Yesterday, I received an email from a high school friend, telling everyone that his twin sister (another semi-close friend) has been on a slow decline over the past few years due to a serious mental illness. Her family don't know exactly what it is because she won't tell them, and legally they can't know if she doesn't want them to, but her
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The good news, though, is that she's been found and she is no longer on the APD missing persons list. I actually really hope I run into her sometime soon, it would be nice to see her...but I also know that schizo types can be really tricky to be friends with, especially when they are refusing all medications and treatment. I don't blame her for doing so - I know how dead those anti-psychotics make people feel - but I just don't know if that crazy energy is something I can handle being around.
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It's a devastating illness that isolates people from families and friends because they often lose interpersonal awareness, so basic social skills like empathy and connection disappear. Couple that with some of the stranger thoughts and ideas and... there you go.
People with schizo-affective disorders almost always *must* be on medication -- this isn't something that's debatable like depression meds, it's a serious matter of safety for themselves and others. There are many, many instances where people with schizo-affective disorders stop meds and have a psychotic episode where people get hurt or killed.
These folks really need people who can maintain connections with them -- it's a huge help. It's likely you'll need to have a new set of boundaries to keep yourself sane, but anything you can do will help. :)
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I just hope she doesn't (or hasn't already) gone the way of so many others like her and gotten into hard drugs.
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