what does it mean

What does it mean if I am talking to my son and he is completely appropriate and engaged in the conversation but will reference dilutional events with in the "normal" conversation as though they are real? How can he be so coherent and at the same time still believe the dilutional event occurred? How can he not figure out that what he thinks doesn't coincide with the reality that is right in front of him.

This must feel very unsettling to you.

You are describing delusion. When someone holds an irrational belief despite rational evidence to the contrary. Please check the definition of "delusion" for further info.

It's not unusual for delusions to be mixed in with rational thinking and behavior. Sometimes delusions are limited to a certain topic or event. One's thinking can be partially delusional.

Is your son seeking help?

Love to you both,
WC

Yes, He is in the hospital for physical rehabilitation related to a car accident. He is getting his meds every day. He doesn't think he has a problem or that his dilutional thoughts are dilutional. Unfortunately he isn't getting any cbt. This is the first time he has been diagnosed with bi polar disorder. This is the first time he is taking anti psychotic meds. In fact any meds. I just don't understand how he can't see something is off. Thank you for your response.

The thing is the brain works different when you are bi-polar. What the minds sees or remembers can be just as real feeling as an actual event. As far as not knowing something is wrong with himself, well that could be his normal. As far as he knows life is just that way, we all have our ups and downs. Honestly, who wants to think that there is something wrong with the way they feel or act. Being diagnosed bi-polar is a hard pill to swallow and it took me quite some time to come to grasps with it. I really wanted to believe I was misdiagnosed. It took a LOT of education and paying attention to myself before I could really see that this is something that is a part of me. It will take support and understanding that this is not something that is just fixed with a pill automatically. A lot of it is an uphill battle until things fall into place. Please educate yourself on what bi-polar really is and what to look for when dealing with someone bi-polar. A lot of times people on the outside will see the changes before we do and having someone to care and be understanding is one of the best things you can do for him.

Hi Lucidity,

You have noted you are in the U.S.

You may be interested in the family education program offered through NAMI?
I am aware of the participation of several families, with all great reviews. They'd all found the program very helpful.
There is likely a NAMI chapter in your area.

Please ask any questions.
We'll try to help out.

Much Love to you and to your son!
WC

Thanks I will look into it. It helps to come here and be able to ask questions and get real answers.