Dominic

Dominic experienced commanding voices and visual hallucinations with strong violent urges during his teenage years. Although he has gone through many ups and downs he manages his psychosis better now and is volunteering to help others.

When Dominic was aged 5, he and his sister were the first children in their county to be diagnosed with ADHD. Dominic remembers feeling angry a lot as a child and was teased at school for being different. When he was involved in a physical fight for the first time at school the other children cheered and congratulated him, and this was the first time he felt good. He wished it had never happened because it started a long habit of fighting. At the age of 13 he was regularly drinking alcohol and smoking cannabis and by 15 he was part of a local gang involved in group fighting and drugs. His involvement with the gang ended suddenly when he was 16 and a very close friend died during a gang fight.

Dominic began to change as a person after that and became virtually a recluse for nine months. However, during this period – without violence or drugs and spending days mostly at home – the voices became very dominant. He was in a relationship with a young woman who, he later realised was abusive towards him. It was a crazy time and when the relationship ended he was in a worse place than when it began. He tried to get away from his past life, but was constantly pursued by gangs in the neighbourhood and had to move home several times, as did his family. When they finally moved to a new area together things started to settle down. Dominic got a job doing scaffolding. But the voices were joined by images and turned into violent orders, telling him to hurt others. This got worse and until one day he attacked a co-worker and that was when he began to get help.

The first time he felt he was gaining some control over his voices was his first CBT session. The man who ran it was spectacular and made him think about why he might have feelings of hatred towards himself. He later had group CBT sessions and found that hearing the coping strategies of his peers helped towards the control he has now. There have been ups, and big downs, but he now has many tools which he finds helpful. For example, mindfulness, checking in from moment to moment with himself, helps him on a day to day basis to stop feelings of anger from escalating, and stop the build-up of voices. Another technique that he uses a lot, is putting his feet flat on the ground and tensing up all his muscles, then relaxing them. This helps him to re-focus on what is happening.

He finds it helpful to make sure the voices are acknowledged and dealt with, and not to ignore them. He will put aside time in the day to hear them and respond to them in a measured way. Sometimes managing them means showing compromise but ultimately he is in charge and not the voices. He has a relationship with his voices, and he’s learnt to have fun with that in a way because he doesn’t want to be an angry person – taking the voices, and himself, seriously all the time.

He received support from Early Intervention in Psychosis (EIP) Team from age 19 and also had help from his GP. He only received a diagnosis, of schizophrenia, two years after he started seeing the EIP team. That was a big weight off and he thinks it might have helped him to have had a diagnosis earlier.

He has had support from a few charities. Mind and Employment Support (previously City Limits) have helped him with his finances and getting back into work and generally been there for him. He also attended a residential camp run by the Prince’s Trust which had a huge positive impact on him.

Dominic has a loving family who are there for him. He feels very protective over them and doesn’t like to burden them with his own problems, although they don’t see it that way. Because of his family support he was never sectioned but instead had periods under house arrest. With support from the charity Mind, he will soon be moving out of his family home, which will be a big change for him.

Dominic takes quetiapine which he finds suits him.

He will soon be starting volunteering for a local Mind centre as a peer support worker and is positive about the future. He says the future is happy.

Dominic says that the best thing you can do if a loved one isn’st talking about what they are going through is just give them a hug and let them know you love them unconditionally.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic recommends that people keep a very frank diary because it can help to get things out of your head. He found it useful reading back what he’sd written and being able to get some perspective on it.

Age at interview 24

Gender Male

Age at diagnosis 21

Recovery for Dominic can mean many different things and can be something simple like leaving the house. He says it’s very important to recognise and celebrate those achievements.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic experiences paranoia and voices that affect him worse when he leaves the house. Although it is difficult, he goes to the gym and says its his biggest go to’s.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic loves gaming as a hobby. It keeps his voices at bay, but he does have to make a point of stopping every hour to see if there is anything going on with his voices.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic spent money on things he didn’st need, and his anxieties and voices made this worse. Getting advice, and gathering information helped him to find a balance.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic receives help from his council’s Employment Support team and describes what they are able to do.

Age at interview 24

Gender Male

Age at diagnosis 21

For Dominic, who was working during a bad psychotic experience, going back to work is daunting. He plans to do some peer work as a volunteer to gain confidence again.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic’s family would do anything for him. But having such a close loving relationship with his family is both his crutch and symptom.

Age at interview 24

Gender Male

Age at diagnosis 21

Before Dominic took quetiapine (anti-psychotic) sleep was a myth and he had panic attacks at night because his voices would kick off.

Age at interview 24

Gender Male

Age at diagnosis 21

A local charity has provided Dominic with support. He can ring his Mind worker and just rant if he can’st see a therapist.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic had two therapists who he didn’st get on with. Eventually he was referred to a psychologist who invested in his story.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic describes how one really good CBT therapist worked intensely with him to understand the self-hatred and anger that feeds into his psychosis and give him tools to cope.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic said one medication he took made his arm stick in an uncomfortable position above his head and another made him feel suicidal.

Age at interview 24

Gender Male

Age at diagnosis 21

In the past when Dominic has felt unwell or worried that he might hurt someone the police have come to collect him or walk him home. He’s come across

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic thinks people who work in mental health should be passionate about it.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic called 999 after he had a psychotic experience and was taken to see his GP. When he told her about the voices that everyone hears she explained that not everyone hears voices.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic says it’s important to find what works for you. When he purposefully listens and responds to what the voices say, the power shifts and they have less effect on him.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic has been seeing images, hearing voices and experiencing other hallucinations since he was 16. He now has a positive relationship with his voices, and says it can be fun.

Age at interview 24

Gender Male

Age at diagnosis 21

After six months of feeling real happiness Dominic describes the moment when he realised everything he had been experiencing had been a false memory.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic describes how paranoia, visions, voices and delusions can come together when he is walking down a street. He has learnt to manage them and says how important it is to celebrate the small triumphs.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic hears clearly identifiable voices. At one point he heard seven voices. The constant chit chat was intense and made him angry. The loudest voice would give him commands telling him to hurt others.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic had visions of hurting people and heard commanding voices. He didn’st leave the house for three years after his diagnosis because he was afraid he might hurt people.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic would have liked to have had a full diagnosis earlier on and thinks being told you have experienced psychosis makes it harder to get help. However, he understands why doctors didn’st want to give him a label initially.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic was diagnosed with ADHD when he was 5 and could lose his temper easily.

Age at interview 24

Gender Male

Age at diagnosis 21

Dominic ignored his voices for some time, but then they began telling him to hurt others. He describes a time when he acted on this and felt broken afterwards.

Age at interview 24

Gender Male

Age at diagnosis 21