Something Gavin brought up during his visit with Dr. Moodley in Pediatric Neurology, had nothing to do with why he was there.
Dr. Moodley was trying to involve Gavin in as much of his health care as was possible. Clearly it’s not possible but I like that he tried anyway.
When asked if there was anything bothering him, meaning anything Dr. Moodley deals with, not just anything, Gavin replied with an answer that has me worried.
One of the things that we have to be very careful with in regards to Gavin being Schizophrenic, is watching for signs of paronoia. The only step beyond Schizophrenia is Paronoid Schizophrenia. That’s not a good step at all for those keeping track.
Gavin’s never really shown signs of paronoia, at least consistently enough to be super concerning.
When asked by Dr. Moodley if anything was bothering him, he told him that he’s always getting scary thoughts. When asked about the scary thoughts, Gavin explained that he’s frequently thinking about the house burning down. He’s then shared that he’s always thinking about people close to him getting hurt. He was referring to us and the boys. He was also referring to us being shot or stabbed.
I’m not sure what to make of that. On one hand, we live in a bad neighborhood and his fear is somewhat understandable. It could be as simple as that or it could be that he’s becoming more paronoid. It’s so hard to have any accurate idea of what’s going on in his head because he doesn’t express himself well at all.
It could just be pervasive thinking, which isn’t uncommon amongst those with Autism. There’s a difference between pervasive thinking and paronoia but with Gavin, how are we supposed to tell the difference?
I wouldn’t put much thought into this if it occurred in a vaccum. The problem is that it’s not the only concerning issue that’s recently come up. The voices are back and he keeps hearing people call his name. They have also convinced him to incorrectly change the way he takes his medication. Ironically, or maybe not so ironically, the medication in question was his anti-psychotic.
We’ll have to talk to his Psychologist on Tuesday and get her thoughts.
Gavin said that he can’t stop thinking about this but that doesn’t necessarily mean the same thing to him that it does to me.
When it comes to figuring out where Gavin’s coming from, it’s extremely challenging because he assigns incorrect meanings to common words and having a conversation that doesn’t serve to make things even more confusing, is very difficult.