Ache has been home few days, will stay few more. When he came he seemed to be okayish. Bit slow, bit tired, just a little bit off in the way I can't really put a finger on. And it seemed that acting focused and sharp took some extra effort. But if I weren't looking, I would probably not noticed anything. Or I may even imagine, hubby thought he seemed just normal and doing well. Next morning he woke up with sore throat, but still everything was okay all morning and I thought that sluggishness I noticed night before was because he was getting ill. Then at the afternoon it became clear he was not feeling well. Delusional thinking, apparent hallucinations, really off. He also had a high fever. He refused ER and because he was not threatening himself or others, involuntary admission would not had been a possibility. We did ask a family member who is a MD to visit though. She wasn't able to talk him to the hospital either, so just tried to get a fever down hoping that would clear his head. Fever was easy to get down with paracetamol (physically he seems to be suffering from common cold) and that helped some to his mental side. But even the next day he seemed to have quite a difficult time with reality checking and was still having some rather bizarre thoughts he was stuck at, but still, clearly better than when having fever. Next day was better and today he has seemed to be in control again. He admits delusions and hallucinations during the fever (and those earlier episodes that have been caused by substances) but denies he would otherwise have those thoughts. Then again admits having lots of derealization and depersonalization and other dissociative issues, but says he knows those are not real. He has been seeing a new psychiatrist, who was worried the earlier episodes could had been manic and who has been reducing his Lexapro. That has worsened Ache's anxiety and sleep. Also Seroquel is now daily and not prn. Ache doesn't like nor trust this psychiatrist and is considering going back up with Lexapro against her orders. We were able to get him appointment with psychiatrist we found him a year ago for second opinion later this week and Ache has agreed to go. Ache is dead scared and I can't say I would be faring any better and neither is hubby.