tawni1988, I am going to tell you what everyone else is telling me to do in my situation (boyfriend with OCD and depression who also refuses to get help). Admittedly, your situation seems worse since you live with him and my bf is 4 hours away, also my bf's problems don't seem quite that severe. But if he refuses to get help, then you need to walk away. He could become dangerous with these delusions. It could soon get to the point where he becomes a danger to himself and others so you need to get out. And, to put it bluntly, I don't think he's in a state of mind where he can make decisions for himself anymore. Therefore, nothing you say or do will make a bit of difference.

You may be dealing with feelings of immense guilt because you love him and don't want to abandon him. How could you leave someone you love, especially when he so clearly needs help? Those questions are probably haunting you. Believe me, I've been there and I'm still conflicted over what to do so you may question my credibility here. (Which you should always do with anyone) But the fact of the matter is you cannot make him decide to get help. And it's already negatively impacting you, sucking dry your happiness, etc. This is not a healthy relationship anymore. Walking away does not mean you don't love him by a long shot. Love is not enough to keep a relationship going. He is not in any sort of condition to be the boyfriend you want/need. You can still be there on the fringe, but you need to make it clear that so long as he refuses to get help, you cannot be in a relationship within him. It's hurting you.

Consider this, you sticking around is only kind of passively reinforcing his irrational idea that everything is fine. If you leave, he might start to get a clue and it may give him the push he needs to get help. As I pointed out earlier though, his state of mind may make it impossible for him to make the decision anyway. Alert his friends and/or family and I would maybe consider contacting a local health professional for advice. Even maybe contacting the local police department through their non-emergency hotline. I know that sounds extreme, but it is imperative that others know about it in case he does become a threat to himself and others. I was on the rescue squad in college and I've dealt with mentally unstable individuals. It's not pretty. I don't want to scare you, but from what you've described, it could escalate into such a case, and then he would likely be forcibly hospitalized.

I know you love him and I *know* how heartbreaking and conflicting this is. It probably wouldn't hurt to get some therapy for yourself to help you cope with the guilt and depression you're feeling. If you want to PM me, please feel free because we are facing shockingly similar situations. You have my deepest sympathies over this issue and I wish you the best of luck!