As someone with the illness, we're still us. We're in there, and we remember. He can and will come back, but just remember it won't be "cured". It's a cycle.
It's just too many other thoughts are happening as well. After a while, you try to make sense of all the new "noise" and it turns into false pattern analysis. For instance, you get stopped at a red light too many times in a row, you think it's on purpose. You ignore all the times it is randomly green. Why do we go from noticing this and not reacting in the past, to suddenly having paranoia? Too many other thoughts that "back it up", too much emotional overload from everything firing at once, and we ignore the other balancing thoughts because "what if they are wrong?"
I view it like living with PTSD. But now, the entire world can trigger any stray thought into becoming a main focus.
The more he and others understand the disease, the easier it is to rebalance yourself. I wish I could offer better specific advice, but we're all different with the disease. What works for me won't work for others. I think myself out of it, so to me, it is now equivalent to Obsessive Compulsive Thinking--and I can handle that much better. Catch it, Check it, Change it.
If he learns to question his thoughts with his own voice, being skeptical of his new thinking and remembering his old thinking, he can disregard those thoughts. The simplest explanation is often the best. Point out a simpler explanation, and why his view is adding details that aren't there.
It seems like you'll have to wait until medication kicks in to talk with him, and build trust while he is stable. Trust is important. During that timeframe, have him tell you how he thinks, and the various ways. It is the only way to know how to reach him during his breaks. You can guide his thinking if you know it, and put him in a balance place, and he can learn more and more to hold himself there.
Get the meds court ordered if need be. He is viewing the family as dangerous, and that is proof he is about to get carried away. Your parents are enabling him to become unhealthy by not approaching this. Are they trying to avoid the stigma of mental health at the cost to his actual life? Wake them the f up.
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