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I think my boyfriend is mentally ill. How can I convince him to get help?

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Question - (3 December 2007) 4 Answers - (Newest, 7 February 2008)
A female United Kingdom age 36-40, anonymous writes:

I've been with my boyfriend for 5 months now, we live together and are usually very happy. He's suffered from depression for most of his life which he is in control of most of the time as long as he is preoccupying himself with something e.g. computer games. He doesn't sleep well and stays up playing games or watching movies until about 3am. I had always assumed this was so he didn't have to think about the bad things going on in his life, but he told me last night that if he is left alone with his thoughts they become very disturbing. He starts thinking about killing people who get on his nerves (no one inparticular) and obsesses over being all powerful etc. He also claims to say sentances in his head that don't make sense, they are just like words strung together.

I'm thinking maybe he has psychosis, and it's related to the fact that he has had a troubled past (drugs, suicide attempts etc.). He won't go to a doctor for any kind of diagnosis. What can be done?

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A female reader, anonymous, writes (7 February 2008):

I have a very similar problem. my fiance stays up all night on computer games and when he does sleep it will be for 16 hours at a time, only to get up to go straight to his consol. He has been off work for about a year because of an illness he has. He used to be very active before hand but now he hardly goes out. He would rather be playing a game than go out. His moods have got worse and he shouts alot and becomes very angry. Everything seems to be my fault. When he was younger he slit his wrist and has talked in the past of killing himself, especially when drunk. He says he would be better off that way. He hasn't always been like this and i am wondering if he could be ill mentally. Its horrible to see someone I love act like this. He has been on anti depressants before which resulted in the slit wrist episode.

He doesn't treat me with any respect anymore and expects me to do everything for him because he is poorly but is well enough to play games. If i bring this up he gets angry and swears at me and tells me to go away. I dread social gatherings with family because he is rude and says what he likes not caring that he is causing offence. He storms out not caring about who he upsets. he says I am lazy if I wont do something like get him a drink but I'm trying to run a home, work and do night courses aswell as looking after him. there is only so much to do. He never used to be like this at all so I can't walk away. I'm really worried he may be ill but he tried councilling a few years ago and he walked out, he went to anger management and said he hit the bloke and walked out. His family don't offer any support and I really dont know what to do.

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A female reader, anonymous, writes (3 December 2007):

Your boyfriend needs help, and it is in his best interest for him to seek it. Has he had any psychological help before? Is he amenable to the idea? I know your NHS may be a little lax when it comes to mental health services, but, if he is agreeable that he needs help (you can't convince him, he has to understand himself)then, support him and help him to find that help.

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A male reader, Samutsen Poland +, writes (3 December 2007):

Samutsen agony aunt'He also claims to say sentances in his head that don't make sense, they are just like words strung together.' this is one of the symptoms (but only one of them) as far as I can sense. Other symptoms include :uncontrollable thoughts, uncontrollable mannerisms, talking to yourself, paranoia, hallucinations or delusions, sensing that people are following or talking to you, insomnia...So be careful.

Of course you never know. This site may help: http://www.schizophrenia.com/family/FAQgen.htm#szsign

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A female reader, Sweet-thing United Kingdom +, writes (3 December 2007):

Sweet-thing agony auntMaybe you could visit a healthcare facility and obtain some pamphlets, books and small magazines for him to read. If he won't read them, maybe he'll listen while you read them to him. Maybe after he sees that his behavior fits the pattern of someone who needs help, he will agree to get counseling or visit a physician who might be able to prescribe medications to help control his feelings and torturous thoughts. Have also considered going to church, and visiting with the pastoral staff about spiritiual counseling and/or intervention? And I don't mean an exorcism, I mean prayer and healing from God. These methods have proven to be very effective in people's lives, who believe in God and want to have a spiritual relationship with him. Satan uses all kinds of things to torture our minds and keep us from having a peaceful, joyful life, as God intended....Something to consider.

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