Our expert says:
I am surprised that the doctors caring for your son in the UK are not more helpful or prepared to correspond with you -- they should do so. Paranoia does't always respond as well to the usual treatments as do some other varieties of schizophrenia, but with modern drugs they ought to be able to help him, maybe even to the point of him managing to live outside the hospital, perhaps in sheltered housing, shared with other people with similar problems, and with a responsible person there too, to help with any difficulties that arise. Such facilities are rare to non-existent in SA, unfortunately. They certainly should be getting to grips with his drug abuse, as that could be seriously disruptive to his condition and treatment --- alas, that, too, is even more common in SA facilities.
They should aoso be able, even if he stays in hospital, to enable him to take on some forms of work, depending on his skills and interests. There should be a social worker who knows him, who may be better to communicate with than the doctors.
As for dealing with the delusions, one can often find a mid-path between aggreeing with them ( which is usuallyunhepful, though occasionally needed ) and arguing about them ( which isn't useful --- they weren't reasoned into their delusions, so they can't quite be reasoned out of them ) --- a position of not accepting or agreeing that they are true, saying one finds that sounds odd or hard to believe, but not rejecting them actively. Maybe even asking some questions about some of the most improbably aspects of the delusion, seeking clarification.
Thanks to Sister for a very useful comment. I'd find i hard to decide if he would bebbetter off returning to SA -- most of our hospitals can be really gruesome, and the care much more expensive and less accessable and supportive, awhile community resources may be non-existent
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