(urgent) person i know in another country has been under psychosis for 3 days straight, no idea how

posted this on r*ddit, gonna post this on other sites as well, i'm mega desperate tldr: This person I know from Hungary has been under psychosis for three days and I have no idea how to get him a psychiatrist, I am 1000km away. I have his real name, a social media profile, the 1mil+ pop city he lives in, his age, 85 minutes of voice convo recorded on tape as proof, word salad in PMs being logged (haven't told the latter two to spare him from becoming any more paranoid). What do? I believe this was caused by sleep deprivation + stress from new workplace. Two days ago (around 18h into the episode because he has had it before and it had always subsided in a matter of hours), I was on voice chat with him and I made him do various things that might grab the attention of his parents - I told him to go look his father in the eyes (the 60 year old boomer was apparently clueless) and after that I told him to confront his brother about a thing he hallucinated the brother doing (he lives away). He called his brother and the brother said that he's going to come over tomorrow. He refused to do things like "tell your dad you need help" so I had to be creative. Also tried to get his brother's email, refused. I knew the brother works in IT and isn't tech illiterate so I got my friend to send the brother a base64 message saying "HELP UR BRO", at least I was told he sent it. Yesterday I waited for the brother to come over and he was noticeably a bit more upset, mentions of suicide and killing people came up. I once defused a suicidal spiral really well but those continued later. He mentioned how he told his mother he's suicidal and his mother wouldn't believe him. In the evening he said he's gonna go talk to his mother and never came back for the entire night. He went from AFK to online very briefly and never replied to messages I or our mutual friend sent him, and shortly after he went offline (he never does this, always keeps computer running at night). I assumed his brother arrived and started taking action by pulling the cord first and foremost. This morning he comes back on and said nothing fuarrrking happened. His brother didn't bother to come over at all. At first he wrote really coherent things about negative existential realisations and his past, and after I offered my somewhat lengthy response he went full 180 again and could only comment on my fast writing speed, and the same parade resumed. I asked if he's still suicidal (the existential text made me go hmmm) and he just said there's a window behind the curtain, which immediately made me say "let it be". His parents obviously don't give a fuarrrk, brother is a smooth brain who 99% saw incoherent rambling in texts and still didn't do anything. All the people I know who knew him IRL are 1000km away just like I am, but in the opposite cardinal direction. The family obviously sees something is off, if he keeps speaking in word salad to me there's no way he's not doing this to other people. I have been under so much stress over this for 3 days now, I can no longer eat or sleep from the fuarrrking anxiety. I'll snap myself if I have to deal with this bullsoykaf any longer.

If he's like that, someone will eventually do something about it, especially if he goes to work and has family around him. Worst case scenario would be that he ends up in a shady mental hospital where he gets pumped with "medicine", or that he offs himself. Also, this might sound rude but I wouldn't rule out the possibility that he is just fuarrrking with you for attention, people can be fuarrrked up like that too. The fact that his family doesn't seem to give a fuarrrk makes me suspect that, but what do I know. Either way I don't think you should worry about it too much, to me it sounds like you have already done what you can do, it's mostly the responsibility of his family at this point.

>>9193 He has incomprehensible garbage on his public Twitter he uses on work now, you think he's going to ruin his career prospects over a joke like this?

>>9195 I don't know the kind of person he is (lol)........ But if he's like that publicly, it's only a matter of time he gets help. To me it looks like it's out of your control so why stress it too much?

>>9196 suicidal tendencies are increasing. his first response to asking if he's still like that was just "there's a window behind the curtain" as if he's thinking about it 24/7. what if he commits sui before work? or stabs someone.

You obviously care about your friend and thats a tough thing to take. I think this is out of your hands, some people are beyond helping. You will just have to bear it and hope it all works out. Having a friend sure helps, but dont let yourself get dragged down either.

Hungarians are a depressed people, they breed it in schools with all the "opressed by turkish for 150 years, then another 200 by austria, then trianon, then soviet union" bikasoykaf. "We are the greatest nation", we have geniuses in every field all over, but it's all in vain because bad luck or thief government or whatever. People need that gloomy headache and they breed it with nationalism, angry rap music, "everyone is sheep" thoughts, gypsy hate, etc. It could easily be that your suicidal friend is just being gloomy. Parents don't take him seriously because they have a high tolerance against such gloom. >>9193 Not gonna happen. I don't think we have any million population cities other than Budapest.There used to be a big psych ward in Budapest called OPNI, but it was closed off ~10 years ago because it is a fuarrrking palace and just heating the thing was producing a loss. It hasn't really been replaced, and there was an (unsolved) uproar about where people taken care of there will go now. But hey, at least we can do video clips there: https://www.youtube.com/watch?v=63TALVoqzag This is likely because our healthcare is free (through some tax), but there is an eternal lack of funds for everything, doctors are barely motivated to try and hospitals are underequipped, etc. OP, I would just let it go. You are full of worry, your worry is not helping him. A sane and nice friend probably could once he wants/needs it. Worst case he gets fuarrrked up. You cannot guarantee to prevent things and people from being fuarrrked up, the world is always stronger and smarter than you are. You'd need omnipotence to guarantee it; since you lack that, you can only do your bets, which you did. Just sit back and enjoy some semi-psychotic tunes. https://www.youtube.com/watch?v=bbF7VVsKYIw

Ask him if he himself feels like he's losing control of his mind. If he says yes, then tell him, as tough as it might be, checking in to the hospital and getting meds is the only way to get back to normal. If he's not or says he's not its probably out of your hands. You can't force him.

update He went quiet for a few days and then came back. He said he needs some time to recover, lost his job, and can't afford any distractions, and isn't allowed to leave his house until the 21st - this was yesterday. Today he came back and wanted to have a chat with me, apparently he's missed me a lot. I also found out he got a psychiatrist (fuarrrking finally), but he doesn't bother explaining him everything. They got him doped on up Clonazepam [1], which in my opinion is probably the wrong thing. He still believes his computer is infected with a virus and that some bot saw our PMs, these are clear hallucinations/delusions and benzos won't fix them. He needs to be more honest with his psych so that he can be weaned off these poison pills asap. He also got an enforced bed time at 10pm, suggested by the psychiatrist. After he went to bed I asked him if the psych speaks English and if I could get his contact, I think my account could improve the diagnosis. The actual papers he got didn't bother him so he didn't even read them and I have no idea about his current diagnosis, but I made him do it for tomorrow. [1] https://en.wikipedia.org/wiki/Clonazepam

>>9297 I've suffered from schizophrenia/psychosis about a year ago, I've been through the mental hospital, and I'm currently on meds that work, so I think I can help. What he really needs is someone to advocate for him, someone physically with him who can observe him, talk to the doctors, make sure he gets the right treatment, etc. I know you're trying to do this for him, and maybe he doesn't have enough support from his family - so he needs to learn to be his own advocate, which can be difficult. First, you need to find out if he's still in crisis mode. Ask if he feels he's fighting for his mind, ask if he hears voices (did he ever?), ask if he hallucinates a lot (it counts even if he knows its a hallucination). Ask if he feels better than he was. You'll have to judge whether he has new delusions (I wouldn't worry about the old ones). There's a solid chance he'll be dishonest and shoo you away so you need to be clear about why you're asking so he can draw the conclusion himself: If he's not doing well, he needs different medication and he needs to be honest with the doctor. He might not even have the right diagnosis. If he's not currently in crisis, then it may be better to do everything outpatient. Just make sure he's seeing his psychiatrist soon. There is a major tendency for mental hospital patients to be given hasty diagnoses, started on a medication, and thrown out the door before it can be seen whether the medication really helps. Be sure to get a list of all the medications he's taken, including injections, etc. One thing to be aware of is he may have been given an anti-psychotic one-time in the hospital, which will wear off in a few days and send him back to the hospital (utter bullsoykaf but it happened to me). You need to find out EVERYTHING he was given. I've been on ten different medications, five of which gave me severe side effects (one hospitalized me), three of which were treating the wrong problem, including clonazepam (which gave me brain fog) (the doctor thought I had severe anxiety, but it was just a side effect of one of the previous meds), two of which were both tolerable and helpful and I currently take. To be honest, even the good doctors are working blind, so the patient NEEDS to be on top of it to judge what helps, what doesn't, and what he reacts badly to. The patient needs to be aware of side effects, including rare ones. Rare does not mean minor, some rare side effects can be very severe and the doctors might miss it, especially if the patient doesn't know what to report or lies. In an ideal world, mental health patients would be completely honest with their doctors, but there is the constant fear of being committed for the long-term. So patients lie and say they're better when they're not. In the U.S., you won't be held longer than a few weeks, and barring a 72 hour hold or violent threats and outbursts, you're technically "voluntary" and can leave at any time (though they'll deny you your meds). Unfortunately, the legal situation looks difficult in Hungary. Unlike the U.S. it seems patients who are deemed "beyond treatment" can be forcibly committed to mental institutions for the long-term. This is a major obstacle to getting him to be completely honest with the doctors, and he may be withholding information because of this fear. So in sum, the important part is whether he feels his meds are helping. If he thinks its only sort of helping, if he feels he's warring for his mind, or he has new unexplained "symptoms" which may be side effects, then he's on the wrong meds. One last thing: The doctor may be correct, and you the wrong one. Who knows, the clonazepam might help. It might not. If he still has psychotic symptoms it won't help, but you may be wrong about the diagnosis.

.>>9303 I should clarify: In the U.S., "voluntary" goes out the window as soon as the courts get involved in any capacity (charged with ANY crime whatsoever). If police want to bring you to a mental hospital, cooperate fully (you don't need to answer questions), and you may avoid an arrest for whatever brought the police to you.