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What would be a good thing to say to someone who's having paranoia? Would "how can you get to a place where you feel safer" work, or?
this is a really good question
i actually had to calm down a lot of other paranoid patients in the psych ward because a) us paranoids tended to group together for some reason and b) if i didnt calm them down before things escalated they would probably get put in a quiet room
and most of the time, it was actually pretty simple. for example, one time a patient told me he was worried a specific nurse had planted a bomb in his room. i reassured him that i hadnt seen that nurse go near his room, which reassured him a little, and then i offered to play the makeshift chess we played with our medication cups, and i talked to him about just random stuff
so i mean basically when trying to help someone who’s paranoid, there isnt like a specifc procedure to follow that’s guaranteed to work
some general guidelines would be:
reassure them they are safe. this is different from confronting or challenging paranoia. in that example, i didnt deny that the nurse would plant a bomb in his room, i didnt affirm it either, i just denied that i had seen the nurse in his room. i’ve had people try to “logic“ me out of delusions, and it usually ends with me insisting they’ve been replaced with government agents genetically engineered by aliens and that’s why they’re saying it is cause they’re in on the conspiracy. so insisting there is no conspiracy isnt a good idea, but insisting that they are safe from the conspiracy can be
you can reassure them they are safe by saying you will protect them, or as you suggested taking them to a safe place. that is actually a very good suggestion. a lot of people have things that make them feel safe, from going home, to being with a certain person/animal, and depending on the nature of the paranoia religious/spiritual things can be helpful as well, like i’ve seen people using sigils and crucifixes, to name a few
some people will carry ativan or something similar as a prn. if you know they have it and that it helps, you could remind them, or if they forgot it, you could go get it for them.there are people who dont mind taking ativan as opposed to an antipsychotic
distracting activities are a really good idea. in the psych ward the best i could do was medication cup chess and go fish, but outside of the psych ward, there’s netflix and video games and a ton of great things you could do with someone. if they are up to it. you shouldnt force someone into it, cause that defeats the purpose, but you can try suggesting different things, especially things they are interested in/enjoy
sometimes someone is so paranoid they dont want to interact with anyone at all, and the best thing is to let them be alone
but sometimes talking can be helpful. letting someone who is paranoid talk about their paranoia can be helpful in the same way that venting about anything else would be helpful
psychs and therapists like the idea of coming up with “crisis plans“ when someone isnt in an episode so that they can tell people what they want beforehand, however psychs usually insist the correct thing to want is to be brought to the hospital
but i think the idea of a crisis plan is good, and if you are in a relationship with a paranoid person (i dont mean romantic or anything i just mean you interact with them regularly) it is probably a good idea to talk with them about what they would want you to do if they are paranoid
i think i made this longer then it needs to be. basically, if someone is paranoid, listen to them, reassure them they are safe as best you can while avoiding confronting them directly or trying to argue with them, ask them about specific things that might help and try to accomadate them, stay with them if they would like to talk to someone and try to find relaxing/fun activities to do to help them feel better
sometimes there is nothing you can do. and doing these things wont always help someone
also, as an add on, helping people avoid triggers is good. when i go to the mall or something with my family, they will look for security guards, and then go in a direction that avoids them, because they know seeing security guards triggers my paranoia
and on that note, it is good to remember that paranoia can be based in reality. like i am very paranoid about security guards, and there is no reason to believe a mall security guard would want to hurt me. but being abused by security guards in the psych ward has caused me to associate security guards with abuse
so even if someone sounds very paranoid, they might actually have good reasons to be afraid. in any case, the most important thing isnt convincing the person they are paranoid, but helping them to feel safe
thank you for asking!!
(this advice applies mainly to people who “lack insight” (i hate insight terminology but i cant think of a better way to say this). someone who is aware they are paranoid and has identified paranoid beliefs as delusions may want different things. i wrote this mainly with a specific kind of paranoia in mind, and there are many different kinds of paranoia and paranoid people)
# hospitals # psych wards # psychiatric abuse # death # murder # bombs ?
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me: *about to have a mental breakdown*
me 5 mins later: oh nvm false alarm I feel fine oops maybe I was faking it shit
me 5 mins after that: oh actually i'm just dissociating ok
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☆THE KING OF ALL COSMOS☆
holy shit i love this guy
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I made system pride flags!! The one on the left is for systems in general, and the one on the right are for median systems! These are of course free to use, and suggestions are welcome!
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boy: so u got any fantasies??
me: ok so im 28, financially stable, living in a nice apartment and i dont hate myself and i have a job and also a dog
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Like looking inside myself and finding a stranger, someone not only vicious but downright evil. How odd, to suddenly glimpse a facet of me I didn’t know existed. I guess it really isn’t all that unusual to surprise oneself with an ugly bit of ego. But was this unsuspected piece of me born at the same instant I was? Or was it spawned some time between that moment and now? I know, I know it’s a question with no answer, undeserving of introspection. But was this hideous thing conceived, or was it created?
Ellen Hopkins, Identical (via mewxsing)
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uhhhrhh im gonna get the hell in bed and then king in the body because i can't stand to front anymore. i have no idea if he'll actually say anything because he won't come down from being a piece of shit bird wizard
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what code do i have to enter to make king stop being a bird
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holy... crap..
aHAHAHA!! HAHAHAHAAHA THEY ACTUALLY WANT TO. THEY WANT ME JESUS
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i’m so on edge from these happenings. i need to find my calm, because this is unbecoming
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Types of dissociation
1. Amnesia - this is when you can’t remember incidents or experiences that happened at a particular time, or when you can’t remember personal information.
2. Depersonalisation - a feeling that your body is unreal, changing or dissolving. It also involves out of body experiences, such as seeing yourself as if watching a movie or floating above.
3. Derealisation - the world around you seems unreal. You may see objects changing in shape, size or colour, or you may feel that other people are robots or generally unreal.
4. Identity confusion - feeling uncertain about who you are. You may feel as if there is a struggle within to define yourself.
5. Identity alteration - this is when there is a shift in your role or identity that changes your behaviour in ways that others would notice.
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there's loud music playing and it's stressing charlie out in the back
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