It seems that your son is able to access resources and support. And it seems there are a lot of resources where he is.
Depending upon the substances your son is using, and how much, the hallucinations could well derive from the substance use. Or, the converse. He could use the substances to cover up the hallucinations. Nobody can really know which it is until he is clean for awhile. Sometimes, a long while.
I do not think anybody can make a call about how to handle his condition who is not there with him. If the people around him feel he is psychotic, even if it is from substances, they will treat him, or hospitalize him if he is unsafe.
The self-pity piece is just that. Try to not react. He is pulling your string. Who knows why. Maybe it is a habit. Maybe he wants something. You know the story. It is an old one.
He needs to decide whether he wants to live his life in a manner where he does not feel about himself as if an old piece of luggage. Meanwhile, try to take care of yourself.
I feel confident that the people working with him will make the right call.
COPA
