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Mental Health I need advice!! A loved one going through drug induced psychosis

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dessy1994

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Jun 26, 2014
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So my bf of 5 years has been a heavy drug user, he started just smoking pot which I was okay with bc I smoked it, then we started experimenting with acid and during one trip he had a really really bad trip he started accusing me of cheating on him ( i have never cheated on him) so he kicked me out I left then we ended up back together. Then we started partying and trying other drugs. I was never the type to do a drug more then once outside of weed. I stopped using all together, I really didn't care that he smoked weed, but that wasn't all he was doing. Well he went on to smoking crack. snorting cocaine, popping pills, shooting heroin, and then he started to use synthetic pot. And during all this time he was using drugs he started to become angry and kinda paranoid. He got to the point where he thought I had guys coming to the house when he went to work. Or when his friends would come over he accused me of flirting with them.. On Christmas I found out that I was pregnant, and the only person I have ever been with is my bf and one he accused the baby of being someone elses, but then one day he tells me he knows she is his. And that he loves me and cares about me and wants to be with me. well he got clean from everything but the fake pot, then he stopped using the fake pot for two weeks then the friday of the 2nd week he went and bout a 12 g pack of something called ramseys he wasn't smoking it heavily but was smoking it, that saturday we started arguing I didnt think anything of it, that sunday we got into such a bad argument i left then tuesday he comes to my house and all he keeps saying to me is that I am in and he is out..and then he started saying the government was ran by nazis and then he started thinking everybody was out to get him, I just did not recognize him at all.. Later that night he was admitted to the ER for suicidal thoughts then put on a 72 hour hold then he was sent to a psych ward and has been there every since.. And for the first few days he was barely talking to me and barely visiting me, then things got better. But one day when I went to visit him things were good for a hour then I had said something about getting a job and out of no where he started saying i talk and act like a whore, and i lie all the time... and then i call him later that night upset and he talked to me but the next day he was back to saying he didnt know if he could be with me because I act like a whore and lie all the time.. and I haven't spoke with him for 3 days.. Is this a part of the psychosis. Is he bipolar, schizo, or what. He is currently taking abilify... I love him and I care about him and when he is not manic we are perfect together I just don't know what to do!!
 
I'm not sure what his diagnosis is, but you don't deserve to be talked to that way. nobody does.

how is he when he's not taking any substances? did he recently start using? how was he before he started to use drugs?
 
It sounds like he's really going through some shit, and not acting like himself. Synthetic weed is some strange shit, and cessation does result in a withdrawal syndrome apparently. I'm not speaking from personal experience, this is just what I've heard.

I think you should remove yourself from the situation until he regains some modicum of normalcy...fuck that shit, he is responsible for this, you don't need the abuse!
 
Certainly sounds like florid psychosis, which can be a part of BD, Schizophrenia or drug induced - the Abilify is an anti-psychotic. We can't tell you his diagnosis but sometimes you cannot fix a deep psychic problem for someone no matter how much you care for them. The sad thing about mental illness is often it's victims will drive away loved ones. Be open to the idea that this may not be how he thinks of you or feels deep down but that he needs treatment and may not be at all capable of being in a relationship with you. How are you holding up now, I understand you have a baby?
 
I would think it apt to blame the accusations of cheating and other negativity on the psychosis/schizophrenia. Huge amounts of dopamine in the brain causes extreme agitation and paranoia, and overwhelms and persecutes the individual to the point that they are unable to ignore the delusions even in the slightest, it really takes over. During a psychotic episode on marijuana I kept staring at a balcony thinking of jumping off it (33rd floor or so) and felt utterly crushed and helpless, quite ready to attack people that I respected not 30 minutes ago. Scared shitless and unable to believe what "they" were "doing" to me. I understand exactly what he's going through, if I had a girlfriend at the time it would be very easy to suspect her of all and anything.

At least Abilify is a good one. I'm on Abilify, don't even notice it. I seem way more fucking functional lately.
 
Before he started using he was a perfect gentleman, he started using his junior year in high school when he got his car. And people he thought was his friends only called or text him for a ride somewhere and when they needed a ride it was to sell drugs or to get high. He didn't start using heavy drugs until last year.. He started hanging out in a really bad neighborhood and with people way older then him... :(
 
I am taking it one day at a time. I am currently 8 months pregnant :) Very excited for my babygirl to be here!!
My bf is doing better, he is talking to me more, and seeing me more.
I seen him today, he held my hand told me he loved me and missed me. I can see he is getting better within time. He says he takes his medicine everyday!
 
My experience with psychosis is that I became utterly psychotic on marijuana for about an hour, then it tamed down to a residual sort of paranoia and anxiety. I also took amphetamines which while they weren't psychotic the come down was extremely bad and I would be extremely paranoid and down for weeks to months. Then it sort of stablised, but when I was going to university during the drug use I would sit there in a lecture hall of people and almost be freaking out, completely unaware it was abnormal to be so. SOOO paranoid, SO scared. Most people thought I was a damn weirdo.

For 7 years since quitting uni and coming home I have been on and off medication, not really admitting that I have the illness, initially due to its stigma (schizophrenia), later because I wanted to keep tripping and this stuff largely blocks that. For most of that 7 years I was paranoid, very attentive to conspiracies when I heard them or dreamt them up myself, unmotivated and empty. I changed case managers a few times and it took them a while to figure out that I wasn't taking it. So it's all dragged on, but now my current case manager has me all figured out and has sat me down quite a few times and told me the research and insisted I change my attitude etc., and now I just get up and take it straight away, 30mg, and forget about it. It's been that way for just over a month. They say 3 months for a significant effect and 6 months to a year for maximum effect. I don't know how/why that is. It's making a difference now for me, a month in. A motivation problem remains however. The paranoia has largely subsided.

What will probably happen is the positive psychotic symptoms like paranoia/conspiracies/accusations will tame down in 3 months, but negative psychotic symptoms like being unmotivated and empty might persist. He may not have any negative symptoms also though, depends on his chemistry.

The earlier it's treated and all other drugs are ceased the quicker the recovery.
 
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