and Supporting a Classmate with Hallucinations and Delusions - Psychiatry

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My junior seems to have a delusional disorder?


My junior rarely speaks, often seems lost in thought, and when I ask him questions, he usually doesn't respond.
I'm not sure what's wrong with him, so I asked our advisor.
The teacher mentioned that he experiences delusions and hallucinations, and he believes that when others look at him, it means they are bullying him.
The teacher also said that his self-defense mechanisms are overly heightened and that he has previously harmed others.
However, I'm not sure what illness he has.
How can I support and help him without making him feel threatened or hurt?

Bai Hou, 10~19 year old female. Ask Date: 2007/03/27

Dr. Chen Meizhu reply Psychiatry


Hello: From your letter, it appears that the student is exhibiting clear signs of delusional thoughts and victimization ideation.
It is recommended that he seek medical treatment immediately.
You can listen to him, accompany him, and actively encourage him to undergo a medical evaluation.
If there are any behaviors that may harm others, you can request police assistance for involuntary hospitalization under the Mental Health Act.
Best wishes!

Reply Date: 2007/03/27

More Info


Understanding and supporting a classmate who is experiencing hallucinations and delusions can be a challenging yet crucial task. It is essential to approach this situation with empathy, patience, and a willingness to learn about mental health issues. Your classmate's symptoms suggest that he may be dealing with a serious mental health condition, such as schizophrenia or another psychotic disorder. These conditions can manifest as hallucinations (seeing or hearing things that are not present) and delusions (strongly held false beliefs), which can significantly impact a person's perception of reality and their interactions with others.

First and foremost, it is important to recognize that your classmate's experiences are real to him, even if they may not align with reality as perceived by others. This understanding can help you approach him with compassion rather than judgment. Here are some steps you can take to support him:
1. Educate Yourself: Understanding the nature of hallucinations and delusions can help you empathize with your classmate's experiences. Familiarize yourself with the symptoms of psychotic disorders and the challenges faced by individuals living with these conditions. This knowledge can also help you communicate more effectively with him.

2. Create a Safe Space: If your classmate seems withdrawn or anxious, try to create an environment where he feels safe and comfortable. This might involve simply being present, offering a listening ear, or engaging in low-pressure activities together. Avoid putting him on the spot or forcing him to talk if he is not ready.

3. Encourage Professional Help: If your classmate is not already receiving treatment, gently encourage him to seek help from a mental health professional. You can express your concern for his well-being and suggest that talking to someone who understands these issues could be beneficial. However, be sensitive to his feelings and avoid coming across as pushy.

4. Be Patient and Non-Judgmental: Understand that your classmate may have difficulty processing social cues or responding to conversations due to his condition. Be patient and avoid taking his silence or lack of response personally. Instead, offer reassurance that you are there for him without pressuring him to engage.

5. Avoid Triggers: If you are aware of specific situations or topics that may trigger his hallucinations or delusions, try to avoid them in your interactions. This can help create a more comfortable environment for him.

6. Involve Others: If you feel comfortable, consider discussing your concerns with a trusted teacher or school counselor. They may have additional resources or strategies to support your classmate and ensure he receives the help he needs.

7. Take Care of Yourself: Supporting someone with a mental health condition can be emotionally taxing. Ensure you are also taking care of your own mental health by seeking support from friends, family, or professionals if needed.

8. Respect Boundaries: It is crucial to respect your classmate's boundaries. If he does not want to talk about his experiences or engage in social activities, do not push him. Let him know that you are available if he ever wants to talk or hang out.

In conclusion, supporting a classmate with hallucinations and delusions requires a compassionate and informed approach. By educating yourself, creating a safe space, encouraging professional help, and being patient, you can play a significant role in helping him navigate his challenges. Remember that mental health issues are complex, and it is essential to approach them with sensitivity and understanding. Your support can make a difference in his life, but it is equally important to prioritize your own well-being throughout this process.

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