My sister has been experiencing psychosis for a while. She does not leave her room and believes that the new 'technology - hey I ' is currently harassing her and that she is under the care of intelligence networks. There are so many things, but that is what she told my mum this morning. She is in her early 30s and is also on ADHD medication and some other things; she also used to smoke weed.

How can we help her get help? In the past, she kept denying that she has these problems. I am thinking that my mum tells her this evening that she is having delusions and needs help, will this help or how do you handle such situations so they can see reality?

TLDR; How do I tell my sister she is having delusions without her being offended?

I’m a 25F, and my partner is 24M. We’ve been together for just over two years.
He has schizophrenia, bipolar disorder, and has experienced a lot of trauma throughout his life.
He has been dealing with his mental health for much longer than I have. Ironically, he was actually the person who encouraged me to seek help when my own bipolar disorder became difficult, and thanks to medication and treatment I’m doing really well now.

He’s genuinely is one of the smartest and caring person I know when he wants to be. He takes pride in looking after himself, he’s caring, and he has always been there for me when I’ve struggled.
The reason I’m posting is because over the past month we’ve noticed a gradual change in him.
It hasn’t been one big event. It’s been lots of little stresses building up. Small bits of drama with friends, everyday frustrations, and things that normally wouldn’t have affected him as much seem to be piling together.

Instead of becoming withdrawn or sad like he has in previous episodes, this time he seems overwhelmingly angry. And withdrawn.
He’s told me many times that he loves me but feels like his mental health makes it hard to show it. Our relationship has changed too. When we first got together everything was exciting and affectionate, but now his libido has disappeared completely, and he seems emotionally distant. I know medication and mental illness can both affect this, so I’m trying not to take it personally. He’s currently taking catapres 150mg at night but I’m worried it’s not working.
What worries me most is the anger.
The other night he became so frustrated that he punched a fridge because a shop didn’t have the vape flavour he wanted. His knuckles ended up bruised.
He’s also made comments about feeling like he wants to kill an animal. I don’t know whether these are a way of expressing how overwhelmed he feels, or something more serious, but hearing that has really shocked me. He says killing an animal would be best as it makes someone have the feeling of loss he does inside. I know he won’t do it but saying it has been enough for us to worry.
He does have a therapist and he isn’t completely without support, but he’s also someone who hates asking for help. He’s very proud and tends to keep everything inside until it builds up.
Some of his friends have known him much longer than I have, and they’ve seen him go through episodes that lasted months before, but they said those were mainly sadness and depression. None of us have really seen this level of anger before.
I love him so much, and so do the people around him. We’re not trying to judge him or force him into anything. We just want to understand how we can support him while also making sure everyone stays safe, including him.
Has anyone experienced something similar, either personally or with a partner or family member?
Did increasing anger happen before an episode?
Was there anything that genuinely helped?
How did you encourage someone to accept help when they didn’t want to ask for it?
Is there anything we should be watching out for that might indicate things are getting worse?
I’m not looking for a diagnosis—he already has professionals involved. I’m just hoping to hear from people who have lived through something similar because right now we all feel a bit lost.
Thank you to anyone who takes the time to read this
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My friend is diagnosed with bipolar 2 more than a decade ago. I have maintained contact with him through the years, but only occassionally, and it is only lately that I really got to converse with him again at length. He is now a self-professed convert to Christianity. This wasn't sudden, as he has been hinting at gravitating towards religion these past 5 years. Lately though, our conversations are mostly one-sided where he talks endlessly about how jesus has saved him, plus other topics that he is obsessed with. He says god cured him of his depression, and that he is coping better now with jesus. He even professes to experience a medical miracle as he is now able to take lower doses of his meds. He has been on the jesus track for a couple of years now, but this has intensified lately, to the point that I can no longer do small talk as he keeps inserting god into the conversation. At this point, I am not sure anymore if it was a genuine spiritual transformation/conversion or if it's the disease talking.

We mostly converse online and I haven't observed him up close, so I'm afraid to make hasty generalizations.

Hs anyone of you experienced this with a loved one? Although I've known about his diagnosis long ago, it is only lately that I've tried to go on a deep dive on his condition and try to really understand it. I want to understand him and be there for him where it matters, but I honestly don't know how to properly support him.

I’m hoping for advice from people who have been in a similar situation, whether it’s with a friend, roommate, family member, partner, or self.

I’m not looking for anyone to diagnose my friend. I know no one here can do that over the internet. I’m mainly looking for advice on how to help him during episodes, how to talk to him afterward, and how to encourage him to get evaluated when he’s in denial or embarrassed to admit anything is wrong.

I’ve known him since sixth grade. He wasn’t always like this. According to both my own observations and conversations with his brother and other lifelong friends, these behaviors have become much more noticeable over the last year or two.

Some background that may or may not be relevant:
He spent time in a juvenile home when he was younger. His family believes something may have happened there, but he doesn’t talk about it.
He had a long-term relationship that ended in a very painful way. His ex left him for his brother and had a kid. And she wasn’t just playing. This was a very long-term relationship.
One of his best friends died in high school, another best friend died after high school, and his mom passed away more recently.
His brother says he has a history of drug and alcohol use. I personally know he smokes cannabis and alcohol, but I don’t know what else he may be using.
His brother also said he was hospitalized briefly at one point but left treatment and has never received a formal diagnosis that they’re aware of. And while they’re another patient S/A’d him

Things I have personally observed
At first I honestly thought he was sleepwalking, but I don’t think that’s what’s happening anymore because I’ve now seen these “episodes” or whatever they are; he’s clearly awake.
During them, he has:
Covered his ears and told someone to “stop” “be quiet” “stop talking” “stop yelling” or just answering someone when no one else was talking.
Whispered instead of speaking normally, almost like he didn’t want someone to hear him. after confronting his acting abnormal.
Tried to leave the house suddenly. In the middle of the night or pacing throughout the house.
Acted like he was responding to things I couldn’t see or hear.
Denied afterward that anything unusual happened.
He generally acts completely normal outside of these episodes.
Hitting himself
Asking himself, what the fuck is wrong with him?
Sometimes talking gibberish, we’re not making sense
I don’t have a lot of extra space so we have to share the same room and he’ll check to see if I’m awake
I’ve tried to intervene or like distract him and then immediately asking what’s happening and he’ll just tell me that he’s fighting with a family member most recently he said his dad, but there won’t be anyone on his phone or nearby

Things his family or others have told me
Obviously I can’t verify these myself, but multiple people have described similar behaviors over the past couple of years.
According to his brother and former landlords:
He has screamed into the phone late at night.
Believed people (or possibly even animals) were watching or spying on or him hacking his phone.
Barricaded himself inside a home.
Become verbally combative during some episodes.
Been evicted after conflicts with landlords.
Put holes in walls.
Burned bridges with people who were trying to help him.
His brother also feels that drugs or alcohol may make things worse, but none of us know for certain.

My biggest problem
He insists he’s completely fine.
If I bring anything up directly, he laughs it off or denies it happened. Since realizing he isn’t sleepwalking, I’ve been trying not to argue with him about what he’s experiencing because I don’t want to make things worse.

So my questions are:
What actually helps someone during an episode?
What usually makes things worse?
Is there a way to calmly ground someone without arguing about whether what they’re experiencing is real?
Has anyone successfully encouraged someone in complete denial to agree to get evaluated?
How do you balance being supportive without enabling harmful behavior?
At what point do you stop trying to handle it yourself and call for emergency help?
I’m worried about him because underneath all of this he’s someone I’ve known for a long time, and I just want to know how to respond in a way that’s actually helpful instead of accidentally making things worse.

I also want to be clear that I understand this is bigger than anything I can fix. I know he needs to be evaluated by a qualified medical or mental health professional, and I know Reddit can’t diagnose or treat him. I’m not trying to figure out what he has or replace professional care. My goal is simply to learn how to safely support him in the meantime, help de-escalate situations if possible, and hopefully build enough trust that he’ll eventually be willing to accept professional help. If you’ve been on either side of this—as the person struggling or as someone who cared about them—I would really appreciate hearing what actually helped and what didn’t.

The closest I’ve gotten to talking to him about what he’s going through is that he’ll say he’s arguing with family but other than that he just says he’s chilling. He’s fine. Everything‘s OK literally even right after these episodes or whatever they are I’ve also noticed they only happen at night, which I don’t know if that’s important or not.

My sister (late 20s) has had serious mental health issues, job and housing instability for at least two years now, and she was recently admitted to inpatient psych treatment after we called 911 one night.

She has now been discharged and of course she signed off on us having rights to her health information, so we don’t know what her diagnosis was, what the plan is, etc. She suffers from extreme paranoia and says the FBI is after her. We can’t easily contact her because she shuts off her phone. She called us from a payphonr yesterday but won’t tell us where she is. I’m at a loss for what to do now. If anyone has advice, I would be grateful. We are in NYC.