lost and unusually quiet but I didn't think much of it because this happens a lot and he considers this part of his life. We went to his place because he insisted, not sure why, I think he wanted to show me something, but he had no idea what we were doing when we got there. Place looked kinda messed up, bunch of mostly dopaminergic drugs scattered around which was unusual because he ususally keeps this locked up and well sorted (since everybody is trying to steal from him).
I noticed MDPV and GBL and was asking him whether he knew what was what, the doses, effects etc., because thats not usually his preference and it was a lot, 3-4g MDPV, about 200ml GBL. he confirmed he knew what he was doing, + I explained it again and made sure he was listening. After I while I left (was at work, only went to his place because I was worried). When I bumped into him he was awak for at least 36 hours, possibly longer. So, about 48 hours ago, I saw him again, REALLY quiet, and totally lost, standing in front of somebodys front door claiming to be waiting for somebody. Not sure what that was about, and noone he knew was in this house.
We talked a while, he couldnt focus at all, and I reminded that his mother wanted him for some reason. He agreed to go to his mother's I made sure he did, I saw him enter the house, and went about my business. About 36 hours, again, there he was, running around outside, not knowing what he was doing, +he seemed scared and aggressive. I decided he was putting himself in danger, and possibly others as well, so, while entertaining him to meke him stay, I made some calls to find out what happend. He actually consumed 750-1000mg MDPV within the last 24 hours (then) + other stuff which didnt really matter. I was shocked and worried and now thought he was looking amazingly healthy considering the situation. Talked him into going to my place and made him stay for a while, fed him bloody maries and food while trying to get a hold of appropriate medication and finding out whether people were looking for him or not, because god knows what he might have done whe I wasnt around. Waves of panic on and off, I tried to talk him down and explain when the halluzinations got too bad. this went on for about 12 hours, I had to constantly watch him because he was trying to talk to people, using the phone, smoking weed etc constantly. eventuelly received 20mg diazepam, a 200mg quetiapin, and 2 2mg tavor. fed him 10mg diazepam, walked him home, made him swallow the quetiapin and ~100ml of Vodka, when he seemed to pass out, I left.
I felt relieved, hoping this would be over after a good sleep. Well, it got worse. Now there's enemies everywhere. and I'm the one commanding them. Other negative side effects increased, + highly aggressive.
Any suggestion? Can I expect this to stop or shoud I consider using force to do...what? He won't take anymore meds, I'll try again in while, but would the tavor + 10mg diazepam even do anything?
thx
this is the situation:
A friend (mid thirties ~85kg) has been suffering from paranoia for a long time, gradually turning worse and worse. he permanently suspects and accuses everybody around him to steal his stuff or fuck with his mind. I know where this comes from, there were incidents in the past that explain or even justify this. He used to be a smart and caring person, it's still in him somewhere but i doesnt show very often these days. I am one of the very few persons he trusts (well not exactly but in his context this can be considered trusting)
he is a heavy amphetamine and cannabis user (constantly while awake, and as you can imagine he hardly ever sleeps) and lately he'd ingest pretty much anything that comes along, thoughtlessly. he must know about the dangers, and besides, i'm trying to reason with him on that on a regular basis (hating it). he knows psychotic episodes, he's had them before, but not nearly as bad as right now.
I bumped into him about 72 hours ago, he seemed kinda lost and unusually quiet but I didn't think much of it because this happens a lot and he considers this part of his life. We went to his place because he insisted, not sure why, I think he wanted to show me something, but he had no idea what we were doing when we got there. Place looked kinda messed up, bunch of mostly dopaminergic drugs scattered around which was unusual because he ususally keeps this locked up and well sorted (since everybody is trying to steal from him).
I noticed MDPV and GBL and was asking him whether he knew what was what, the doses, effects etc., because thats not usually his preference and it was a lot, 3-4g MDPV, about 200ml GBL. he confirmed he knew what he was doing, + I explained it again and made sure he was listening. After I while I left (was at work, only went to his place because I was worried). When I bumped into him he was awak for at least 36 hours, possibly longer. So, about 48 hours ago, I saw him again, REALLY quiet, and totally lost, standing in front of somebodys front door claiming to be waiting for somebody. Not sure what that was about, and noone he knew was in this house.
We talked a while, he couldnt focus at all, and I reminded that his mother wanted him for some reason. He agreed to go to his mother's I made sure he did, I saw him enter the house, and went about my business. About 36 hours, again, there he was, running around outside, not knowing what he was doing, +he seemed scared and aggressive. I decided he was putting himself in danger, and possibly others as well, so, while entertaining him to meke him stay, I made some calls to find out what happend. He actually consumed 750-1000mg MDPV within the last 24 hours (then) + other stuff which didnt really matter. I was shocked and worried and now thought he was looking amazingly healthy considering the situation. Talked him into going to my place and made him stay for a while, fed him bloody maries and food while trying to get a hold of appropriate medication and finding out whether people were looking for him or not, because god knows what he might have done whe I wasnt around. Waves of panic on and off, I tried to talk him down and explain when the halluzinations got too bad. this went on for about 12 hours, I had to constantly watch him because he was trying to talk to people, using the phone, smoking weed etc constantly. eventuelly received 20mg diazepam, a 200mg quetiapin, and 2 2mg tavor. fed him 10mg diazepam, walked him home, made him swallow the quetiapin and ~100ml of Vodka, when he seemed to pass out, I left.
I felt relieved, hoping this would be over after a good sleep. Well, it got worse. Now there's enemies everywhere. and I'm the one commanding them. Other negative side effects increased, + highly aggressive.
Any suggestion? Can I expect this to stop or shoud I consider using force to do...what? He won't take anymore meds, I'll try again in while, but would the tavor + 10mg diazepam even do anything?
thx
